Payer

From the Justice Department suing to stop its acquisition of a home health company to naming a new chief information security officer, here are 12 updates on UnitedHealth Group and its subsidiaries that Becker's has reported since Nov. 1: 

Almost half of the nation's local commercial insurance markets are majority controlled by one payer, according to the American Medical Association.

UnitedHealthcare alleges CMS treated its Medicare Advantage star ratings differently compared to Elevance Health, according to court documents unsealed Nov. 18. 

Medicare Advantage plans faced several headwinds in 2024, including rising medical costs, declining star ratings and a tougher reimbursement environment. 

Molina Healthcare is partnering with Instacart in Michigan to address food insecurity among expectant mothers.

The 2025 Medicare Advantage market is seeing major changes, with some insurers expanding into new counties and others exiting certain counties.

Two Aetna employees were arrested for allegedly orchestrating a $1.1 million fraud scheme, according to a Nov. 15 news release from Florida CFO Jimmy Patronis. 

Blue Cross and Blue Shield of Massachusetts reported a $114 million operating loss in the first nine months of the year, partly due to skyrocketing claims for GLP-1 medications.

Fast-paced advancements in generative AI will change the core operations of every healthcare organization. AI-driven technology is not just a side project anymore. AI solutions including generative AI are finally advanced enough to deploy at scale and provide a frictionless…

Private health insurance markets grew more concentrated over the past decade, according to a report published by the Government Accountability Office Nov. 14.