UnitedHealth Group has released findings from multiple independent reviews of its business practices following a June pledge from CEO Stephen Hemsley to conduct a transparent and comprehensive examination of company processes. The reviews, conducted by FTI Consulting and Analysis Group,…
Research & Analysis
CMS tracked the percentage of Medicare beneficiaries using various preventative services in the year leading up to fall 2024. The agency collects this data every two years. For 2024, CMS gathered data on the use of seven preventative services. Compared…
Providers win about 80% of “No Surprises Act” cases that reach arbitration, according to Elevance Health Public Policy Institute research published Dec. 10 in Inquiry: The Journal of Health Care Organization, Provision and Financing. Researchers reviewed Elevance Health’s 2023 dispute…
Commercial health insurance markets are continuing to become more concentrated, according to the AMA’s 2025 “Competition in health insurance” report published Dec. 16. The 24th annual report analyzed insurer market concentration across 384 metropolitan areas and all 50 states and…
Two-thirds of U.S. adults believe the government should be responsible for ensuring Americans have health coverage, according to a Pew Research Center survey. The survey canvassed 10,357 U.S. adults and ran Nov. 17-30. Here are six other notes from the…
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Turquoise Health has detailed its first comprehensive payer price transparency scores in its 2025 impact report, evaluating machine-readable file quality across 97 payers. Ten key findings: 1. Turquoise Health now tracks 219 payer files monthly. The company has assigned transparency…
Nearly half of health plan coverage denials that reached independent medical review were overturned between 2019 and 2023, with significant variation by state, according to a Health Affairs study published Dec. 10. Researchers from the University of California San Francisco…
Insurers are publishing incomplete price transparency data, with hospital inpatient information particularly sparse, according to a study published in the American Journal of Managed Care in December. Researchers from Simple Healthcare analyzed 2025 Transparency in Coverage files from Aetna, Cigna,…
Average worker contributions toward family insurance premiums grew by 308% between 1999 and 2024, according to a Dec. 8 research letter published in JAMA Network Open. Researchers from Rice University and Baylor College of Medicine, both based in Houston, found…
Traditional Medicare could have saved $7 billion from 2019 to 2023 across four services had it mirrored Medicare Advantage’s utilization rates and fraud strategies, according to a December Berkeley Research Group report sponsored by Elevance Health. Because MA plans are…