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Payer

Ten providers recently posted job listings seeking leaders in payer contracting and relations. Note: This is not an exhaustive list. Listings were compiled from job-seeker sites.  1. ChristianaCare, based in Newark, Del., seeks a senior director of managed care contracting…

Elevance Health is the latest insurer to cut its 2025 earnings guidance, citing elevated costs in the individual market and Medicaid.  The company reported its second-quarter earnings July 17. Elevance Health earned  $2.4 billion in operating income in the second…

Centene added more than 1.2 million individual members between the fourth quarter of 2024 to the first quarter of 2025, according to a report by Mark Farrah Associates.  The health plan data aggregator published an analysis of individual market enrollment…

A new, first-of-its-kind report details the corporate structure and acquisition history of the world’s largest healthcare company, UnitedHealth Group. The “Sunlight Report” was published on July 16 by the Center for Health & Democracy and funded by Arnold Ventures. AV…

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The California Public Employees’ Retirement System, or CalPERS, has replaced Optum Rx as its pharmacy benefit manager with CVS Caremark. The new five-year contract begins in 2026 and will provide outpatient prescription drug benefits to 587,000 members enrolled in basic…

EmblemHealth is enlisting AI agents to help keep members cool this summer.  Extreme heat is a silent killer, said Dan Knecht, MD, EmblemHealth’s chief medical officer. In New York City, where EmblemHealth is based, more than 500 people die from…

UnitedHealth Group discretely sold stakes in some of its business units to private equity firms near the end of 2024 in an effort to extend its long-running profit streak despite mounting internal cost pressures, Bloomberg reported July 15. According to…

Here are 10 updates on UnitedHealth Group and its subsidiaries that Becker’s has reported since June 25: 1. UnitedHealth Group has engaged in an “an aggressive and wide-ranging campaign” against several groups of critics following the murder of UnitedHealthcare CEO Brian…

Humana is launching a collaboration with Epic’s MyChart, allowing members to see health plan details alongside the rest of their medical information.  The partnership is the first of its kind, Humana said in a July 15 news release.  “This integration…

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