Centene subsidiary Superior Health Plan’s use of private investigators did not violate any laws, an investigation by Texas’s Attorney General’s Office found. In March, Texas Attorney General Ken Paxton launched an investigation into Superior Health Plan, after former CEO Mark…
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A federal judge has ruled against Florida Blue, deciding the insurer is not entitled to have its Medicare Advantage star ratings reevaluated. In December, attorneys for Florida Blue filed a lawsuit in federal district court in Washington, arguing CMS did…
California’s ACA exchange, Covered California, previously was sharing sensitive data provided by website visitors to LinkedIn through website trackers, The Markup reported in April. Visitors to the state website had information sent to Linkedin about whether they were blind, pregnant,…
Healthcare operations, such as customer care contact centers and revenue cycle departments, often face significant challenges: high volumes, stressful environments, and heavy manual workloads. These teams manage complex, repetitive tasks—like explaining insurance coverage or guiding patients through financial decisions—which can…
Five executives and directors at UnitedHealth Group purchased the company’s stock on May 16 following a major downturn over the last month. Board chair and new CEO Stephen Hemsley made the largest purchase of more than $25 million — 86,700…
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Horizon Blue Cross Blue Shield will pay New Jersey $1.25 billion over 18 years from its conversion to a nonprofit mutual holding company— but where these funds should go has sparked debate, NJ Spotlight News reported May 19. In 2022,…
A group of lawmakers is urging a federal court to allow a lawsuit alleging UnitedHealth Group overcharged the federal government for Medicare Advantage claims to continue. Led by Washington Rep. Pramila Jayapal, 29 U.S. representatives signed on to an amicus…
At Blue Cross Blue Shield of Minnesota, “parity” is in the title of its top leader on behavioral health. Brett Hart, PhD, has served as Blue Cross Blue Shield’s president of behavioral health and mental health parity since 2023. Dr.…
Blue Cross and Blue Shield of Massachusetts has reported a combined after-tax first quarter net income of $37 million on revenue of $2.6 billion (1.4% net margin). The results reflect an operating and other loss of $9.8 million (-0.4% operating…
UnitedHealth Group has agreed to a $1.85 million settlement to resolve a class action lawsuit alleging the company violated the Telephone Consumer Protection Act by making unsolicited, pre-recorded or artificial voice calls to individuals without their consent. The original lawsuit…