When two Blue Cross Blue Shield plans exited Medicare Advantage markets, UnitedHealthcare picked up many of these members, according to an analysis from Chartis. Chartis published its analysis of CMS enrollment data March 25. In 2024, Premera Blue Cross and…
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Blue Cross and Blue Shield of North Carolina reported a net income of $69 million in 2024, Business North Carolina reported April 7. The company recorded $11.9 billion of revenue in 2024, compared to $12.2 billion in 2023. Claims and…
A New York federal judge dismissed an antitrust lawsuit against UnitedHealthcare and MultiPlan that alleged the companies conspired to reduce reimbursement rates for an anesthesia services provider. The lawsuit from Long Island Anesthesiologists alleged that UnitedHealthcare and MultiPlan conspired to…
Aware Integrated, the parent company of Blue Cross Blue Shield of Minnesota, reported an operating income of $27.6 million in 2024, with an operating margin under 1%.” The company published its 2024 financial results April 3. The company brought in…
CMS is rebranding its Health Equity Index reward program to the Excellent Health Outcomes for All (EHO4all) reward, which is set to take effect for 2027 Medicare Advantage star ratings. The new name “better captures the goal of ensuring exceptional…
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UnitedHealthcare is suing Broadcom, alleging that the tech giant is looking to impose “exorbitant price increases” on software used by the insurer. The heavily redacted lawsuit, filed in the U.S. District Court for Minnesota on April 2, claims that Broadcom…
Independence Health Group, the parent company of Independence Blue Cross, reported a net loss of $239 million in 2024. The company’s consolidated revenue was $32 billion, up $1 billion compared to 2023. Independence cited cost pressures in its Medicaid and…
UCare reported an operating loss of $504 million in 2024 amid rising costs in its Medicare Advantage and managed Medicaid businesses, the Minnesota Star Tribune reported April 3. The company posted revenue of nearly $6.3 billion, a margin of about…
CMS has fined seven payers a total of more than $430,000 for violating Medicare requirements related to Part D prescription drug benefits. The insurers were penalized April 1 for errors within their formulary and benefit administration, coverage determinations, and appeals…
Artificial intelligence (AI) has dominated conversations among health plans and providers because of its potential to transform the industry. From predictive models for disease onset to chatbots answering member questions, the number of potential AI applications are innumerable. Yet, not…