UnitedHealth Group (UHG) released its 2025 end-of-the-year report, which begins with double-digit revenue growth, then pivots to signaling a deliberate pullback in 2026 and pledges to prioritize margin repair over membership expansion, a shift with outsized implications for Medicare Advantage, Medicaid and pharmacy markets, including...
A Senate report shows that UnitedHealth Group (UHG), the parent company to the nation's and Arizona's largest Medicare Advantage (MA) insurer, UnitedHealthcare (UHC), is artificially inflating the risk adjustment scores of its MA members in order to achieve higher reimbursement from the Medicare program.
The report is based on 50,000...
All eyes are on UnitedHealth Group's last quarterly financial report of 2025 (Q4). The insurance giant's financials are expected to signal the relative strength of the economic sector's effort to prop up much of the job growth in the American economy and respond to aggressive threats from the Trump administration.
UnitedHealth Group...
New data from the American Medical Association show that Arizona’s health insurance markets remain highly concentrated as of Jan. 1, 2024, with one or two insurers holding dominant market share across commercial, Medicare Advantage, and ACA exchange products.
In the commercial market, UnitedHealth Group holds the largest statewide...
Oak Street Health, the Medicare-focused primary care chain owned by CVS Health continues to grapple with rising medical costs. Optum Health is similarly fighting market challenges to establish UnitedHealth's care delivery arm in a volatile provider market.
This week, Oak Street announced that it would cut 219 jobs in restructuring...Arizona News
UnitedHealth Group will stop paying commissions to brokers who enroll new beneficiaries in nearly 200 Medicare Advantage plans across 39 markets, the company told agents in a June 16 memo; the changes take effect July 1.
The move affects multiple plans in Arizona, where UnitedHealthcare is the state’s largest Medicare Advantage...National News
UnitedHealth Group's tough run continued this week as the Department of Justice has announced yet another investigation into potential criminal allegations that continued the precipitous fall of the company's stock price.
More than half the company's entire market value -- $266 billion -- has been obliterated in the past month, STAT...National News
UnitedHealth Group has a new CEO this week as Andrew Witty steps aside to be replaced by former CEO and Chairman Stephen Hemsley.
The chief executive swap was unexpected but followed an even more surprising quarterly earnings report that capped two years of rising medical costs catching the company completely unprepared. Modern...Arizona Comings & Goings
Jenny Dunn is now senior healthcare finance consultant at UnitedHealth Group. She was formerly an analyst with Equality Health. Her career includes roles at Arizona Care Network, Banner Health and NAH....National News
UnitedHealth Group, which owns the health insurance titan UnitedHealthcare, has reported some fiscal turbulence over the past year, culminating in a first quarter (Q1) earnings report to investors that was decidedly disappointing.
In its Q1 report last Thursday, UHG decided to downgrade its annual net earnings guidance from $29.50-$30...National News
Last Friday, UnitedHealth Group stock took a major hit after reports that the Department of Justice is investigating its business practices.
The company weathered a difficult year after facing a massive cyberattack a year ago at its subsidiary Change Healthcare and the assassination of UnitedHealthcare CEO Brian Thompson late last...Arizona News
In his first public remarks since the public murder of UnitedHealthcare (UHC) CEO Brian Thompson in December, UGH CEO Andrew Witty told investors during the fourth-quarter earnings call that the insurer is close to rolling out a new initiative to streamline prior authorizations.
Nearly all enrollees in Medicare Advantage are subject...National News
UnitedHealthcare CEO Brian Thompson was killed early Wednesday morning in midtown Manhattan in what is being described by the New York Police Department (NYPD) as a "brazen targeted attack."
Surveillance video footage shows the gunman approaching and shooting Thompson outside of the New York Hilton Midtown at 6:45am. The suspect then...Arizona News
The National Association of Insurance Commissioners report provides financial and market intelligence on the insurance industry - another tool for insurers to identify their competitors and comparative market share. The Hertel Report collected the top 10 leaders in Arizona including UnitedHealth Group, Blue Cross Blue Shield of Arizona...National News
Changes to the Medicare Advantage star ratings calculation are already having major impacts for insurers and their shareholders as Humana saw its stocks plunge after announcing that only a quarter of its members are enrolled in plans rated four stars or higher for 2025.
The Centers for Medicare and Medicaid Services (CMS) awards star...Arizona News
In a quarterly earnings call with investors this week, UnitedHealth Group (UHG) leaders revealed that the company sustained even more damage from the Change Healthcare cyberattack last February than was initially anticipated. At close of the second-quarter (Q2), the insurance titan stated that it expected to lose $1.9 billion after...
As the popularity of Medicare Advantage has risen, so has scrutiny from the public and regulators. This week, the Wall Street Journal and KFF published analyses into two aspects of the financial success of Medicare Advantage plans.
In 2023, Medicare Advantage excelled in the metric known as gross margins, which means that MA plans...
First quarter of 2024 results are in across the insurance industry, with UnitedHealth Group (UHG) pulling out ahead for shareholders despite a costly cyberattack shaking up subsidiary activities.
The repeated attacks against Change Healthcare left UHG with an approximate $1.2 billion loss, with the cyberattack directly costing the...
The government is publicly reacting to the disruption in healthcare services caused by the Change Healthcare cyberattack and subsequent extended outage, but tangible consequences for UnitedHealth Group have yet to emerge.
The House Energy and Commerce Committee met this week to discuss the attack, but according to Modern Healthcare,...
UnitedHealth Group (UHG) subsidiary Change Healthcare has a big mess to clean up after the cyberattack on the company that hobbled the American healthcare system for more than a month. Now, Change must contend with the legal challenges of several class-action suits related to the systems outage and the looming threat of future...
