Advertisement

Payer

New York City must pay for the cost of any plan it offers to its retired employees, the state's appeals court ruled, complicating its path to implementing a Medicare Advantage plan. 

From CMS finalizing a rule aimed at streamlining the process to UnitedHealthcare launching a gold-card program, here are four key prior authorization updates Becker's reported in 2024:

Advertisement

HHS' Office of Inspector General has issued a special fraud alert about the risks of fraud and abuse in certain marketing and compensation arrangements related to Medicare Advantage. 

Four health insurers earned a spot on the latest list of the 250 best-managed companies, as ranked by the Drucker Institute.

UnitedHealth Group has agreed to pay $69 million to settle a class-action lawsuit that alleged the company prioritized its business relationship with Wells Fargo over concerns that its 401(k) plan contained low-performing target-date funds, according to court records. 

In the wake of the targeted killing of UnitedHealthcare CEO Brian Thompson, the New York Police Department is warning other health insurance executives that their safety could also be at risk.

The Federal Trade Commission has sent warning letters to 21 companies marketing or generating leads for health plans regarding concerns over deceptive or unfair claims during open enrollment.

Advertisement