Payer

North Carolina has fined UnitedHealthcare $3.4 million following a four year investigation into the company's claims handling practices involving balance billing.

Executives at two of the largest Medicaid managed care providers aren't expecting large federal funding cuts to the program. 

The tools you rely on for effective digital advertising could disappear tomorrow. That’s not hyperbole, or a scare tactic. It’s already happening to healthcare providers right now. As trust in payers erodes and scrutiny around privacy intensifies, it’s only a…

UnitedHealth Group has asked the SEC to exclude two shareholder proposals from its 2025 annual meeting proxy materials that raise concerns about the company’s handling of prior authorization requirements and denied claims.

A bill to establish a single payer healthcare system in Massachusetts has been refiled in the state legislature, aiming to replace private insurers with a publicly funded program that guarantees health coverage for all residents. 

Humana saved $11 billion through value-based care in 2023 compared to fee-for-service Medicare. 

In 2025, the Medicaid program is facing another period of uncertainty.

In 2024, health insurers made 482 updates to their public and members-only websites.

UnitedHealth Group raised concerns with the SEC after hedge fund manager Bill Ackman suggested the company's profitability could be "massively overstated," Bloomberg reported Feb. 5. 

Elevance Health has more than 60 food-as-medicine programs across its health plans, according to a new report.