Payer

Humata Health, a company that uses AI and machine learning to streamline prior authorization for payers and providers, has closed a $25 million investment. 

2024 marks the 10th year ACA exchange plans are available to individuals. Enhanced government subsidies have prompted more people to enroll, and some payers are hoping more small- and medium-sized employers will opt to send their employees to the individual…

UnitedHealthcare's brand is worth more than $47 billion, according to estimates from Brand Finance. 

Sen. Bernie Sanders is asking the Government Accountability Office to investigate why some payers are charging members for birth control, which violates the ACA.

In 2023, 25 million people in the U.S. had no health insurance, according to a preliminary survey published in June by the National Center for Health Statistics.

Data Medicare Advantage insurers provide to the federal government has become more complete in recent years, but gaps remain, according to MedPAC's annual report, titled "Medicare and the Health Care Delivery System." 

Ascension saw disruptions to its ACA health plans following the May cyberattack on the 140-hospital system, NPR reported June 14.

From AMA priorities to new legislation, here are five updates on prior authorization Becker's has reported since May 28:

The board of directors for Orange, Calif.-based CalOptima Health  has approved a $526.2 million investment to increase pay rates for hospitals, providers, community clinics, behavioral health providers, ancillary services providers and health networks.  

A federal lawsuit from UnitedHealth Group was dismissed in May against two former executives, which alleged they stole and used confidential company information to create their own competing product for diabetes management.