Payer

UnitedHealthcare has agreed to pay the HHS and OCR an $80,000 settlement for potentially  violating the HIPAA Privacy Rule's right of access provision. 

Millions of health plan members have had their personal information, including Social Security numbers and medical history, breached in a massive attack affecting hundreds of organizations. 

Demand for behavioral healthcare is on the rise. 

Cigna is rolling back prior authorizations and adding new AI-based offerings for members. 

Humana and kidney care provider Interwell Health have reached a value-based care agreement in 13 states for most Humana Medicare Advantage HMO and PPO members living with chronic kidney disease as well as members across the country living with end-stage…

Here are four payer rebrands that Becker's has reported since June 23: 

The first lawsuit challenging the Medicaid redetermination process was filed in Florida on Aug. 22. On the same day, community organizers in Arkansas protested the process outside the state's capitol. 

Cigna Healthcare has removed prior authorization requirements for more than 600 medical procedures, cutting the number of prior authorizations it requires by 25 percent. 

CareMore Health, an Elevance Health subsidiary, will rebrand as Carelon Health in January 2024. 

The use of specialty medications is on the rise, and we don't see that trend slowing.