Elevance Health’s Medicaid business is expected to reach a low point on profits in 2026, according to the company’s CFO, Mark Kaye. While speaking at the UBS Global Healthcare Conference on Nov. 11, Mr Kaye said the company anticipates its…
Payer
From lawmakers seeking to halt an upcoming Medicare pilot to BCBS of Alabama and physicians outlining shared commitments, here are six updates on prior authorization that Becker’s has reported since Oct. 8: 1. Six Democratic House representatives introduced legislation to…
President Donald Trump proposed that federal healthcare funds bypass insurers and be directed straight to individuals in a Nov. 8 post on Truth Social. “I am recommending to Senate Republicans that the Hundreds of Billions of Dollars currently being sent…
From the company’s CFO outlining financial turnaround plans to Optum launching an AI-powered claims system, here are 10 updates on UnitedHealth Group and its subsidiaries that Becker’s has reported since Oct. 21: 1. UnitedHealth Group CFO Wayne DeVeydt laid out…
UnitedHealth Group CFO Wayne DeVeydt laid out a roadmap to improve the company’s financial performance during an interview at the UBS Global Healthcare Conference on Nov. 10. “Having competed against this organization for years, both as the CFO of Elevance…
Advertisement
Over the next several months, health plans, health systems, policymakers and patients led by Baltimore-based Johns Hopkins will begin addressing prior authorization as part of a convening group. While the group is meeting for the first time today, it will…
UnitedHealthcare will not cover remote physiologic monitoring when it is “unproven and not medically necessary,” including for Type 2 diabetes and most cases of hypertension. However, it will still cover monitoring for heart failure and hypertensive disorders of pregnancy, according…
Health insurers spent the third quarter resetting pricing models and narrowing their product portfolios as medical cost trends remained elevated and Medicare Advantage headwinds intensified heading into 2026. UnitedHealth Group reported Q3 revenue of $113.2 billion, up 12% year over…
The Blue Cross Blue Shield system is made up of more than 30 independent and locally operated companies. While they share branding and licensing through the Blue Cross Blue Shield Association, each plan typically functions as its own entity with…
Baltimore-based Johns Hopkins is convening with health plans, health systems, policymakers and patients to further high-value care, according to a document shared with Becker’s on Nov. 7. “The purpose of this convening proposal is to create sustainable improvements in healthcare…