Payer

Many ACA individual plan members incur same-day costs for preventive services, a study in Health Affairs found. 

UnitedHealthcare's Medicare Advantage numbers keep growing, and CMS issued new regulations to simplify prior authorizations and crack down on misleading marketing in the program. 

In a recent survey of consumers, 66 percent of participants indicated that access to more accurate provider information would increase their trust in their health plan.

UnitedHealthcare's plans to implement a gold-card program in 2024 might cut another 10 percent of its prior authorization volumes on top of a 20 percent reduction that will roll out this summer, UnitedHealthcare CEO Brian Thompson said during UnitedHealth Group's…

On-label use of new drugs to treat Type 2 diabetes are well managed by current authorization requirements, UnitedHealthcare's CEO Brian Thompson said. 

CMS' risk adjustment changes won't slow down UnitedHealth Group's long-term growth in the program, CEO Andrew Witty told investors. 

From funding three new faculty positions at Thomas Jefferson University, to the departure of its group and military president to Zelis, here are 10 updates on Humana that Becker's has reported since March 23. 

Over half of payers had at least one outcomes-based contract in 2022, according to a survey from Avalere. 

UnitedHealth Group posted revenues of $91.9 billion in the first quarter of 2023, up 15 percent from $80.1 billion over the same period last year, according to the company's earnings report released April 14. 

Humana is investing another $40 million into affordable housing, bringing the payer's total spending on low-cost rental units to $90 million.