Payer

Federal lawmakers are continuing to raise concerns about insurers' use of algorithms and AI to approve or deny claims. 

Elevance Health has added executives and published new research findings in recent weeks. 

SCAN Group and CareOregon granted $345,000 to RIP Medical Debt, which will wipe out $110 million in medical debt. 

Audits published in the last six months found almost $32 million in overpayments across six Medicare Advantage plans, according to HHS' Office of Inspector General's semiannual report to Congress. 

From being named in the top 50 of this year's Fortune 500 list, to Walgreens seeking to overturn a $642 million award in a drug-pricing dispute, here are eight updates on Humana that Becker's has reported since May 11:

UnitedHealthcare and Cigna recently switched or paused policy implementations after receiving criticism from medical groups and other organizations. 

Medicare Advantage patients who receive in-home health visits through the Optum HouseCalls program spend less time in the emergency room and inpatient hospital settings, according to a study by Yale Medicine and Optum researchers.

Several carriers owned by insurtech companies significantly grew premiums written in 2022, but claims became a big challenge for two companies in particular — Bright Health and Friday Health Plans — according to a May 30 report from S&P Global. 

Oscar Health collected the highest amount of premiums from its members in 2022 among all insurtechs, according to a May 30 analysis from S&P Global.

Medicare spending per person grew by an average of 4.6 percent annually between 2000 and 2022, according to a June 6 analysis from KFF.