A federal jury in the Southern District of Florida convicted the founder and owner of HealthSplash for his role in a scheme that prosecutors said fraudulently billed Medicare and other federal ...

Two manufacturers filed a lawsuit against Blue Cross and Blue Shield of Texas over alleged prescription drug rebate fraud, according to an April complaint. Texas State Rep. James Frank, a Republican, ...

Optum Rx, UnitedHealth Group’s pharmacy benefit manager, said it will roll out a fee-based structure to customers in the coming years. A May 11 news release from Optum said Optum Rx’s agreements have ...

Iowa Republican Gov. Kim Reynolds signed a law May 13 that enacts prior authorization reforms and prohibits insurers from penalizing providers for out-of-network referrals, according to the Iowa ...

Payers nationwide are striving to operate more efficiently, while maintaining high levels of member and provider satisfaction. Success stems from reducing the friction and costs associated with core ...

Telehealth programs don’t stall because of a lack of vision; they stall when policy requirements outpace implementation. This session is designed to close that gap. Healthcare leaders from health ...

A departing senior Elevance Health executive is pushing back against demands from the Justice Department to depose him in a Medicare Advantage fraud lawsuit against ...

At the Becker's 5th Annual Fall Payer Issues Roundtable, taking place November 2–3 in Chicago, payer executives and healthcare leaders will come together to discuss value-based care, regulatory ...

Elevance Health posted a $1.76 billion profit in the first quarter of 2026, down 19.4% year over year. The company raised full-year guidance to diluted and adjusted diluted earnings per share to be at ...

The Connecticut Insurance Department fined Aetna, Cigna, ConnectiCare, UnitedHealthcare and Anthem over alleged mental health parity violations, according to an April 15 department report. The report ...

UnitedHealthcare is considering participation in CMS’ voluntary “Better Approaches to Lifestyle and Nutrition for Comprehensive hEalth” model, according to UnitedHealth Group’s April 21 earnings call.