Sacramento, Calif.-based Sutter Health is defending itself in court Feb. 9 over a class-action lawsuit accusing the provider of violating antitrust laws.
Payer
Humana has grown from a provider powerhouse in its early years into one of the largest Medicare Advantage payers in the country.
KLAS Research, a healthcare IT data and insights company, named its "Best in KLAS" payer tools for 2021.
Centene hit the top end of its 2021 revenue outlook, landing at $126 billion largely thanks to Medicare and Medicaid growth.
Three members of True Health New Mexico are suing the payer over an October 2021 data breach that potentially exposed the information of 63,000 members, according to the Santa Fe New Mexican.
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Highmark announced that its Financial Investigations and Provider Review department saved the payer more than $245 million by identifying and addressing potential fraud, waste and abuse in 2021.
Cigna is scrapping in court with three Florida-based labs over about $32 million in unpaid claims, but the payer claims it actually overcharged the labs due to a "fraudulent billing scheme," according to court filings.
A Minnesota judge sided with UnitedHealth Group and OptumRx in a lawsuit alleging the companies overcharged on drugs because of a "scrivener’s error," according to Bloomberg.
From a range of legal and regulatory conundrums to broad initiatives to reach more members where they are, here are five stories about UnitedHealth Group.
The Texas Supreme Court is hearing arguments over whether Blue Cross Blue Shield of Texas should be awarded a $3 million tax refund, according to Law360.