Two months after a cyberattack on a UnitedHealth Group subsidiary halted payments to some doctors, medical providers say they’re still grappling with the fallout, even though UnitedHealth told shareholders on Tuesday that business is largely back to normal.
UnitedHealth Group's Optum is acquiring Amedisys through an all-cash transaction for $101 per share, the companies announced Monday. The move represents a continuing shift to home-based care, several experts said.
At the Payer Insights sessions on Day 1 of ViVE 2024, a panel on prior authorization offered compelling insights from speakers who shared the positive developments in this area after years of mounting frustration. Speakers also shared challenges as they work with providers to figure out how policy developments and technology will work in practice.
Here is a selection of recent executive hires, exits, promotions and layoffs occurring across the healthcare industry.
The lawsuit is one of nine cases throughout the country that TeamHealth has brought against United for alleged underpayments. The other eight cases are still ongoing.
Combining the two companies may give UnitedHealth unfair access to its competitors data that is operated by Change Healthcare, the DOJ warned it its complaint, but a DC judge has blocked the complaint.
Insurer participation in the ACA individual marketplace is on the rise and the trend is driven by policy changes at the federal level and the lingering effects of the Covid-19 pandemic.
Canada has a proud history of achievement in the areas of science and technology, and the field of biomanufacturing and life sciences is no exception.
A federal grand jury indicted Surgical Care Affiliates, a network of surgical centers and hospitals owned by UnitedHealthcare, for agreeing with competitors not to poach top-level talent.
In a trial last year, a federal judge found that a UnitedHealth subsidiary had illegally denied mental health and substance use disorder claims. The same judge has now ordered the payer to reprocess all the claims and reform its guidelines.
UnitedHealth Group beat earnings expectations, bringing in earnings of $19.7 billion The health insurance giant saw its margins grow across most its business segments, though pharmacy and health services branch Optum saw the fastest growth, at 13.7 percent.
Optum said in the suit that due to the nature of his position, former executive David Smith was one of fewer than 50 people at the company with access to Optum's consolidated set of profit and loss statements at a product-line level.
This eBook, in collaboration with Care Logistics, details how hospitals and health systems can facilitate more effective decision-making by operationalizing elevated awareness.
To help medtech startups that often get FDA approval but have to wait eternally to win reimbursement, FDA has launched a pilot program with private payers that will give entrepreneurs early feedback on what payers need for coverage.
UnitedHealth Group CEO Stephen Hemsley will step down and become executive chairman of the board of directors. His successor is David Wichmann, president of UnitedHealth Group.
UnitedHealth has pulled the plug on its subsidiary Harken Health. Individual Harken members will receive coverage through the end of this year, while those with employer group plans will get coverage through the end of their contracts.
Enterome Bioscience, a developer in pharmaceuticals and diagnostics based on the gut microbiome, announced new financing, and researchers have discovered a molecular structure that could aid the design of broad-spectrum antibiotics.
Effectively engaging with consumers has become a high priority for health plans to remain competitive and maintain customer satisfaction.