![]() ![]() Prisma Health files for temporary restraining order against UnitedHealthcare amid contract negotiationsĬVS Health to lay off 521 Aetna employees Optum quietly buys New York physician groupĬigna gets order barring ex-executive from taking CVS role UnitedHealthcare warned of rising healthcare utilization rates. UnitedHealthcare cutting 20% of prior authorizations Viewpoint: Beware Methodist Hospital ads in UnitedHealthcare feudīCBS of Michigan expands risk-based contracts to 14 providersĪetna partners with Emory, Northside in Atlanta to boost insurance offeringsĮmpty CMS parking lot stirs questions about staff productivity UnitedHealth intends to expand Harmony into Seattle and Texas next. Harmony's roughly 35,000 members pay premiums that are 20 percent lower than similar plans offered by Oakland, Calif.-based Kaiser Permanente and Cigna in Southern California, where Harmony plans are first being sold.ĥ. Those numbers mean Optum is contracting with about 5 percent of the entire U.S. Optum, which is now driving a substantial portion of UnitedHealth's profits, has almost 50,000 owned, managed and contracted physicians, according to a filing with the Securities and Exchange Commission cited by Bloomberg. If customers' care is above a certain threshold, physicians will owe the plan money, and if costs are under the threshold, they will receive a share of the savings.ģ. Under contracts with Harmony, providers agree to share in risk for medical costs. Harmony provides policyholders a narrow network of Optum physicians, plus a small number of outside providers, in exchange for lower premiums.Ģ. Launched in 2019, UnitedHealth Group's Harmony health plan aims to steer patients to physician practices owned by Optum, according to Bloomberg.ġ. Kraft Heinz sues Aetna for alleged claims data mismanagement.White House taking aim at surprise medical bills, 'junk' insurance.UnitedHealthcare backs off controversial GI prior authorization policy.UnitedHealthcare hits back at Prisma Health lawsuit.Sanders reintroduces single-payer Medicare bill with record sponsors.Cigna sued following ProPublica report on unreviewed batches of denied claims.How CVS, Walgreens are the front door to Medicaid redeterminations.Cigna CEO wants return to pre-pandemic, in-person work.UnitedHealth Group's 5 highest-paid executives.Bon Secours sues Anthem BCBS for $93M, alleging unpaid claims.65% of health plans 'very concerned' about off-label use of Ozempic, other weight loss drugs.CMS finalizes rule addressing Medicare Advantage marketing, prior authorization.Why a South Dakota health system is dropping Medicare Advantage.Average hospital payer mix in every state.Ascension drops weight loss drug coverage for employees.100 things to know about Blue Cross Blue Shield.Why this UnitedHealth Group employee joined 'the Bachelorette'.How many people could lose Medicaid coverage, state-by-state.Judge certifies class action in Aetna, Optum 'dummy code' lawsuit.Payers crack down on Ozempic prescriptions.Health system-payer negotiations go awry.Intermountain's 'biggest opportunity for growth' is about to get a lot bigger.UnitedHealthcare ordered to pay Envision $91M in billing dispute.Medicaid redeterminations are going worse than expected, experts say.The 2-midnight rule and Medicare Advantage: 6 things to know.CMS halts Medicaid redeterminations in 'half-dozen states'.UnitedHealthcare's prior authorization cuts to begin Sept.UnitedHealthcare, Cigna halt policies after pushback.CVS Health to lay off 521 Aetna employees.Prisma Health files for temporary restraining order against UnitedHealthcare amid contract negotiations.Cigna gets order barring ex-executive from taking CVS role.Optum quietly buys New York physician group.UnitedHealthcare warned of rising healthcare utilization rates.UnitedHealthcare cutting 20% of prior authorizations. ![]() Empty CMS parking lot stirs questions about staff productivity.Optum-Amedisys deal receives shareholder approval.Medicaid spending on Ozempic, other GLP-1 drugs, topped $1B in 2022.Texas awards 7 payers new contracts to manage Medicaid long-term services.Advice from one of BCBS' longest-serving CEOs.Oregon health system terminates contract with UnitedHealthcare.Major payers drop senior companionship company following patient abuse allegations.Aetna, Optum can't escape class-action status in 'dummy code' case.Elevance Health sues to block former Medicare executive from joining Molina.Dentistry - The Next Five Years Virtual Event.29th Annual Meeting - The Business & Operations of ASCs.
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