United Healthcare's shocking quarterly earnings miss, a new regular feature on the Trump administration's healthcare moves, and the future of value-based care. That's the focus of the latest episode of the Debunked podcast with MedCity News Editor-in-Chief Arundhati Parmar and Samir Batra, managing partner of Health Innovation Pitch.
This week, UnitedHealth Group faced two new investigations from federal lawmakers. The first was a senator’s probe into its Medicare Advantage billing practices, and the second was a Congressman's investigation into a decline in care quality at Optum-owned clinics in New York.
In today’s healthcare landscape, your choice of medical billing partner directly impacts your bottom line. What are the best medical billing outsourcing companies, and which one is right for you?
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.
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.
Yusuf Qasim, President of Payments Optimization at Zelis, discussed how the company is transforming healthcare payments from a fragmented, patchwork system into a modern, digital infrastructure.
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.
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.
Neurologists and health care practitioners must evolve with the world. Telemedicine carts assist in this evolution by serving as an intermediary between patients and doctors.
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.
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.