Pending regulatory approval, hospital operator Steward Healthcare has sold its nationwide physician network to UnitedHealth Group subsidiary Optum.
Optum already owns Surgical Consultants of America (SCA Health) and is the largest employer of physicians in the country, according to Becker's. Dallas-based Steward Health Care's...
UnitedHealth Group (UHG) subsidiary Change Healthcare still maintains that no patient data was compromised in the cyberattack that caused a shutdown of company services throughout the month of March.
The company has begun the review process for potentially compromised public health information and will begin releasing medical claims...
Last week, UnitedHealth Group announced that Change Healthcare would resume claims processing operations for the $14 billion backlog following a cyberattack on the company last month. The effects of the cyberattack are still coming to light, but community health centers and private practices have suffered from weeks without reimbursement...
UnitedHealth Group (UHG) this week is scrambling to remain the victim in the cyberattack that knocked subsidiary Change Healthcare offline for over three weeks, preventing payment for services to providers and disrupting prior authorization requests and pharmacy business nationwide.
On Tuesday, the company announced that it is now in...National News
The exact nature of the Change Healthcare cybersecurity incident remains mysterious as concerned parties come forward to voice concerns about Change, UnitedHealth Group and the use of healthcare technologies controlled by large companies.
Last Friday, Change Healthcare announced that it would offer a temporary assistance loan program...National News
Sources familiar with the DOJ interviews have reported to the Wall Street Journal that investigators are asking healthcare representatives in sectors where the insurer competes about the the relationship between UnitedHealthcare insurance unit and its Optum Health Services arm.
UnitedHealth revenue soared to $372 billion last year and...
Last week, UnitedHealth Group's (UHG) health care technology subsidiary Change Healthcare was hit by a cyberattack that disrupted services for pharmacies and patients.
UHG said that once the attack was detected, Change was forced to disconnect some of its digital network from client access and shut down services including programs...
Medicare Advantage insurers are struggling to maintain strong projections of growth following the news of very meager reimbursement rate reductions.
The Centers for Medicare and Medicaid Services (CMS) anticipates that the 0.16% reduction in the MA benchmark rate in 2025 will come as an effect of modifications to the diagnostic coding...National News
UnitedHealth Group (UHG) is facing a class action lawsuit initiated by two families of deceased Medicare Advantage policyholders who say that the insurer's use of proprietary AI software developed by UGH subsidiary NaviHealth, denied coverage for post-acute care and left them with an untenable bill.
The family members filed suit in...National News
The U.S. Department of Labor (DOL) has filed suit against a subsidiary of the UnitedHealth Group alleging it denied thousands of claims without reviewing them for medical necessity.
The complaint was filed in the U.S. District Court for the Western District of Wisconsin against UMR, a third-party administrator within the...National News
Last week, home health company Amedisys announced that it would be purchased by UnitedHealth Group subsidiary Optum for $3.6 billion. Meanwhile, Bright Health is cashing out by selling its remaining Medicare Advantage plans to managed care company Molina Health.
Optum's diversified offerings like data analytics through Optum Insight...News
The Amedisys deal is the second home health acquisition for Optum following last year's $5.4 billion purchase of LHC Group, also a home health business. Optum is a profit driver for UnitedHealth Group with Q1 2023 revenue of $54.1 billion, a 25% gain over last year.
The agreement calls for the acquisition of Amedisys’s outstanding...
UnitedHealth Group (UHG) also reported its Q1 2023 earnings rose to $5.61 billion while competitor CVS Health named former Humana CFO Brian Kane the new EVP and president of Aetna effective September 1, 2023.
During UHG's most recent earnings call executives reported revenue growth at 15% YOY across all lines of business. The...
As the national mental health crisis worsens, in part due the COVID-19 pandemic for patients and healthcare workers alike, behavioral healthcare integration is at the top of industry priorities. This week, health care payers of all stripes are innovating solutions to covering costs.
The Medicare Payment Advisory Commission (MedPAC)...Arizona News
Universities and private institutions are pushing to help in the fight against the ongoing mental health crisis among America's youth and adolescents.
Recent studies have noted that 41% of college students were screened for depression last winter, up from 17% in 2013. College students are looking for help with mental health struggles...National News
The U.S. Department of Justice has lost a case that would have blocked UnitedHealth Group (UHG) from acquiring Change Healthcare, a healthcare technology and data platform, for $13 billion.
Judge Carl Nichols of the U.S. District Court for the District of Columbia issued the opinion on Monday, which ordered Change Healthcare to sell...
It's safe to say that Medicare Advantage is now a well-established industry all its own -- within but separate from both the Medicare program and commercial insurance. With this new market dominance, the Medicare Advantage industry is now facing the same things all major industries must deal with: increased oversight, regulation and...
The pharmacy and benefits manager and provider (PBM) Optum, a subsidiary of UnitedHealth Group, helped to push growth expectations bringing UnitedHealthcare (UHC) net earnings outlook to $20.45 to $20.95 per share and adjusted net earnings to $21.40 to $21.90 per share. UnitedHealth Group reported revenues of $80.3 billion, demonstrating...
There were a couple of legal challenges announced this week for hospitals and health systems on the concern of paying. Hospitals accused of overcharging for procedures is a common theme in two cases while Louisiana accused UnitedHealth Group of inflating drug prices to its Medicaid program via Optum Rx by billions.
The Colorado State...
The acquisition of LHC, a national provider of in-home healthcare services, is predicted to help leverage Optum's ability to advance value-based healthcare in patients' homes. Game on Humana.
Dr. Wyatt Decker, CEO, Optum Health,
LHC Group’s sophisticated care coordination capabilities and its warm, human touch is so important...
