Payer

Optum Health, UnitedHealth’s care services division, “strayed from the initial intent,” said Optum CEO Patrick Conway while discussing the unit’s performance during UnitedHealth Group’s Oct. 28 earnings call. However, he remained confident that the company can push the business forward.  Mr.…

Humana’s board of directors declared a $0.885 per share dividend to be paid on Jan. 30, 2026.  The dividend will be paid to all shareholders of record as of the close of business Dec. 26, according to an Oct. 28…

Ten providers recently posted job listings seeking leaders in payer contracting and relations. Note: This is not an exhaustive list. Listings were compiled from job-seeker sites. 1. Broward Health, based in Fort Lauderdale, Fla., seeks a manager of managed care…

Improving member experience remains a top priority for payers — and for Medicare Advantage plans, it’s not just a goal but a business imperative. Member experience directly influences CMS Star Ratings, which in turn affect financial performance. At the heart…

The Cigna Group’s Evernorth division introduced a rebate-free pharmacy benefit model that it says will lower medication costs and simplify drug pricing. The model removes the traditional post-purchase rebate structure by applying negotiated drug discounts upfront, according to an Oct. 27…

The Cigna Group’s board of directors has declared a $1.51 per share cash dividend to be paid on Dec. 18.  The dividend will be paid to shareholders of record as of the close of business Dec. 4, according to an…

Today, the durable medical equipment management (DME) process can be fragmented, inefficient, and unreliable – leading to errors and delays that impact member health, inflate costs for health plans, and burden clinicians with administrative complexity. But what if the end-to-end…

Elevance Health is deepening its use of artificial intelligence enterprise-wide, focusing on enhancements to its member services, clinical workflows and provider operations as part of long-term efforts to simplify care delivery and reduce costs. Chief Digital Information Officer Ratnakar Lavu…

Oklahoma Attorney General Gentner Drummond challenged the state’s managed care Medicaid in an Oct. 22 letter to the Oklahoma Health Care Authority, the agency that oversees the program. Mr. Drummond said providers have concerns about pediatric patient care, such as…

James Brown, Montana state auditor and commissioner of securities and insurance, launched an investigation into Blue Cross and Blue Shield of Montana, a subsidiary of Health Care Service Corp., after a data breach that may have affected up to 462,000…