Insurers are employing different strategies to manage the high cost of GLP-1 drugs. In May, CVS Health announced a partnership with Wegovy manufacturer Novo Nordisk. CVS Caremark will use Wegovy as the preferred GLP-1 medication for its largest commercial formulary.…
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Alabama Gov. Kay Ivey has signed legislation that will allow nonprofit agricultural organizations to offer health benefits in a format that would be exempt from the state’s insurance regulations, a move highly criticized by BCBS Alabama. While not classified as…
A proposed class action lawsuit has been filed against UnitedHealth Group, its CEO Andrew Witty, and CFO John Rex, alleging that the company misled investors about its corporate strategy in the aftermath of the December killing of UnitedHealthcare CEO Brian…
The Musculoskeletal Crisis: Costly, Complex, and Persistent Musculoskeletal (MSK) conditions account for nearly $1 in every $6 spent on healthcare in the United States. Beyond the staggering costs, these conditions profoundly impact people’s daily lives, limiting mobility, productivity, and overall…
Oscar Health’s individual exchange membership grew 45% year over year. The insurer reported its first-quarter 2025 earnings May 7. The company posted $275.2 million in net income in the first quarter, up 55% from the same time last year. Here…
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From naming a new Optum CEO to its planned acquisition of Amedisys heading to mediation, here are 10 updates on UnitedHealth Group and its subsidiaries that Becker’s has reported since April 14: 1. UnitedHealth Group has 1,000 uses for AI…
Clover Health reported a major boost in profitability and overall membership in its first quarter earnings published May 6. The company’s Medicare Advantage membership stands at 103,418, up 30% year-over-year from just under 80,000. MA membership may hit up to…
The North Carolina House of Representatives has passed a bill aimed at reforming the prior authorization approval process. The bill requires payers to notify physicians within a specific timeframe if the medical necessity of a service is being questioned. It…
Healthcare costs keep rising, and employers are looking for new ways to manage their employees’ care. In a survey published by Imagine360, more than a third of respondents said they had skipped or postponed necessary healthcare because of the cost. …
UnitedHealth Group has 1,000 uses for AI technology currently in production across its insurance, care delivery and pharmacy businesses, The Wall Street Journal reported May 5. The applications are split between generative AI and more traditional AI and are being…