A Delaware judge ruled UnitedHealth Group's shareholders can rifle through 12 years of the payer's records to support allegations UnitedHealth directors partook in Medicare fraud, Bloomberg Law reports.
Payer
Chicago-based Health Care Service Corp., the umbrella company of five Blue Cross and Blue Shield plans, will invest $1.5 billion in initiatives to cut its members' healthcare costs.
UnitedHealth Group plans to tie $75 billion of its payments to value-based care contracts by the end of 2020, up from $64 billion in 2017, according to the insurer's annual report on value-based care progress.
Democratic lawmakers introduced a bill in Ohio's General Assembly aimed at stopping Anthem and other health insurers from denying coverage to members using the emergency department under certain circumstances, cleveland.com reports.
A recent study found more than one-third of genetic tests ordered by a single medical center during a three-month period were misordered, resulting in $20,000 in unnecessary cost.
Tufts Health Plan in Watertown, Mass., is alerting 70,000 members to an inadvertent disclosure of their health plan information after it was exposed in the window of envelopes mailed out by one of its vendors, the insurer told Becker's Hospital…
Phoenix-based Banner Health and Aetna named Joanne Mizell COO of their joint health plan, AZ Big Media reports.
While some states made premiums part of their Medicaid expansion programs, few enrollees are making the payments, according to a Kaiser Health News report.
Arlington-based Texas Health Resources will no longer be in Blue Cross and Blue Shield of Texas' network if both parties don't reach a new agreement by a March 31, the insurer told Becker's Hospital Review.
Two Democratic senators inked a letter to Aetna CEO Mark Bertolini requesting the insurer answer questions about why a former medical director said he never looked at patients' medical records when deciding to review or deny claims, CNN reports.
