UnitedHealthcare

UnitedHealthcare column: Social distancing and loneliness: — help reap the benefits of mindfulness | 5/25/2020

… limit the spread of COVID-19, the incidence of loneliness is almost certain to rise. Loneliness is characterized by a marked difference between someone’s desired companionship and actual relationships. Through unique studies conducted by UnitedHealthcare and AARP, researchers have applied the techniques of mindfulness, to help combat loneliness in older adults. “Social isolation and loneliness are serious yet underappreciated public health risks that may affect a significant portion of the …

COVID-Like Cough Sent Him To ER — Where He Got A $3,278 Bill | Kaiser Health News | 5/25/2020

… said. “We had intentionally called the nurse’s line trying to be responsible, but that did not work.” /p p In an effort to remove barriers from people getting tested and evaluated for COVID-19, UnitedHealthcare is one of many insurers that announced it will a href=”https://www.uhc.com/health-and-wellness/health-topics/covid-19/coverage-and-resources” waive cost sharing /a for COVID-19 testing-related visits and treatment …

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$3,278 ER Visit for Coughing Fits and Fever Amid Covid-19 Pandemic Highlights Failure of For-Profit System | 5/25/2020

… the coronavirus pandemic. Regan and Kaiser Health News editor-in-chief Elisabeth Rosenthal appeared on “CBS This Morning” to discuss the four-figure bill from Denver Health and the fact that his insurance provider, UnitedHealthcare , initially only covered $1,042, leaving Regan’s family with $2,236 to pay—even though a law passed by Congress requires insurers to fully cover Covid-19 testing and many companies, including UnitedHealthcare , are also waiving treatment …

Senior Accounting Analyst - Minnetonka, MN or Columbia, MD - UnitedHealth Group - Minnetonka, MN | 5/24/2020

Apply Now Description UnitedHealthcare is a company that’s on the rise. We’re expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn’t about another gadget, it’s about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life’s best work.(sm) The primary purpose of the job is to ensure that all …

Licensed Alcohol and Drug Counselor - Eden Prairie, MN - UnitedHealth Group - Eden Prairie, MN | 5/24/2020

… Eden Prairie, MN UnitedHealth Group Eden Prairie, Minnesota, United States less than an hour ago Apply Now Description You’re looking for something bigger for your career. How about inventing the future of health care? UnitedHealthcare is offering an innovative new standard for care management. We’re going beyond counseling services and verified referrals to behavioral health programs integrated across the entire continuum of care. Our growth is fueling the need for …

Houston Methodist returns to UnitedHealth network after impasse | Becker’s Hospital Review | 5/23/2020

Houston Methodist facilities and physicians are moving back into UnitedHealthcare ‘s network after roughly six months of a negotiation impasse, according to the Houston Chronicle . “Houston Methodist and UnitedHealthcare have reached an agreement in principle, but we are working through many complex details of the contract now,” a hospital spokesperson confirmed in a May 21 statement to the Chronicle . UnitedHealthcare and Houston Methodist were unable to agree on reimbursement rates before …

Washington State: 15 carriers file for 2021 #ACA market; Public Option plans to launch as well | 5/23/2020

… rate changes until June 1st, there’s still several important developments in this press release: OLYMPIA, Wash. – Fifteen health insurers filed 183 plans for Washington’s 2021 individual health insurance market — with two new insurers entering: UnitedHealthcare of Oregon and Community Health Network of Washington. The filings indicate a strong response from health insurers to provide more choice for consumers during the current coronavirus pandemic. They also show that individuals in all …

Provider Customer Service Representative - Tennessee Telecommute - UnitedHealth Group - Kingsport, TN | 5/23/2020

Description Training classes start soon - apply today! Turn on the news on any night of the week and you’re likely to hear about the changes that are sweeping through our health care system. It’s dramatic. It’s positive. And it’s being led by companies like UnitedHealthcare , part of the UnitedHealth Group family of businesses. Now, you can take advantage of some of the best training and tools in the world to …

New Online Tool Assists Patients in Diagnosing Coronavirus Symptoms | 5/23/2020

… Disease Control and Prevention evolve, according to Natalie Williamson, a mid-Atlantic vice president for the health insurer. She says the tool is an advanced application that’s free for anyone and isn’t limited to UnitedHealthcare members. “The symptom checker actually uses AI-powered algorithms and technology that factors in answers to questions along the way and gives answers to individuals based on the latest clinical guidelines,” she explains. Williamson says …

Indiana Department of Insurance approves financial relief program | 5/23/2020

The Indiana Department of Insurance recently approved a request from UnitedHealthcare to provide financial relief to those holding a range of health insurance policies. Commercial fully insured individual (excluding student) and group health plan policyholders will be granted premium forgiveness credits, according to a press release from the department of insurance. The program ranges from 5% to 10% relief for major medical plans and 50% for dental. The credit will …

15 health insurers file plans for 2021 individual health insurance market | 5/23/2020

15 health insurers file plans for 2021 individual health insurance market May 22, 2020 OLYMPIA – Fifteen health insurers filed 183 plans for Washington’s 2021 individual health insurance market — with two new insurers entering: UnitedHealthcare of Oregon and Community Health Network of Washington. The filings indicate a strong response from health insurers to provide more choices for consumers during the current coronavirus pandemic. They also show that individuals in all counties …

Court upholds dismissal of California surgery center suit against UnitedHealthcare | Becker’s ASC Review | 5/22/2020

A federal appeals court upheld the dismissal of Glendale Outpatient Surgery Center’s lawsuit against United HealthCare Services and UnitedHealthcare Insurance Co. GOSC sued UnitedHealthcare under the Employee Retirement Income Security Act, alleging that the insurer underpaid for patient care on 44 occasions. A U.S. District Judge for the Middle District of Florida dismissed the suit without prejudice for failure to state a claim. The U.S. Court of Appeals for the …

Houston Methodist to remain in-network for UnitedHealthcare customers | 5/22/2020

Houston Methodist and UnitedHealthcare have reached a contract agreement, ending a months-long stalemate over whether the hospital system would remain in-network for 100,000 UnitedHealthcare plan holders. “Houston Methodist and UnitedHealthcare have reached an agreement in principle but we are working through many complex details of the contract now,” hospital spokeswoman Stefanie Asin said in a Thursday statement. The companies will release more information about when the agreement will …

Free COVID Symptom Checker Enhances VA’s Rising Telehealth Use | 5/22/2020

RICHMOND, Va. - The use of telemedicine is skyrocketing during the pandemic, and a new online tool is part of the trend, helping patients pinpoint symptoms of a new coronavirus infection. UnitedHealthcare ‘s COVID Symptom Checker is based on artificial intelligence and offers advice on next steps to take. The application is free to the public, according to Caroline Anderson, executive director of Medicare and retirement plans for UnitedHealthcare . She says the …

West Virginians Can Get Free COVID Symptom Checks Online | 5/22/2020

CHARLESTON, W.Va. - The use of telemedicine is skyrocketing during the pandemic, and a new online tool is part of the trend, helping patients pinpoint symptoms of a new coronavirus infection. UnitedHealthcare ‘s COVID Symptom Checker is based on artificial intelligence and offers advice on next steps to take. The application is free to the public, according to Caroline Anderson, executive director of Medicare and retirement plans for UnitedHealthcare . She says the …

Houston Methodist returns to UnitedHealth network after impasse - Medical Billing Tips & Tricks | Becker’s Hospital Review | 5/22/2020

Houston Methodist facilities and physicians are moving back into UnitedHealthcare ’s network after roughly six months of a negotiation impasse, according to the Houston Chronicle . “Houston Methodist and UnitedHealthcare have reached an agreement in principle, but we are working through many complex details of the contract now,” a hospital spokesperson confirmed in a May 21 statement to the Chronicle . UnitedHealthcare and Houston Methodist were unable to agree on reimbursement rates before …

Client Manager, OptumHealth Local Markets - UHC Client Mgmt IL Region - UnitedHealth Group - Chicago, IL | 5/21/2020

… you are located in the Greater Chicagoland , you will have the flexibility to telecommute as you take on some tough challenges. Primary Responsibilities: Accountable to coordinate and upsell OptumHealth solutions to existing clients through UnitedHealthcare Employer and Individual (E&I) Local Markets channel focused accounts with less than 1,000 lives in assigned territory Expand our account penetration for existing clients by working in partnership with UnitedHealthcare E&I Local Markets …

Sr. Account Executive, Key Accounts- Seattle, WA - UnitedHealth Group - Seattle, WA | 5/21/2020

Apply Now Description UnitedHealthcare Employer & Individual is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system. When you work with UnitedHealthcare Employer & Individual, what you do matters. It’s that simple…and it’s that challenging. In providing consumer-oriented health benefit plans to millions of people, our goal is to create higher quality care, lower costs …

Customer Service Representative - El Paso, TX - UnitedHealth Group - El Paso, TX | 5/21/2020

… news on any night of the week and you’re likely to hear about the changes that are sweeping through our health care system. It’s dramatic. It’s positive. And it’s being led by companies like UnitedHealthcare , part of the UnitedHealth Group family of businesses. Now, you can take advantage of some of the best training and tools in the world to help serve our members by interfacing and solving issues with …

Houston Methodist will be back in-network for UnitedHealthcare - HoustonChronicle.com | 5/21/2020

Houston Methodist and UnitedHealthcare have reached a contract agreement, ending a months-long stalemate over whether 100,000 UnitedHealthcare members could use the hospital’s services at lower in-network rates …

Chief Operating Officer, Kansas Health Plan - Overland Park, KS - UnitedHealth Group - Overland Park, KS | 5/20/2020

… your peers and our industry by shaping what health care looks like and doing your life’s best work.(sm) The Chief Operating Officer, Kansas Health Plan (UHC Community & State) will manage the operations of UnitedHealthcare Community & State plan of Kansas for KanCare. The COO plans, executes and oversees the operations of the Kansas health plan. This role has overall accountability to meet State reporting requirements, oversee the claims and call …

Health insurers speed MLR rebates through premium discounts | Modern Healthcare | 5/20/2020

… for individual and small group premiums starting in July and continuing through the end of the year. Their announcements follows similar commitments made earlier this month from insurers Premera Blue Cross, Priority Health and UnitedHealthcare . UCare and some other insurers are also waiving copayments for primary care and mental health services for certain customers. Insurers’ willingness to offer premium discounts and other financial relief suggests they expect to profit this …

UnitedHealthcare Encourages Americans to Stay Active – Even at Home – with the Step Up for Better Health Sweepstakes During April’s Move More Month | 5/20/2020

… help maintain or improve their health, so we hope our Step Up for Better Health Sweepstakes helps encourage Americans to become more active during these challenging times,” said Anne Docimo, M.D., chief medical officer, UnitedHealthcare . “By entering the sweepstakes and pledging to walk more, people have a chance to win one of more than 100 wellness-related prizes while taking a step toward getting or staying active – either at home …

Industry Experts Weigh In on “Next Normal” in Real Estate Market After COVID-19 | 5/20/2020

… to a virtual delivery system for services as a result of the COVID-19 coronavirus pandemic. The virtual roundtable , which featured experts from Stryker Corporation, Wells Fargo Home Mortgage, Suite Home Corporate Housing and UnitedHealthcare , was hosted by Sterling Lexicon, a leading provider of global relocation services, and its parent company, The Suddath Companies. Major corporations are limiting relocations to only the most necessary ones at this time, the panelists …

COVID-19 Crisis: Aetna Expands NIPT Coverage for Young Pregnant Women | 5/19/2020

… taken an encouraging step towards safeguarding maternal health during the COVID-19 pandemic, Stand Up! 4APA urges the insurance provider to make this policy change permanent. The organization also expects other insurance providers, including UnitedHealthcare , to promptly follow Aetna’s example. Following updated Society for Maternal Fetal Medicine (SMFM) Ultrasound Practice Suggestions and COVID-19 MFM Guidance published in AJOG-MFM, Aetna is taking steps towards containing the spread of Coronavirus …

Telehealth

AHA CEO asks insurers to opt in to interim, accelerated payments during COVID-19 pandemic | Becker’s Hospital Review | 4/2/2020

… flow amid the COVID-19 pandemic. The letter, addressed to the CEOs and executive leadership of CVS Health, Aetna, Anthem, UnitedHealthcare, Cigna, America’s Health Insurance Plans and the Blue Cross Blue Shield Association, said private … related to COVID-19 treatment. Several insurers have expanded their telehealth coverage and waived costs for the treatment as well, while others have already implemented new prior authorization policies in an effort to reduce administrative …

American Hospital Association

AHA CEO asks insurers to opt in to interim, accelerated payments during COVID-19 pandemic | Becker’s Hospital Review | 4/2/2020

… American Hospital Association, said in an April 1 letter to insurers. He said commercial insurers should make efforts similar to the federal government’s to support cash flow amid the COVID-19 pandemic. The letter, addressed to the CEOs and executive leadership of CVS Health, Aetna, Anthem, UnitedHealthcare, Cigna, America’s Health Insurance Plans and the Blue Cross Blue Shield Association, said private payers can “make a significant difference in whether a …

Medicare

UnitedHealthcare, Anthem to waive cost-sharing for COVID-19 treatment | FierceHealthcare | 4/1/2020

UnitedHealthcare is the latest big-name insurer to waive members’ cost-sharing for COVID-19 treatments. UHC said it would waive the associated costs for members in its fully insured commercial, Medicare Advantage and Medicaid plans. The insurer added that it’s working with interested self-funded employer plans to offer the same waivers. The waivers will be available through May 31. UHC also announced that it will waive cost-sharing …

Medicaid

UnitedHealthcare, Anthem to waive cost-sharing for COVID-19 treatment | FierceHealthcare | 4/1/2020

UnitedHealthcare is the latest big-name insurer to waive members’ cost-sharing for COVID-19 treatments. UHC said it would waive the associated costs for members in its fully insured commercial, Medicare Advantage and Medicaid plans. The insurer added that it’s working with interested self-funded employer plans to offer the same waivers. The waivers will be available through May 31. UHC also announced that it will waive cost-sharing …

COVID-19

UnitedHealthcare, Anthem to waive cost-sharing for COVID-19 treatment | FierceHealthcare | 4/1/2020

UnitedHealthcare is the latest big-name insurer to waive members’ cost-sharing for COVID-19 treatments. UHC said it would waive the associated costs for members in its fully insured commercial, Medicare Advantage and Medicaid plans. The insurer added that it’s working with interested self-funded employer plans to offer the same waivers. The waivers will be available through May 31. UHC also announced that it will waive cost-sharing …

Digital Health

Here’s Why You Should Add DexCom (DXCM) to Your Portfolio Now - March 31, 2020 - Zacks.com | 3/31/2020

UnitedHealthcare has displayed notable progress with the company being optimistic about CGM in its Type 2 population in 2020. The company looks forward to expanding the presence of CGM for type 2 customers through additional partnerships with programs offered by digital health players like Onduo, Livongo and WellDoc. Solid Guidance : For 2020, DexCom anticipates revenues between $1.73 billion and $1.78 billion, indicating an improvement of 17-20% year over year. Per …

Population Health

UnitedHealth Group Unveils Self-Administered COVID-19 Test | HealthPayer Intelligence | 3/31/2020

… Four Medicaid Waiver Templates To Fight Coronavirus “This is one of many ways we’re working across UnitedHealth Group, Optum and UnitedHealthcare to combat COVID-19 by providing the best care for patients, supporting the health … They have also pledged to match Medicare waivers to enable population health management for seniors who are considered high risk. Testing and trying to mitigate health complications related to the virus is all that payers …

American Medical Association

UnitedHealthcare delays new ED claim policy amid COVID-19 | Becker’s Hospital Review | 3/28/2020

UnitedHealthcare delays new ED claim policy amid COVID-19 Morgan Haefner - Print Email UnitedHealthcare is delaying the implementation of a new policy that will affect professional emergency department claims submitted with the level 5 evaluation/management code 99285. UnitedHealthcare, the insurance arm of UnitedHealth Group, said it is delaying the policy in part due to the COVID-19 pandemic. The new policy, which aligns with CMS and American Medical Association

CDC

UnitedHealthcare Offers Special Enrollment and Reduces Administrative Requirements to Improve Access to Care and Coverage in Response to COVID-19 | Business Wire | 3/24/2020

MINNETONKA, Minn.–(BUSINESS WIRE)–Mar 24, 2020– UnitedHealthcare announced today several updates to its programs in response to the COVID-19 national emergency. In addition to previously announced telehealth and virtual care expansion, the company … 19 testing provided at approved locations in accordance with the CDC guidelines. In addition, the company will waive cost-sharing for COVID-19 testing related visits, whether the care is received in a physician’s office …

AMA

CPT code expected soon to report and bill for coronavirus tests | FierceHealthcare | 3/10/2020

… establishment of a new CPT code to allow physicians to bill for coronavirus testing. (Getty/ababil12) The American Medical Association (AMA) is moving forward to approve a new Current Procedural Terminology (CPT) code for reporting … to bill outpatient and office procedures. RELATED: UPDATED Coronavirus tracker: UnitedHealthcare to waive cost-sharing for tests; Additional March conferences cancel “Moving as quickly as possible to put in place a CPT code for a …

Mental Health

UnitedHealth Group Reinforces Actions Taken to Provide Members and Patients with COVID-19 Support and Resources | Business & Finance | manchestertimes.com | Business Wire | 3/9/2020

MINNETONKA, Minn.–(BUSINESS WIRE)–Mar 9, 2020– UnitedHealth Group (NYSE: UNH), UnitedHealthcare and Optum are taking action to ensure health plan members and patients affected by COVID-19 have the support and resources they need … UNITED STATES NORTH AMERICA INDUSTRY KEYWORD: PRACTICE MANAGEMENT INSURANCE HEALTH MENTAL HEALTH MEDICAL DEVICES INFECTIOUS DISEASES HOSPITALS PROFESSIONAL SERVICES SOURCE: UnitedHealth Group …

ACA

Do Short-Term Limited Duration Plans Deserve Industry Skepticism? | HealthPayer Intelligence | 3/4/2020

… UnitedHealthcare’s Short Term Medical Value Select A policy. The researchers compared these plans to the most popular ACA-compliant plan in the Atlanta region: the Anthem Bronze Pathway X Guided Access HMO 4600 Online Plus. READ MORE: Judge Preserves 3 Year, Renewable Short-Term Health Plan Rule The analysis confirmed that short-term limited duration plans have less benefit coverage and lower financial protection than ACA plans do. The most …

Patient Satisfaction

Patient Education Toolkit Takes Aim at Opioid Use in Oral Surgery | Patient Engagement HIT | 2/21/2020

Patient Satisfaction News Patient Education Toolkit Takes Aim at Opioid Use in Oral Surgery The toolkit from UnitedHealthcare leans largely on patient education techniques to address opioid pain relievers after oral surgery. Source: Thinkstock By February 21, 2020 - A new resource from UnitedHealthcare aims to stem the spread of the opioid epidemic by offering patient education and provider guidelines after oral surgery. The toolkit looks at how providers can discuss …

Medicare Advantage

VC-backed startups are all competing for customers in the red-hot Medicare Advantage market. Here’s our first look at how Oscar, Devoted, and Bright stack up. | Business Insider | 2/13/2020

… Devoted Health, Alignment Healthcare and Bright Health have raised hundreds of millions as they’ve expanded their reach into the competitive Medicare Advantage markets. Business Insider rounded up how each insurer fared during its enrollment period … Alignment Healthcare — are going up against giants in the industry. UnitedHealthcare for instance, had nearly 5.3 million members enrolled in Medicare Advantage plans at the end of 2019, while Humana had 3.6 million, and Aetna …

Kaiser Family Foundation

Private payers unlikely to take significant hit from Medicaid block grant plan | Healthcare Dive | 2/3/2020

… than 70 million Medicaid members receive some or all of their care from Medicaid managed care organizations, according to the Kaiser Family Foundation. The Trump administration wants to give states the option to cap the … ratings​ for Fitch Ratings, told Healthcare Dive. Centene, Anthem and UnitedHealthcare have a significant footprint in the Medicaid managed care space. Together, they cover more than 21 million Medicaid beneficiaries across the country. The government …

Food and Drug Administration

4 Best Healthcare Mutual Funds of 2019 - December 27, 2019 - Zacks.com | 12/27/2019

… the underlying factors that pushed the sector, one will note a record number of mergers and acquisitions, approvals from the Food and Drug Administration (FDA) and some notable initial public offerings of healthcare companies. According … Apple, along with healthcare giants such as Philips, Medtronic and UnitedHealthcare. Dassault Systèmes’ acquisition of Medidata, Elsevier’s acquisition of 3D4 Medical and BioTelemetry’s acquisition of Geneva Healthcare especially made headlines. Coming to IPOs, emergence of …

Clinical Data

Social Worker Office Navigator - Baton Rouge, LA - UnitedHealth Group - Baton Rouge, LA | 12/4/2019

… secure. Follows corporate instruction based on Federal and State guidance related to health information documentation and security. Additional Competencies: access clinical data and draw conclusions think critically influence and effect change utilizing negotiation, conflict management … home and long term acute care regulations preferred Careers at UnitedHealthcare Medicare & Retirement. The Boomer generation is the fastest growing market segment in health care. And we are the largest business in the nation dedicated …

Coordinated Care

HSS Clinical Coordinator (Field) Ocean County, NJ - UnitedHealth Group - Edison, NJ | 12/4/2019

… of care as a single point of contact Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members Advocate for patients and families … arranging community resources Prior field based work experience Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That’s why you’ll find some of the most amazingly talented …

Bundled Payments

Government’s Decision To Cut Cost-Sharing Reduction Payments Paid Off For Rural Consumers | Kaiser Health News | 12/4/2019

… enrollees. The Trump administration has solicited feedback on potentially banning silver-loading in 2021. In other insurance and costs news: bundled payments, penalties, health care sharing ministries and more. Modern Healthcare: Subsidized Rural Health Premiums … how the Minnetonka-based health care giant has diversified beyond UnitedHealthcare, the core health insurance business that remains the largest carrier in the county. (Snowbeck, 12/3) This is part of the KHN Morning Briefing, a …

Behavioral Health

HSS Clinical Coordinator (Field) Ocean County, NJ - UnitedHealth Group - Edison, NJ | 12/4/2019

… Nursing) and PED (Pediatric) experience are strongly preferred Experience with arranging community resources Prior field based work experience Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best … Clinical, Case Management, Medicare, Medicaid, Medicaid Waiver, MDS, Managed Care, Behavioral Health, Mental Health, Community Health, Long Term Care, LTC, Hospice, Public Health, Assisted Living , United Healthcare, UHC, Field Based, Ocean County, Edison, New Jersey …

Patient Safety

Social Worker Office Navigator - Baton Rouge, LA - UnitedHealth Group - Baton Rouge, LA | 12/4/2019

… home visits on identified members following a hospital stay to identify ongoing needs and available resources. Implement activities to improve patient safety and reduce medical errors Applies focus on points of care transitions, which includes … home and long term acute care regulations preferred Careers at UnitedHealthcare Medicare & Retirement. The Boomer generation is the fastest growing market segment in health care. And we are the largest business in the nation dedicated …

Community Health

HSS Clinical Coordinator (Field) Ocean County, NJ - UnitedHealth Group - Edison, NJ | 12/4/2019

Community Health experience in a healthcare environment Experience with electronic charting PDN (Private Duty Nursing) and PED (Pediatric) experience are strongly preferred Experience with arranging community resources Prior field based work experience Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That’s why you’ll find some of the most amazingly talented people in health care here. We serve the health care needs …

Medical Errors

Social Worker Office Navigator - Baton Rouge, LA - UnitedHealth Group - Baton Rouge, LA | 12/4/2019

… members following a hospital stay to identify ongoing needs and available resources. Implement activities to improve patient safety and reduce medical errors Applies focus on points of care transitions, which includes a complete transfer to … home and long term acute care regulations preferred Careers at UnitedHealthcare Medicare & Retirement. The Boomer generation is the fastest growing market segment in health care. And we are the largest business in the nation dedicated …

Hospital Readmissions

Social Worker Office Navigator - Baton Rouge, LA - UnitedHealth Group - Baton Rouge, LA | 12/4/2019

… member’s residence, and/or office Preferred Qualifications: Experienced in managed care industry setting Understanding of HMO and third-party administration Understanding of nursing home and long term acute care regulations preferred Careers at UnitedHealthcare Medicare & Retirement. The Boomer generation is the fastest growing market segment in health care. And we are the largest business in the nation dedicated to serving their unique health and well-being needs. Up for the …

Chronic Disease Management

Social Worker Office Navigator - Baton Rouge, LA - UnitedHealth Group - Baton Rouge, LA | 12/4/2019

… member is appropriate for complex case management. Documents the assessment and make appropriate referrals to case management, care coordination and chronic disease management programs as a part of the medical home model; Involves the individual … home and long term acute care regulations preferred Careers at UnitedHealthcare Medicare & Retirement. The Boomer generation is the fastest growing market segment in health care. And we are the largest business in the nation dedicated …

UnitedHealth

AHA CEO asks insurers to opt in to interim, accelerated payments during COVID-19 pandemic | Becker’s Hospital Review | 4/2/2020

… UnitedHealthcare, Cigna, America’s Health Insurance Plans and the Blue Cross Blue Shield Association, said private payers can “make a significant difference in whether a hospital or health system keeps their doors open during this critical time.” While the federal government has made temporary changes that boost and accelerate Medicare reimbursement to help hospitals with coronavirus-related financial hardship, Mr. Pollack said the efforts aren’t enough and private insurers should do …

UnitedHealth Group

AHA CEO asks insurers to opt in to interim, accelerated payments during COVID-19 pandemic | Becker’s Hospital Review | 4/2/2020

… flow amid the COVID-19 pandemic. The letter, addressed to the CEOs and executive leadership of CVS Health, Aetna, Anthem, UnitedHealthcare, Cigna, America’s Health Insurance Plans and the Blue Cross Blue Shield Association, said private … policies in an effort to reduce administrative burden. In addition, UnitedHealth Group committed an initial $50 million to fight the COVID-19 pandemic, with $30 million being earmarked for healthcare workers. In an email to …

CVS Health

AHA CEO asks insurers to opt in to interim, accelerated payments during COVID-19 pandemic | Becker’s Hospital Review | 4/2/2020

… CVS Health, Aetna, Anthem, UnitedHealthcare, Cigna, America’s Health Insurance Plans and the Blue Cross Blue Shield Association, said private payers can “make a significant difference in whether a hospital or health system keeps their doors open during this critical time.” While the federal government has made temporary changes that boost and accelerate Medicare reimbursement to help hospitals with coronavirus-related financial hardship, Mr. Pollack said the efforts aren’t enough and …

CVS

AHA CEO asks insurers to opt in to interim, accelerated payments during COVID-19 pandemic | Becker’s Hospital Review | 4/2/2020

CVS Health, Aetna, Anthem, UnitedHealthcare, Cigna, America’s Health Insurance Plans and the Blue Cross Blue Shield Association, said private payers can “make a significant difference in whether a hospital or health system keeps their doors open during this critical time.” While the federal government has made temporary changes that boost and accelerate Medicare reimbursement to help hospitals with coronavirus-related financial hardship, Mr. Pollack said the efforts aren’t enough and …

Rite Aid

Can Retail Pharmacy USA Aid Walgreen Boots’ (WBA) Q2 Earnings? - April 1, 2020 - Zacks.com | 4/1/2020

… this announcement. Key Catalysts Within the Retail Pharmacy USA division, Walgreens Boots is riding on the transfer of prescriptions from Rite Aid stores. We believe this prescription volume growth and brand inflation in the United … based pharmacy benefit manager, a multi-year Medicare agreement with UnitedHealthcare comprising a new co-branded Medicare Advantage plan, with Walgreens Boots being the only preferred Retail Pharmacy, have been boosting growth in this space …

Walgreens Boots Alliance

Can Retail Pharmacy USA Aid Walgreen Boots’ (WBA) Q2 Earnings? - April 1, 2020 - Zacks.com | 4/1/2020

Walgreens Boots Alliance, Inc. ( WBA - Free Report ) is slated to release second-quarter fiscal 2020 results (ending Feb 28, 2020) on Apr 2, before the market opens. In the last reported quarter, the company reported … based pharmacy benefit manager, a multi-year Medicare agreement with UnitedHealthcare comprising a new co-branded Medicare Advantage plan, with Walgreens Boots being the only preferred Retail Pharmacy, have been boosting growth in this space …

Centene

Can Retail Pharmacy USA Aid Walgreen Boots’ (WBA) Q2 Earnings? - April 1, 2020 - Zacks.com | 4/1/2020

… Centene, a leading Medicaid insurer, and RxAdvance, a cloud-based pharmacy benefit manager, a multi-year Medicare agreement with UnitedHealthcare comprising a new co-branded Medicare Advantage plan, with Walgreens Boots being the only preferred Retail Pharmacy, have been boosting growth in this space, of late. All these positives are expected to have contributed to the company’s top-line growth during this period under discussion. Overall, the Zacks Consensus Estimate …

LabCorp

3 Stocks Testing The Coronavirus | Yahoo News | 3/30/2020

LabCorp ( LH ) LabCorp is the world’s leading healthcare diagnostics company and just celebrated its 50th-anniversary last year. The firm’s exclusive partnership with UnitedHealthcare, the largest healthcare enterprise in the world, has been crucial to LabCorp’s continued success. Today LH is focusing its laboratory efforts on coronavirus tests, analyzing 30,000+ tests per day. This is partially offsetting its massive declines in patient testing for other purposes, which gives it a …

OptumRx

UnitedHealthcare Expands Access to Care, Support and Resources to Help People and Families Address COVID-19 | Business Wire | 3/19/2020

MINNETONKA, Minn.- UnitedHealthcare announced today several updates that provide people and families expanded access to the care, support and resources they need to navigate through this unprecedented time. These actions will expand access to testing … as our commercial members. Access to Medication Eligible UnitedHealthcare and OptumRx members needing help obtaining an early prescription refill can call the customer care number located on their medical ID card for assistance. Access to …

Quest Diagnostics

How insurers, including the biggest of them all, are responding to COVID-19 | The Business Journals | 3/9/2020

… UnitedHealthcare, which has broken into the Minnesota market selling Medicare products, also plans to waive copays. While until recently the Centers for Disease Control or individual states had handled testing for COVID-19, as well as handling the price, publicly traded companies like Quest Diagnostics (NYSE: DGX) and Laboratory Corporation of America (NYSE: LH) have rolled out their own tests in the past week, meaning insurers will be on the …

Microsoft Health

Meet 13 significant execs who left Microsoft under Satya Nadella as the old guard departed – and find out what they’re doing now (MSFT) | Business Insider | 3/7/2020

An analysis of the most high-profile Microsoft executive departures under CEO Satya Nadella helps shed light on how the company’s transformation into a trillion-dollar cloud powerhouse has taken shape. Business Insider has been … Executive vice president, marketing Left Microsoft: March 2014 Current title: UnitedHealthcare chief marketing and experience officer Shortly after Nadella took over as CEO, he sent out a memo announcing the departure of two top executives …

Walmart Health

‘They pulled the daggers out’ — Dr. Shakeel Ahmed on owning ASCs in a hospital-dominated market | Becker’s ASC Review | 2/17/2020

… save about $3 billion annually by moving gastroenterology, gynecology and orthopedic surgery procedures to the outpatient setting. Insurers such as UnitedHealthcare and Blue Cross of Minnesota are taking note and implementing policies that encourage ASC … you want to open a really nice bakery next to Walmart, guess what happens? Walmart jumps on you to crush you,” he said. “So when we applied for our CON, the local hospital network … they …

Avalere Health

Medicaid block grants would give states more power to oversee managed care | FierceHealthcare | 1/31/2020

… Medicaid. The grant would not affect the elderly, disabled, children and pregnant women. RELATED: Louisiana ends Medicaid contracts for Humana, UnitedHealthcare and others due to bidding process States that are seeking the waiver can choose … said Margaret Scott, associate principal for Medicaid with consulting firm Avalere Health. “While [managed care organizations] already scrutinize the rates that states are putting out, they will want to be even more careful because won’t …

Medtronic

New Alliances Aid Quest Diagnostics Despite Reimbursement Woes - January 27, 2020 - Zacks.com | 1/27/2020

… hospitals and integrated delivery networks consistently act as major catalysts. We are upbeat about the company’s Preferred Network partnerships with UnitedHealthcare and hc1. UnitedHealthcare is helping shift the testing volume to high-value laboratories like … Free Report ) , Hill-Rom Holdings, Inc. ( HRC - Free Report ) and Medtronic plc ( MDT - Free Report ) . Haemonetics currently has a Zacks Rank 1 (Strong Buy) and a projected long-term earnings growth rate of 13.5%. You …

Haemonetics

New Alliances Aid Quest Diagnostics Despite Reimbursement Woes - January 27, 2020 - Zacks.com | 1/27/2020

… hospitals and integrated delivery networks consistently act as major catalysts. We are upbeat about the company’s Preferred Network partnerships with UnitedHealthcare and hc1. UnitedHealthcare is helping shift the testing volume to high-value laboratories like … few better-ranked stocks from the broader medical space are Haemonetics Corp. ( HAE - Free Report ) , Hill-Rom Holdings, Inc. ( HRC - Free Report ) and Medtronic plc ( MDT - Free Report ) . Haemonetics currently has a Zacks Rank 1 …

Validic

Humana to allow members to connect hundreds of wearables to Go365 wellness program | FierceHealthcare | 1/22/2020

… to connect hundreds of devices to its wellness program. (DragonImages/Getty Images) Humana is teaming up with health data company Validic to allow its members to connect a slew of wearable devices to the insurer’s … found. About 5 million Humana members participate in the program. UnitedHealthcare adopted a similar “bring-your-own-device” approach in its wellness program in 2017, integrating Samsung and Garmin wearables into a program that operated …

Walgreens Healthcare

Not a MinuteClinic: UnitedHealthcare Medicare Part D CEO outlines Walgreens centers | Becker’s Hospital Review | 1/16/2020

A Las Vegas Walgreens will be the first to house one of 14 UnitedHealthcare Medicare service centers set to open this year. The center’s grand opening is scheduled for Feb. 4, with a house call already booked for the first day the center opens, Mike Anderson, CEO of the Medicare Part D business at UnitedHealthcare, told Becker’s. The remaining 13 locations will open through the end of May, with two …

Amazon Health

Showering Sickest Patients With Care Won’t Prevent Rehospitalization, Study Finds : Shots - Health News : NPR | 1/9/2020

… life’s work. So, of course, you’re upset and sad,” says Brenner, who now does similar work with health insurance giant UnitedHealthcare. The model of care, pioneered in part by Brenner and profiled in a widely … Spotters .” (Gawande, who now heads Haven , a joint venture of Amazon, Berkshire Hathaway and JPMorgan Chase, declined to be interviewed for this article.) Shots - Health News Medicare Takes Aim At Boomerang Hospitalizations Of Nursing Home …

Fitbit

Fitbit Deal Gives Georgias Medicaid Population Access to mHealth | mHealth Intelligence | 1/3/2020

Apps & Software News Fitbit Deal Gives Georgia’s Medicaid Population Access to mHealth Some 4,000 people living with Type 2 diabetes and enrolled in Georgia’s WellCare Medicaid plan can now use an mHealth device to help … in Medicare Advantage plans offered by three different insurers, including UnitedHealthcare. Tagged …

Apple Health

UnitedHealth shares worth 10 times what they were in 2010 | Becker’s Hospital Review | 1/2/2020

… UnitedHealthcare. Investing in health services proved fruitful for the company, as it grew from $100 billion in 2011 to $200 billion in 2017. Only Amazon and Apple have beaten this pace.To read the full report, click here . More articles on payers …

Medidata

4 Best Healthcare Mutual Funds of 2019 - December 27, 2019 - Zacks.com | 12/27/2019

… UnitedHealthcare. Dassault Systèmes’ acquisition of Medidata, Elsevier’s acquisition of 3D4 Medical and BioTelemetry’s acquisition of Geneva Healthcare especially made headlines. Coming to IPOs, emergence of companies such as Karuna Therapeutics, Inc. and Turning Point Therapeutics, Inc. boosted the segment significantly. Karuna Therapeutics is a clinical-stage biopharmaceutical company and Turning Point is a San Diego-based developer of targeted cancer drugs. Both of these companies emphasize developing novel therapies. Many …

Pfizer

Fitbit partners with WellCare of Georgia’s Medicaid plan with focus on chronic disease management | FierceHealthcare | 12/10/2019

UnitedHealthcare across 27 states—up from 42 plans in 2019. “As Medicare Advantage plans increasingly dedicate their focus to keeping their members out of the hospital by driving adoption of healthy behaviors, Fitbit devices and the resources they offer have become an important part of that strategy,” she wrote. RELATED: Fitbit collaborating with pharma giants Bristol-Myers Squibb and Pfizer 2019 has been a busy year for Fitbit as the …

Bristol-Myers Squibb

Fitbit partners with WellCare of Georgia’s Medicaid plan with focus on chronic disease management | FierceHealthcare | 12/10/2019

UnitedHealthcare across 27 states—up from 42 plans in 2019. “As Medicare Advantage plans increasingly dedicate their focus to keeping their members out of the hospital by driving adoption of healthy behaviors, Fitbit devices and the resources they offer have become an important part of that strategy,” she wrote. RELATED: Fitbit collaborating with pharma giants Bristol-Myers Squibb and Pfizer 2019 has been a busy year for Fitbit as the …

GlaxoSmithKline

UnitedHealth to acquire embattled specialty pharmacy Diplomat for $300M | Healthcare Dive | 12/9/2019

… GlaxoSmithKline, said on its third quarter earnings call. The news comes as massive companies, usually payers, continue to bag smaller PBMs to round out their pharmacy offerings and consolidate the medical supply chain in-house. UnitedHealth runs UnitedHealthcare, the country’s largest private payer. The healthcare conglomerate’s stock was down slightly before the bell Monday. Recommended Reading …

OptumInsight

UnitedHealth Group touts Optum effect on its corporate growth - The Morning Call | Chicago Tribune | 12/4/2019

… Chief executive David Wichmann said the numbers show how UnitedHealth has diversified beyond the core health benefits business at company’s UnitedHealthcare division, which is the nation’s largest health insurer. “UnitedHealth Group is a fundamentally different … for clinics and surgery centers, Optum runs a business called OptumInsight that provides IT and data consulting as well as a pharmaceutical benefits manager called OptumRx. UnitedHealth shares were off $1.93 in late morning trading …

HealthCare Partners

Optum in the past 90 days: 8 things to know | Becker’s Hospital Review | 3/17/2020

… as president and CEO on Feb. 26. 5. Optum’s fourth quarter profits have repeatedly outpaced the fourth quarter profits of UnitedHealthcare. In 2019, Optum reported $30 billion fourth quarter profits, compared to UnitedHealthcare’s $2.1 billion … California in January. Dr. Desai previously served as president of HealthCare Partners in El Segundo, Calif. He is responsible for Optum’s physician networks and organizations in California, including Monarch HealthCare and AppleCare. 8. In January …

Cantor Fitzgerald

Private payers unlikely to take significant hit from Medicaid block grant plan | Healthcare Dive | 2/3/2020

UnitedHealthcare have a significant footprint in the Medicaid managed care space. Together, they cover more than 21 million Medicaid beneficiaries across the country. The government sector, both Medicare and Medicaid, are viewed as big growth areas for insurers. Analysts with Cantor Fitzgerald said they maintain a positive view on the manged care sector following the block grant news last week. “It remains to be seen if/when/how many states …

Zacks Equity Research

LabCorp Hits New 52-Week High: What’s Driving the Stock? | Zacks | 1/14/2020

You follow Analyst Blog - edit You follow Zacks Equity Research - edit What would you like to follow? Zacks Equity Research Cancel Read More Hide Full Article Shares of Laboratory Corporation of America Holdings ( LH - Free … Covance Research Products business. Among other partnerships, the ones with UnitedHealthcare and Aetna are significant.This apart, acquisition of the diagnostic clinical laboratory testing business of South Bend Medical Foundation (“SBMF”) significantly enhanced LabCorp’s opportunity to …

Citigroup

Princeton Global Asset Management LLC Boosts Stock Holdings in UnitedHealth Group Inc (NYSE:UNH) | 12/4/2019

… price target on UnitedHealth Group and gave the company a “buy” rating in a research note on Thursday, August 29th. Citigroup dropped their price target on UnitedHealth Group from $299.00 to $286.00 and set a … company in the United States. It operates through four segments: UnitedHealthcare, OptumHealth, OptumInsight, and OptumRx. The UnitedHealthcare segment offers consumer-oriented health benefit plans and services for national employers, public sector employers, mid-sized employers …

Jefferies Financial Group

Princeton Global Asset Management LLC Boosts Stock Holdings in UnitedHealth Group Inc (NYSE:UNH) | 12/4/2019

… on shares of UnitedHealth Group and gave the company a “buy” rating in a report on Tuesday, October 15th. Finally, Jefferies Financial Group lowered shares of UnitedHealth Group from a “buy” rating to a “hold … company in the United States. It operates through four segments: UnitedHealthcare, OptumHealth, OptumInsight, and OptumRx. The UnitedHealthcare segment offers consumer-oriented health benefit plans and services for national employers, public sector employers, mid-sized employers …

Morgan Stanley

UnitedHealth Group (UNH) – Investment Analysts’ Recent Ratings Updates | 12/3/2019

… price target on the stock, up previously from $270.00. 11/22/2019 – UnitedHealth Group had its “buy” rating reaffirmed by analysts at Morgan Stanley. They now have a $312.00 price target on the stock, up previously from … company in the United States. It operates through four segments: UnitedHealthcare, OptumHealth, OptumInsight, and OptumRx. The UnitedHealthcare segment offers consumer-oriented health benefit plans and services for national employers, public sector employers, mid-sized employers …

SunTrust Bank

UnitedHealth Group (UNH) – Investment Analysts’ Recent Ratings Updates | 12/3/2019

… price target on the stock, up previously from $294.00. 11/18/2019 – UnitedHealth Group had its “buy” rating reaffirmed by analysts at SunTrust Banks, Inc.. They now have a $335.00 price target on the stock, up previously … company in the United States. It operates through four segments: UnitedHealthcare, OptumHealth, OptumInsight, and OptumRx. The UnitedHealthcare segment offers consumer-oriented health benefit plans and services for national employers, public sector employers, mid-sized employers …

Leerink Partners

Inspire Medical Systems, Inc. (INSP) Q3 2019 Earnings Call Transcript | The Motley Fool | 11/6/2019

… increase our full-year guidance so significantly was we are really seeing the trend with the commercial payers, specifically with UnitedHealthcare. As an example, we’ve had not quite as many approvals in the third quarter … you. The next question comes from Richard Newitter with SVB Leerink Partners. Please go ahead. Richard Newitter – SVB Leerink Partners – Analyst Hi, thanks for taking the questions, and congrats on the quarter, guys. First question …

Merrill Lynch

Inspire Medical Systems, Inc. (INSP) Q3 2019 Earnings Call Transcript | The Motley Fool | 11/6/2019

… increase our full-year guidance so significantly was we are really seeing the trend with the commercial payers, specifically with UnitedHealthcare. As an example, we’ve had not quite as many approvals in the third quarter … of America. Please go ahead. Bob Hopkins – Bank of America Merrill Lynch – Analyst Great. Thank you and good afternoon. Tim Herbert – President and Chief Executive Officer Hi, Bob. Bob Hopkins – Bank of America Merrill Lynch

SVB Leerink

Inspire Medical Systems, Inc. (INSP) Q3 2019 Earnings Call Transcript | The Motley Fool | 11/6/2019

… increase our full-year guidance so significantly was we are really seeing the trend with the commercial payers, specifically with UnitedHealthcare. As an example, we’ve had not quite as many approvals in the third quarter … Thank you. The next question comes from Richard Newitter with SVB Leerink Partners. Please go ahead. Richard Newitter – SVB Leerink Partners – Analyst Hi, thanks for taking the questions, and congrats on the quarter, guys. First …

BlackRock

BlackRock Inc. Has $17.08 Billion Stake in UnitedHealth Group Inc (NYSE:UNH) | 11/3/2019

BlackRock Inc. Has $17.08 Billion Stake in UnitedHealth Group Inc (NYSE:UNH) Posted by Bonnie Powley on Nov 3rd, 2019 Tweet BlackRock Inc. decreased its stake in shares of UnitedHealth Group Inc (NYSE:UNH) by … company in the United States. It operates through four segments: UnitedHealthcare, OptumHealth, OptumInsight, and OptumRx. The UnitedHealthcare segment offers consumer-oriented health benefit plans and services for national employers, public sector employers, mid-sized employers …

BB&T

BB&T Securities LLC Purchases 18,966 Shares of UnitedHealth Group Inc (NYSE:UNH) | 11/1/2019

BB&T Securities LLC Purchases 18,966 Shares of UnitedHealth Group Inc (NYSE:UNH) Posted by Caroline Horne Nov 1st, 2019 BB&T Securities LLC increased its position in UnitedHealth Group Inc (NYSE:UNH) by 6.9 … company in the United States. It operates through four segments: UnitedHealthcare, OptumHealth, OptumInsight, and OptumRx. The UnitedHealthcare segment offers consumer-oriented health benefit plans and services for national employers, public sector employers, mid-sized employers …

Wells Fargo Securities

Walgreens Boots Alliance, Inc (WBA) CEO Stefano Pessina on Q4 2019 Results - Earnings Call Transcript | Seeking Alpha | 10/28/2019

… Officer & President of Walgreens Conference Call Participants George Hill - Deutsche Bank Lisa Gill - JPMorgan A.J. Rice - Credit Suisse Peter Costa - Wells Fargo Securities Kevin Caliendo - UBS Ricky Goldwasser - Morgan Stanley Brian Tanquilut - Jefferies Steve Valiquette … And we recently signed a multi-year Medicare agreement with UnitedHealthcare, including a new co-branded Medicare Advantage plan with Walgreens being the only preferred Retail Pharmacy. Turning next to digitalization. Our partnership with Microsoft …

Zacks Investment Research

What’s in the Offing for LabCorp’s (LH) Earnings in Q3? | MSN | 10/21/2019

… third quarter of 2019, banking on the following facts: First, in 2019, the company officially collaborated with Horizon, NJ-based UnitedHealthcare and Aetna, placing LabCorp in-network under all major national plans. Ever since, the … Corporation of America Holdings Price and EPS Surprise © Provided by Zacks Investment Research Inc Laboratory Corporation of America Holdings Price and EPS Surprise Laboratory Corporation of America Holdings price-eps-surprise Laboratory Corporation of America …

Goldman Sachs

UnitedHealth Group Incorporated (UNH) CEO David Wichmann on Q3 2019 Results - Earnings Call Transcript | Seeking Alpha | 10/15/2019

UnitedHealthcare John Rex - CFO Brian Thompson - CEO, UnitedHealthcare Medicare & Retirement Jeff Putnam - CFO, UnitedHealthcare John Prince - CEO, OptumRx Heather Cianfrocco - CEO, Community & State Wyatt Decker - CEO, OptumHealth Dan Schumacher - President and COO, Optum Conference Call Participants Justin Lake - Wolfe Research Scott Fidel - Stephens Dave Windley - Jefferies Peter Costa - Wells Fargo Josh Raskin - Nephron Research Frank Morgan - RBC Capital Markets Lance Wilkes - Bernstein Steve Tanal - Goldman Sachs Ricky Goldwasser - Morgan Stanley …

RBC Capital Markets

UnitedHealth Group Incorporated (UNH) CEO David Wichmann on Q3 2019 Results - Earnings Call Transcript | Seeking Alpha | 10/15/2019

UnitedHealthcare John Rex - CFO Brian Thompson - CEO, UnitedHealthcare Medicare & Retirement Jeff Putnam - CFO, UnitedHealthcare John Prince - CEO, OptumRx Heather Cianfrocco - CEO, Community & State Wyatt Decker - CEO, OptumHealth Dan Schumacher - President and COO, Optum Conference Call Participants Justin Lake - Wolfe Research Scott Fidel - Stephens Dave Windley - Jefferies Peter Costa - Wells Fargo Josh Raskin - Nephron Research Frank Morgan - RBC Capital Markets Lance Wilkes - Bernstein Steve Tanal - Goldman Sachs Ricky Goldwasser - Morgan Stanley …

Piper Jaffray

UnitedHealth Group Incorporated (UNH) CEO David Wichmann on Q3 2019 Results - Earnings Call Transcript | Seeking Alpha | 10/15/2019

… Conference Call October 15, 2019 8:45 AM ET Company Participants David Wichmann - CEO Andrew Witty - CEO, Optum Dirk McMahon - CEO, UnitedHealthcare John Rex - CFO Brian Thompson - CEO, UnitedHealthcare Medicare & Retirement Jeff Putnam - CFO, UnitedHealthcare John … Sachs Ricky Goldwasser - Morgan Stanley Charles Rhyee - Cowen Sarah James - Piper Jaffray Kevin Fischbeck - Bank of America A.J. Rice - Credit Suisse Steven Valiquette - Barclays Ralph Giacobbe - Citi George Hill - Deutsche Bank Steve Willoughby - Cleveland Research …

Andreessen Horowitz

UnitedHealthcare is adding to its list of digital benefits | Business Insider | 10/10/2019

… Insider, click here. Private insurers touting Medicare Advantage (MA) plans are gearing up for the 2020 Medicare enrollment period, and UnitedHealthcare is kicking digital offerings for its MA members up a notch, according to FierceHealthcare … the rest of the story at Business Insider See Also: Andreessen Horowitz has hired a health tech expert as a general partner Apple Watch scores its first Medicare Advantage coverage agreement Livongo announced its largest …

Optum Ventures

2019 health IT funding reaches all-time high, report finds: 4 notes | Becker’s Hospital Review | 7/16/2019

UnitedHealthcare’s Optum Ventures and BlueCross BlueShield. More articles about health IT …

Bain Capital

Waystar continues buying spree with acquisition of prior authorization company Digitize.AI | FierceHealthcare | 7/12/2019

Bain Capital. The anticipated sale also comes two years after Bain Capital created the business by combining revenue cycle management companies Navicure Inc. and ZirMed in 2017. The company was renamed Waystar in February 2018. Bloomberg reported in April that the private equity firm has held early-stage discussions about a potential sale of the business, citing people familiar with the matter. RELATED: UnitedHealthcare agrees to $3.2B deal to acquire …

JP Morgan

Waystar continues buying spree with acquisition of prior authorization company Digitize.AI | FierceHealthcare | 7/12/2019

UnitedHealthcare agrees to $3.2B deal to acquire payments firm Equian Bain also has hired JP Morgan Securities and Deutsche Bank for financial advice, according to Buyout. Waystar has in the past contemplated an initial public offering, sources told Buyout. Waystar could attract interest from companies such as Oracle Corp. and Visa Inc., according to several publications. The Louisville-based health care technology firm could sell for billions of dollars by …

New Mountain Capital

UnitedHealth scoops up health-tech startup PatientsLikeMe | FierceHealthcare | 6/25/2019

… in healthcare,” Jamie Heywood, CEO of PatientsLikeMe, wrote in the message to members on behalf of the PatientsLikeMe team. RELATED: UnitedHealthcare agrees to $3.2B deal to acquire payments firm Equian PatientsLikeMe was jointly backed by … private equity owner for about $3.2 billion. Equian , owned by New Mountain Capital, offers payment-processing services for healthcare companies and insurers and touts its process for reducing overpayment mistakes. Last week, the Federal Trade …

Parthenon Capital Partners

Zelis® Healthcare Launches Zelis Gives Back | Business & Finance | heraldchronicle.com | Business Wire | 5/29/2019

… and support our entire Zelis family in their efforts to help others in need,” said Doug Klinger, Zelis CEO. The UnitedHealthcare Children’s Foundation (UHCCF) is one organization that Zelis will continue to support through this … and workers’ compensation markets nationwide. Zelis Healthcare is backed by Parthenon Capital Partners. www.Zelis.com About Zelis® Gives Back Zelis Gives Back supports and serves our local communities and partners with other charitable organizations to support …

Yukon Partners

Yukon Partners Promotes Peters to Chief Operating Officer | Malvern Daily Record | 5/22/2019

Yukon Partners (Yukon), a Minneapolis based middle market private equity firm, promotes Chief Financial Officer (CFO), Corey Peters to Chief Operating Officer (COO). Mr. Peters will remain as CFO as he concurrently assumes the new … Peters served in finance and operational leadership roles at Optum, UnitedHealthcare, and RBC Wealth Management. His leadership in the financial industry has also been recognized with an Executive Banking degree through Pacific Coast Banking School …

William Blair

Tivity Health’s (TVTY) CEO Donato Tramuto on Q1 2019 Results - Earnings Call Transcript | Seeking Alpha | 5/9/2019

… and Integration Initiatives Conference Call Participants Steve Halper – Cantor Fitzgerald Alex Fuhrman – Craig-Hallum Capital Mohan Naidu – Oppenheimer Nick Spiekhout – William Blair Dave Styblo – Jefferies Nina Deka – Piper Jaffray Operator Good afternoon, and welcome to … decrease in total eligible SilverSneakers lives, including the loss of UnitedHealthcare lives we previously discussed. As you may know, approximately 75% of our eligible lives are under our hybrid contract, whereby we receive payment from …

Kaiser Permanente

Optum in the past 90 days: 8 things to know | Becker’s Hospital Review | 3/17/2020

… has around 35,000 members currently and premiums 20 percent lower than other market players in Southern California, including Oakland-based Kaiser Permanente and Cigna. 3. Optum Ventures reportedly backed Scipher Medicine, a molecular diagnostic technology … quarter profits have repeatedly outpaced the fourth quarter profits of UnitedHealthcare. In 2019, Optum reported $30 billion fourth quarter profits, compared to UnitedHealthcare’s $2.1 billion. This trend has held true for the past five years …

Dignity Health

Consolidation increasing stakes for payer-provider contract disputes, study finds | Becker’s Hospital Review | 3/10/2020

UnitedHealthcare and Houston Methodist ; Pittsburgh-based Highmark Health and UPMC ; Cigna and San Francisco-based Dignity Health ; Cigna and Asheville, N.C.-based Mission Hospital ; and Cigna and Irving, Texas-based Christus Health . In interviews with regulators and insurers, researchers found both agreed that the more providers and payers consolidate, the higher the stakes for contract disputes. This will expose more consumers to care disruptions and higher out-of-pocket costs …

Methodist Hospital, Houston TX

Methodist heads off UnitedHealthcare effort to end contract early | Chron | 1/31/2020

Houston Methodist Hospital in the Texas Medical Center, Wednesday, Oct. 3, 2018 in Houston. Houston Methodist Hospital in the Texas Medical Center, Wednesday, Oct. 3, 2018 in Houston. Photo: Mark Mulligan, Houston Chronicle / Staff Photographer … Photo: Mark Mulligan, Houston Chronicle / Staff Photographer Methodist heads off UnitedHealthcare effort to end contract early 1 / 1 Back to Gallery A Harris County District Court judge issued a temporary restraining order Friday preventing UnitedHealthcare

Houston Methodist Hospital, Houston TX

Methodist heads off UnitedHealthcare effort to end contract early | Chron | 1/31/2020

Houston Methodist Hospital in the Texas Medical Center, Wednesday, Oct. 3, 2018 in Houston. Houston Methodist Hospital in the Texas Medical Center, Wednesday, Oct. 3, 2018 in Houston. Photo: Mark Mulligan, Houston Chronicle / Staff Photographer … Photo: Mark Mulligan, Houston Chronicle / Staff Photographer Methodist heads off UnitedHealthcare effort to end contract early 1 / 1 Back to Gallery A Harris County District Court judge issued a temporary restraining order Friday preventing UnitedHealthcare

Houston Methodist Hospital

Methodist heads off UnitedHealthcare effort to end contract early | Chron | 1/31/2020

Houston Methodist Hospital in the Texas Medical Center, Wednesday, Oct. 3, 2018 in Houston. Houston Methodist Hospital in the Texas Medical Center, Wednesday, Oct. 3, 2018 in Houston. Photo: Mark Mulligan, Houston Chronicle / Staff Photographer … Photo: Mark Mulligan, Houston Chronicle / Staff Photographer Methodist heads off UnitedHealthcare effort to end contract early 1 / 1 Back to Gallery A Harris County District Court judge issued a temporary restraining order Friday preventing UnitedHealthcare

Mayo Clinic

Alphabet scoops up another former ONC head, Mayo Clinic’s first chief digital officer and more digital health hires | MobiHealthNews | 1/8/2020

Mayo Clinic has hired its first chief digital officer with the appointment of Rita Khan, who most recently stood as SVP of consumer digital at UnitedHealthcare. The health system said that in her new role, Khan will be guiding Mayo Clinic’s strategy as it prepares for big changes across the digital space, and putting in place a “comprehensive business plan and digital standards that align with Mayo Clinic’s culture and …

Cleveland Clinic

Cleveland Clinic names first chief research information officer - Healthcare IT News | 1/7/2020

For the newly-created role of chief research information officer, Cleveland Clinic has hired one of its own physicians to lead improvement in its network infrastructure and digital deployments, optimizing its IT to enable more … recently served as senior vice president of consumer digital at UnitedHealthcare, to the new position. (This past month, Mayo also hired longtime health IT leader Dr. John Halamka as president of Mayo Clinic Platform .) Kaiser …

Cleveland Clinic, Cleveland OH

Cleveland Clinic names first chief research information officer - Healthcare IT News | 1/7/2020

For the newly-created role of chief research information officer, Cleveland Clinic has hired one of its own physicians to lead improvement in its network infrastructure and digital deployments, optimizing its IT to enable more … recently served as senior vice president of consumer digital at UnitedHealthcare, to the new position. (This past month, Mayo also hired longtime health IT leader Dr. John Halamka as president of Mayo Clinic Platform .) Kaiser …

Harvard Medical School

Cooking Up Some Value-based Care? Here Are Some of the Ingredients You Will Need. | Managed Care Magazine | 12/17/2019

UnitedHealthcare is remarkable for both its methodical approach and its accomplishment in deconstructing value-based programs. In it, Alyna Chien, MD, assistant professor of pediatrics at Harvard Medical School, and Meredith Rosenthal, a professor of health economics and policy at Harvard T.H. Chan School of Public Health, systematically reviewed value-based care models implemented over the last decade. They began with more than 4 million publications, culling the pool to …

Northwell Health

New York union blames out-of-network doctors for millions in costs | Crain’s New York Business | 12/12/2019

… provider, a union health plan called the 32BJ Health Fund, paid much more to some doctors at the hospital, a Northwell Health facility in Queens. The plan settled claims for the tests for a total … Related Articles CityMD may soon be out-of-network for UnitedHealthcare members 32BJ says markups by outside physicians inflate costs by millions of dollars each year. Thousands of times a year, the health plan pays …

Johns Hopkins Medicine

SmartBug Media® Wins 11 Digital Health Awards, Adding to a Growing List of Accolades for Its Client Work Across a Wide Variety of Industries | PR Newswire | 12/5/2019

… Johns Hopkins Medicine, Ketchum, Mayo Clinic, NIH, UnitedHealthcare, Walgreens, WebMD, and more. “We have a strong focus on healthcare, and we are so pleased with these results,” said SmartBug® Founder and CEO, Ryan Malone . “Winning a solid number of healthcare awards validates the great work we are doing on behalf of our clients within that industry.” The Digital Health Awards competition is held twice each year, spring and fall. The …

Beth Israel Deaconess Medical Center

CEOs of Harvard Pilgrim and Tufts Health Plan make their case for a merger - The Boston Globe | 12/1/2019

… the deal, and health care consumer advocates. Tufts and Harvard Pilgrim announced the deal just months after Lahey Health and Beth Israel Deaconess Medical Center completed their long-planned merger, creating a big new hospital … with national for-profit insurers such as Aetna, Cigna, and UnitedHealthcare. Harvard Pilgrim and Tufts executives have tried merging before, including in 2011, but decided not to move forward at the time. But both companies …

Ascension

How our health record integrates with blockchain? - CollaboGate Research Blockchain and Technology Laboratory - Medium | 11/29/2019

Ascension & more are doing to advance blockchain: For blockchain to be… For blockchain to be successful in healthcare, it needs to scale. This is why collaborations have been created between… www.beckershospitalreview.com Since April 2018, Humana, MultiPlan, Quest Diagnostics, UnitedHealthcare Group and Optum, launched the Synaptic Health Alliance, a pilot program using blockchain to ensure health plan provider directors include up-to-date physician information. Through their interview, they are most …

DaVita Medical Group

How Did UnitedHealth’s OptumRx Revenues Increase In Q3 Despite A Drop In Retail Prescriptions? | Forbes | 11/28/2019

… insurance, managed care, private healthcare, health and wellness services, healthcare advisory & technology solutions and pharmacy benefits management services through its UnitedHealthcare and Optum subsidiaries. The company is heavily dependent on OptumRx segment – a subdivision of … diversification to more clinically focused services. Further, recent acquisitions like DaVita Medical Group helped it in achieving this growth. As a result, OptumRx revenue per retail prescription has increased 8% y-o-y to $56.8 …

Surgical Care Affiliates

20 key trends and concepts for ASCs heading into 2020 | Becker’s ASC Review | 11/20/2019

… Surgical Care Affiliates. SCA is another great growth story in physician joint ventures, and hospital joint ventures. A few years ago SCA sold to Optum which is part of UnitedHealthcare and this opened up a whole other level of new growth opportunities. 14. United Surgical Partners International, another great surgery center chain, sold to Tenet, not necessarily due to lack of growth or lack of challenges or problems. In fact …

Baptist Health South Florida

Boca Raton Regional Hospital to start accepting UnitedHealthcare again | 11/17/2019

After months of negotiation, Boca Raton Regional Hospital will begin accepting United Healthcare insurance plans as of Dec. 1.UnitedHealthcare members enrolled in employer-sponsored, individual, Medicare Advantage and Medicaid benefit plans will have network access to Boca Raton Regional Hospital, which was acquired by Baptist Health South Florida in July. On July 1, Boca Raton Regional Hospital ended its contract with UnitedHealthcare, leaving about 17,500 patients scrambling to find …

Boca Raton Regional Hospital, Boca Raton FL

Boca Raton Regional Hospital to start accepting UnitedHealthcare again | 11/17/2019

After months of negotiation, Boca Raton Regional Hospital will begin accepting United Healthcare insurance plans as of Dec. 1.UnitedHealthcare members enrolled in employer-sponsored, individual, Medicare Advantage and Medicaid benefit plans will have network access to Boca Raton Regional Hospital, which was acquired by Baptist Health South Florida in July. On July 1, Boca Raton Regional Hospital ended its contract with UnitedHealthcare, leaving about 17,500 patients scrambling to find …

Oak Street Health

Oak Street Health Brings Value-Based Primary Care to Adults in North Carolina | 11/11/2019

Date:11/11/2019 CHARLOTTE, N.C., and GREENSBORO, N.C. (PRWEB) November 11, 2019 Oak Street Health , a network of primary care centers that delivers value-based care to adults on Medicare, has opened two new centers in … East Charlotte. Patients enrolled in Humana Medicare Advantage plans and UnitedHealthcare Medicare Advantage plans will have access to Oak Street Health’s first three patient care centers in the state. “We are expanding Oak Street Health’s …

Geisinger

Google Alert - care plan | 11/9/2019

… Geisinger, Highmark Health break ground on new medical clinic in Lock Haven Milton Daily Standard The two-story facility will offer a walk-in urgent care center, adult and … of this medical clinic for both Highmark and Geisinger Health Plan members … Flag as irrelevant UnitedHealth hit with another lawsuit over mental health coverage Becker’s Hospital Review 18 comment to Becker’s, UnitedHealthcare said, “We strive to ensure that health plan members …

AMITA Health

DocASAP’s Vice President of Growth and Customer Engagement Jordan Pisarcik to Speak on Optimizing Access to Care at the 2019 HCIC Conference | 11/4/2019

… for health systems, health plans, and physician groups – will present with Deborah Fullerton, vice president and chief marketing officer at AMITA Health, on a sprint session entitled, “Creating a Healthier Brand Experience by Optimizing Digital … Backed and promoted in the market by Aetna, Anthem, and UnitedHealthcare, DocASAP builds unique payer-provider connections with an eye towards simplified access, increased care compliance, and improved population risk management. DocASAP’s provider search and …

St. Joseph Health

Tech giants like Google and Amazon are beefing up their healthcare strategies. Here’s how 7 tech titans plan to tackle the $3.5 trillion industry | 11/4/2019

… using data from the watch and other Apple devices in studies. Apple’s also been working with insurers like Aetna and UnitedHealthcare. In the case of Aetna, the program is wagering that an app and an … Walgreens, Novartis, Humana, and West Coast-based health system Providence St. Joseph Health. In addition to providing cloud services, Microsoft also commits to working with its partners on projects. For instance, with Walgreens, it plans …

Massachusetts General Hospital

Health Care Reform Articles - November 3, 2019 | 11/3/2019

… pain that could be caused by shrinking revenue to big employers such as Blue Cross Blue Shield or Harvard Pilgrim, Massachusetts General Hospital and UMass Medical Center, Biogen and Vertex. “Today, for example, insurers can … NAM has recently jumped into the health insurance business with UnitedHealthcare, the nation’s biggest private health insurer. They have teamed up to sell association health plans to employers who want to offer coverage to workers …

HCA Healthcare

Mission Health Strikes Deal With Cigna Insurance Before Deadline | 10/31/2019

… year agreement ensures that all Cigna patients will remain in-network. This deal covers Mission Health, an operating division of HCA Healthcare, not the entire Mission system which includes the surrounding five rural hospitals. Negotiations … Jackson, Haywood and Swain counties were out of network with UnitedHealthcare for about 4 months while the organizations negotiated for a new contract. The entire Mission Health system was purchased in February by HCA Healthcare

HCA

Mission Health Strikes Deal With Cigna Insurance Before Deadline | 10/31/2019

… year agreement ensures that all Cigna patients will remain in-network. This deal covers Mission Health, an operating division of HCA Healthcare, not the entire Mission system which includes the surrounding five rural hospitals. Negotiations … Jackson, Haywood and Swain counties were out of network with UnitedHealthcare for about 4 months while the organizations negotiated for a new contract. The entire Mission Health system was purchased in February by HCA Healthcare …

UMass Memorial Health Care

UMass Memorial, UnitedHealthcare hit contract impasse | Becker’s Hospital Review | 10/31/2019

UMass Memorial Health Care patients with UnitedHealthcare insurance may face higher out-of-pocket costs if the insurer and the Worcester, Mass.-based health system can’t agree on a new contract, according to the Telegram . UMass Memorial’s contract with Cigna for Medicare Advantage members is slated to expire Dec. 31. UMass Memorial providers treat about 820 Medicare Advantage members with UnitedHealthcare coverage. Reimbursement rates are central to the disagreement. UMass …

Aetna

AHA CEO asks insurers to opt in to interim, accelerated payments during COVID-19 pandemic | Becker’s Hospital Review | 4/2/2020

… Aetna, Anthem, UnitedHealthcare, Cigna, America’s Health Insurance Plans and the Blue Cross Blue Shield Association, said private payers can “make a significant difference in whether a hospital or health system keeps their doors open during this critical time.” While the federal government has made temporary changes that boost and accelerate Medicare reimbursement to help hospitals with coronavirus-related financial hardship, Mr. Pollack said the efforts aren’t enough and private insurers …

Cigna

AHA CEO asks insurers to opt in to interim, accelerated payments during COVID-19 pandemic | Becker’s Hospital Review | 4/2/2020

… UnitedHealthcare, Cigna, America’s Health Insurance Plans and the Blue Cross Blue Shield Association, said private payers can “make a significant difference in whether a hospital or health system keeps their doors open during this critical time.” While the federal government has made temporary changes that boost and accelerate Medicare reimbursement to help hospitals with coronavirus-related financial hardship, Mr. Pollack said the efforts aren’t enough and private insurers should do …

Humana

UnitedHealthcare, Anthem to waive cost-sharing for COVID-19 treatment | FierceHealthcare | 4/1/2020

UnitedHealthcare is the latest big-name insurer to waive members’ cost-sharing for COVID-19 treatments. UHC said it would waive the associated costs for members in its fully insured commercial, Medicare Advantage and Medicaid … testing and telehealth, and easing prescription limits. Aetna , Cigna and Humana have all previously announced that they would waive members’ cost-sharing for COVID-19 treatment. These insurers also waived copayments and other cost-sharing …

Oscar Health

VC-backed startups are all competing for customers in the red-hot Medicare Advantage market. Here’s our first look at how Oscar, Devoted, and Bright stack up. | Business Insider | 2/13/2020

… Bright Health CEO Bob Sheehy, Devoted Health co-founder and executive chairman Todd Park, Clover Health CEO Vivek Garipalli, and Oscar Health CEO Mario Schlosser. Bright Health; Alex Wong/Getty; Clover Health; Oscar Health; Shayanne … Alignment Healthcare — are going up against giants in the industry. UnitedHealthcare for instance, had nearly 5.3 million members enrolled in Medicare Advantage plans at the end of 2019, while Humana had 3.6 million, and Aetna …

Clover Health

VC-backed startups are all competing for customers in the red-hot Medicare Advantage market. Here’s our first look at how Oscar, Devoted, and Bright stack up. | Business Insider | 2/13/2020

Bright Health CEO Bob Sheehy, Devoted Health co-founder and executive chairman Todd Park, Clover Health CEO Vivek Garipalli, and Oscar Health CEO Mario Schlosser. Bright Health; Alex Wong/Getty; Clover Health; Oscar Health; Shayanne … Alignment Healthcare — are going up against giants in the industry. UnitedHealthcare for instance, had nearly 5.3 million members enrolled in Medicare Advantage plans at the end of 2019, while Humana had 3.6 million, and Aetna …

AmeriHealth

Louisiana ends Medicaid contracts for Humana, UnitedHealthcare, others due to poor bidding process | FierceHealthcare | 1/22/2020

… UnitedHealthcare, Humana and two other insurers because of problems with the bidding process. The decision by Louisiana’s state procurement officer announced Friday likely will mean a new round of bidding for Louisiana’s Medicaid managed care program unless the decision is appealed and overturned. Centene’s Louisiana Healthcare Connections and Aetna Better Health Louisiana protested the state’s award of Medicaid contracts to Healthy Blue, Humana Health Benefit Plan of Louisiana, AmeriHealth Caritas …

Bright Health

Successful health care entrepreneur, Kyle Rolfing, joins Wellbeats’ Board of Directors | PRWeb | 1/16/2020

… Rolfing has an extensive history of innovation in health care, including co-founding Definity Health, RedBrick Health, and most recently, Bright Health – companies that revolutionized consumer-directed health care and workplace well-being. According to … in consumer-driven health care before selling the company to UnitedHealthcare. In 2006, Rolfing co-founded RedBrick Health, which changed the face of employer-financed health care by applying technologies that promoted broad-based consumer …

Peoples Health

Provident Healthcare Partners Announced As Winner Of The 18th Annual M&A Advisor Awards | PR Newswire | 12/11/2019

Peoples Health Inc. in its acquisition by UnitedHealthcare, a division of UnitedHealth Group. Peoples Health is a Medicare Advantage Organization that administers health benefits to over 63,000 beneficiaries in Louisiana . Provident served as exclusive investment banking advisor to Peoples Health. Provident was also named as a finalist for Healthcare and Life Sciences Deal of the Year ( $100M - $1B ) and M&A Deal of the Year ( $250M to $500M ). “Since 2002 …

Wellcare

Molina Healthcare Wins Kentucky Medicaid Managed Care Deal - December 4, 2019 - Zacks.com | 12/4/2019

UnitedHealthcare Group Inc. ( UNH - Free Report ) and WellCare Health Plans Inc. These companies will manage health care services for more than 1.3 million people via TANF, CHIP and ABD Medicaid programs. The Medicaid contracts are expected to be launched on Jul 1, 2020 and run through Dec 31, 2025 and may be renewed for up to five additional two year periods through Dec 31, 2035. Molina is focused on government …

Anthem Blue Cross

Government’s Decision To Cut Cost-Sharing Reduction Payments Paid Off For Rural Consumers | Kaiser Health News | 12/4/2019

… program, which pairs patients with selected providers for more than 100 musculoskeletal, bariatric and cardiovascular procedures. (Meyer, 12/3) California Healthline: Anthem Blue Cross Gets Flagged And Fined More Than Other Insurers One of California’s largest … how the Minnetonka-based health care giant has diversified beyond UnitedHealthcare, the core health insurance business that remains the largest carrier in the county. (Snowbeck, 12/3) This is part of the KHN Morning Briefing, a …

The Health Plan

Solving the Health Plan Puzzle | 12/3/2019

… be used for out-of-pocket costs like prescription copays, allergy shots, and physical therapy. Mid-Career (Ages 40-55) • Look for plans that have low cost sharing and premiums like Aetna HealthFund HDHP & UnitedHealthcare HDHP, and GEHA HDHP. Go for high deductible health plans that come with a health savings account, which offer tax savings. • Go for a low-cost sharing plan with in-network health benefits, like the ones …

Centene Corp

Datapoint: North Carolina Suspends Medicaid Transformation | 12/3/2019

Due to a budget standoff between Republican legislators and the state’s Democratic governor, North Carolina has indefinitely delayed its upcoming Medicaid transformation, which would have shifted about 75% of the state’s 2,189,947 Medicaid beneficiaries from the fee-for-service system to managed care plans. The transition was initially slated to begin in February 2020, with Centene Corp., UnitedHealthcare and Blue Cross and Blue Shield of North Carolina, among others, set …

Tufts Health Plan

Tufts, Havard Pilgrim CEOs say merger will lower costs | Becker’s Hospital Review | 12/2/2019

… in the state and help the insurers compete with national payers, according to The Boston Globe . Tom Croswell, CEO of Tufts Health Plan, and Michael Carson, CEO of Harvard Pilgrim Health Care, told the publication … nonprofits to stay competitive with national for-profit insurers like UnitedHealthcare and Anthem. They added the merger will likely result in some layoffs, according to the publication. Read the full article here . More articles on …

Molina Healthcare

Passport, a 20-year managed Medicaid veteran in Kentucky, loses out on $8B contract | Becker’s Hospital Review | 12/2/2019

Passport Health Plan is among the losers in a bid to help manage Kentucky’s $8 billion-a-year Medicaid business, according to the Courier Journal . The office of Republican Gov. Matt Bevin chose five health insurers to manage the contracts: Aetna Better Health of Kentucky, Humana, WellCare Health Insurance of Kentucky, UnitedHealthcare and Molina Healthcare. The five-year contracts are effective July 1 and cover about 1.2 million Kentuckians. Passport …

Harvard Pilgrim Health Care

Tufts, Havard Pilgrim CEOs say merger will lower costs | Becker’s Hospital Review | 12/2/2019

… with national payers, according to The Boston Globe . Tom Croswell, CEO of Tufts Health Plan, and Michael Carson, CEO of Harvard Pilgrim Health Care, told the publication their proposed merger will allow them to expand … nonprofits to stay competitive with national for-profit insurers like UnitedHealthcare and Anthem. They added the merger will likely result in some layoffs, according to the publication. Read the full article here . More articles on …

Anthem

Beshear aide voices concern as Kentucky’s new Medicaid contracts drop Passport, Anthem | 12/2/2019

On its way out, the administration of Republican Gov. Matt Bevin has given five health-insurance companies new, five-year deals to manage the care of Kentuckians on Medicaid — and dropped Anthem Inc. and the nonprofit Passport Health Plan, which now have contracts with the state. The three returning firms are subsidiaries of Aetna, Humana and WellCare. The two newcomers are UnitedHealthcare Community Plan of Kentucky and Molina Healthcare of …

Passport Health Plan

Passport, a 20-year managed Medicaid veteran in Kentucky, loses out on $8B contract | Becker’s Hospital Review | 12/2/2019

Passport Health Plan is among the losers in a bid to help manage Kentucky’s $8 billion-a-year Medicaid business, according to the Courier Journal . The office of Republican Gov. Matt Bevin chose five health insurers to manage the contracts: Aetna Better Health of Kentucky, Humana, WellCare Health Insurance of Kentucky, UnitedHealthcare and Molina Healthcare. The five-year contracts are effective July 1 and cover about 1.2 million Kentuckians. Passport …

Health Net

Less healthy than Gen Xers, millennials see rise in depression, substance abuse - Hartford Courant | 11/29/2019

UnitedHealthcare Insurance Company). Under the federal Affordable Care Act (ACA), insurance plans and issuers that offer coverage for dependent children are required to make that coverage available until the child turns 26. Then, the young adult must find his or her own insurance, which is often expensive, said Patricia Rehmer, senior vice president of Hartford HealthCare and president of its Behavioral Health Network. “Those deductibles are a lot of money …

MultiPlan

How our health record integrates with blockchain? - CollaboGate Research Blockchain and Technology Laboratory - Medium | 11/29/2019

… MultiPlan, Quest Diagnostics, UnitedHealthcare Group and Optum, launched the Synaptic Health Alliance, a pilot program using blockchain to ensure health plan provider directors include up-to-date physician information. Through their interview, they are most exciting aspect is that blockchain has introduced a way for competitors to collaborate for the collective good of the system in a way that has been unprecedented so far and is helping us explore new …

TennCare

Kentucky to Drop Passport and Anthem as Medicaid Providers | 11/27/2019

… change — will be dedicated to children in the foster care system and those in the juvenile justice system. Molina and UnitedHealthcare will receive fresh contracts for next year. Compared to other Medicaid managed care organizations … federal government’s court. Tennessee’s Medicaid agency has spent months redesigning TennCare, after the Trump administration asked for so-called block grant requests. The 50-page proposal, which could reshape a program that serves more than …

Wellcare Health Plans

UnitedHealth Group to Enhance its Medicare Advantage Network - November 26, 2019 - Zacks.com | 11/26/2019

UnitedHealth Group Incorporated ’s ( UNH - Free Report ) health benefits business UnitedHealthcare along with Walgreens will open 14 UnitedHealthcare Medicare services centers within Walgreens stores in five metropolitan areas. This is part of a multi-year … stocks like Select Medical Holdings Corporation ( SEM - Free Report ) and WellCare Health Plans, Inc. ( WCG - Free Report ) . You can see the complete list of today’s Zacks 1 Rank (Strong Buy) stocks here. Select Medical Holdings …

Select Health

Industry News: Volume 3 Issue 25 | 11/26/2019

… care market in the region. The state health plan, which serves approximately 210,000 lives of state and municipal employees, retirees and their dependents, is a self-insured plan, and contracts with Anthem and UnitedHealthcare to administer patient claims and negotiate reimbursement payments with health care providers. Under the RFP issued this week, Lembo said the dynamic between the state, health care insurers, potential third-party administrators and providers is about …

Rocky Mountain Health Plans

Medicaid Community Health Outreach Coordinator - Cortez, CO - Cortez, CO, , USA #jobs #Cortez pls RT | 11/26/2019

Job Detail for Medicaid Community Health Outreach Coordinator - Cortez, CO Job Location: UnitedHealth Group, Cortez, CO, Medicaid Community Health Outreach Coordinator - Cortez, CO Job Location: UnitedHealth Group, Cortez, CO, , USA Jobs In Medicaid Community Health Out… Jobs In Medicaid Commu… Jobs In Medicaid … Position Description Doing the right thing is a way of life at Rocky Mountain Health Plans (RMHP). As part of the UnitedHealthcare family of plans, RMHP provides …

WellCare Health

UnitedHealth Group to Enhance its Medicare Advantage Network - November 26, 2019 - Zacks.com | 11/26/2019

UnitedHealth Group Incorporated ’s ( UNH - Free Report ) health benefits business UnitedHealthcare along with Walgreens will open 14 UnitedHealthcare Medicare services centers within Walgreens stores in five metropolitan areas. This is part of a multi-year … stocks like Select Medical Holdings Corporation ( SEM - Free Report ) and WellCare Health Plans, Inc. ( WCG - Free Report ) . You can see the complete list of today’s Zacks 1 Rank (Strong Buy) stocks here. Select Medical Holdings …

Amerigroup

Aetna claims rebound from Medicaid miscues; skeptics not celebrating | 11/20/2019

UnitedHealthcare and Sunflower Health Plan, which also grappled with management problems, remain under contract with the state. In 2018, Amerigroup was ousted by then-Gov. Jeff Colyer. Aetna was selected as the replacement and began providing services in January. While Aetna celebrated improvement in Kansans, the legislative committee heard from disability advocates, medical providers and others that Aetna continued to have difficulty with fundamental business operations. Mike Moore, director of …

Donald Trump

Insurers scramble to clarify what Trump meant during his major address on the coronavirus | FierceHealthcare | 3/12/2020

… Insurer groups are scrambling to clarify they will pick up the tab for coronavirus testing and not treatment, as President Donald Trump said during an address to the nation Wednesday night. Currently, there is no … coronavirus tests. Here’s a look at the steps they’re taking: UnitedHealthcare - waived cost-sharing for testing, encouraging use of telehealth Aetna - waived cost-sharing for testing, $0 copays for telehealth visits in next 90 days …

Richard Migliori

UnitedHealth Group Reinforces Actions Taken to Provide Members and Patients with COVID-19 Support and Resources | Business Wire | 3/9/2020

MINNETONKA, Minn.- UnitedHealth Group (NYSE: UNH), UnitedHealthcare and Optum are taking action to ensure health plan members and patients affected by COVID-19 have the support and resources they need. “Our top priority is the health and wellbeing of our members and patients – and the safety of those who deliver care,” said Dr. Richard Migliori, chief medical officer, UnitedHealth Group. “While the situation is dynamic, we are committed to adapting …

Satya Nadella

Meet 13 significant execs who left Microsoft under Satya Nadella as the old guard departed – and find out what they’re doing now (MSFT) | Business Insider | 3/7/2020

An analysis of the most high-profile Microsoft executive departures under CEO Satya Nadella helps shed light on how the company’s transformation into a trillion-dollar cloud powerhouse has taken shape. Business Insider has been … Executive vice president, marketing Left Microsoft: March 2014 Current title: UnitedHealthcare chief marketing and experience officer Shortly after Nadella took over as CEO, he sent out a memo announcing the departure of two top executives …

Morgan Haefner

10 updates on payer, provider relationships | Becker’s Hospital Review | 1/17/2020

10 updates on payer, provider relationships Morgan Haefner - Print Email Here are 10 recent articles posted by Becker’s Hospital Review that concern payer-provider relationships: 1. Negotiations between Memorial Health System in Marietta, Ohio, and … Florida hospitals. 8. Houston Methodist is advertising to patients with UnitedHealthcare coverage that even though the insurer ended its contract with the hospital system, they can still access care with their “out-of-network benefits …

Laura Dyrda

Optum revenue up 11.5% in 2019, hits $113B: 5 things to know | Becker’s ASC Review | 1/15/2020

Sponsored by VMG Health 214.369.4888 Optum revenue up 11.5% in 2019, hits $113B: 5 things to know Written by Laura Dyrda January 15, 2020 Print Email Optum reported double-digit annual revenue growth in 2019 and was a driving factor in the success of UnitedHealthcare last year. Five things to know: 1. Optum, a subsidiary of UnitedHealthcare, reported revenue jumped 11.5 percent last year to hit $113 billion. Full year …

Maria Menounos

Katie Couric and Maria Menounos Joined Rally Health on a Panel at the CES Digital Health Summit | Business Wire | 1/8/2020

LAS VEGAS- Journalists Katie Couric and Maria Menounos joined Brenda Yang, COO, Rally Health, Inc. on a panel today at the CES Digital Health Summit to discuss the increasing need for digital solutions that help … platform through more than 200,000 employers, and health plans, including UnitedHealthcare, BlueCross BlueShield of South Carolina, and Health Alliance. With eight offices across the U.S., Rally Health has been working since 2010 to transform the …

Katie Couric

Katie Couric and Maria Menounos Joined Rally Health on a Panel at the CES Digital Health Summit | Business Wire | 1/8/2020

LAS VEGAS- Journalists Katie Couric and Maria Menounos joined Brenda Yang, COO, Rally Health, Inc. on a panel today at the CES Digital Health Summit to discuss the increasing need for digital solutions that help … platform through more than 200,000 employers, and health plans, including UnitedHealthcare, BlueCross BlueShield of South Carolina, and Health Alliance. With eight offices across the U.S., Rally Health has been working since 2010 to transform the …

Bernie Sanders

Will UnitedHealth Exhibit Strong Share Price Gains in 2020? | Zacks | 12/31/2019

… Bernie Sanders) to reform the healthcare system. The company’s fundamental strength is, nevertheless, reflected by its superior segmental performances and a solid balance sheet position. Its earnings consistently surpassed estimates in each of the past 24 quarters. UnitedHealth maintains its leadership position in the health insurance industry by virtue of its two complementary business platforms, namely Optum for health services and UnitedHealth for health benefits. In 2020, its segment, UnitedHealthcare

Andrew Witty

6 updates on payer-provider relationships | Becker’s Hospital Review | 12/6/2019

… Andrew Witty. 2. A small hospital in Tennessee submitted “suspicious” claims to BlueCross BlueShield of Tennessee to collect improper payments, the health insurer alleged. 3. Under a multiyear agreement, UnitedHealthcare will open 14 Medicare service centers in Walgreens stores across the U.S. 4. ProMedica froze enrollment in its managed Medicaid program as the Toledo, Ohio-based health system faces more than $100 million in losses due to the plan. 5 …

David Wichmann

UnitedHealth Group touts Optum effect on its corporate growth - The Morning Call | Chicago Tribune | 12/4/2019

David Wichmann said the numbers show how UnitedHealth has diversified beyond the core health benefits business at company’s UnitedHealthcare division, which is the nation’s largest health insurer. “UnitedHealth Group is a fundamentally different company than the commercial insurance company I joined 22 years ago,” Wichmann said. “With more than 50% of earnings coming from Optum in 2020, it’s a good time to reflect on the accelerating impact diversification has had …

Seema Verma

After a year on Medicare, advice for journalists on stories that need to be told | 12/3/2019

… Seema Verma. For example, a plan “to have Verma profiled as one of CNN’s ‘Badass Women of Washington.’” The story reminds readers: “Federal officials are prohibited from spending taxpayer dollars for publicity purposes, or using their public office for private gain.” UnitedHealthcare opening new service centers for Medicare beneficiaries centers in Walgreens stores – StarTribune The story delivers a lot of unquestioning PR gibberish – as with this line: “We are expanding …

David Windley

Anthem, Passport to protest $7B Kentucky Medicaid contract loss | Healthcare Dive | 12/3/2019

Healthcare Dive they will proceed to the formal bid protest process. Aetna, Humana, Molina, UnitedHealthcare and WellCare were the winners in the Kentucky contract awarded last week . They will provide coverage to about 1.3 million Medicaid members beginning July 1. The contract is worth about $7 billion each year, according to analyst David Windley with Jefferies. Kentucky has yet to receive any formal appeals from either Anthem or Passport, a …

Stephen Miller

In Trump’s America, the H-1B dream has turned into a bureaucratic nightmare for skilled Indians | 12/3/2019

… in environmental engineering, and after a few internships where he picked up programming skills, he was hired in 2010 by UnitedHealthcare, a Fortune 500 insurance company based in Minnesota. He loved his job streamlining its … USCIS Director Kenneth Cuccinelli and White House senior policy adviser Stephen Miller. “Attacking legal immigration is kind of a stealth strategy,” says Bruce Morrison, a former Congress member from Connecticut who co-sponsored the Immigration …

Jeff Sessions

In Trump’s America, the H-1B dream has turned into a bureaucratic nightmare for skilled Indians | 12/3/2019

… in environmental engineering, and after a few internships where he picked up programming skills, he was hired in 2010 by UnitedHealthcare, a Fortune 500 insurance company based in Minnesota. He loved his job streamlining its … have criticised the H-1B system. In late 2015, Sen. Jeff Sessions (R-Ala.), the future attorney general, described the program as “a tremendous threat” to American workers on Sirius XM’s Breitbart News Daily podcast …

Heidi de Marco

Nothing to sneeze at: The $2,659 bill to pluck doll’s shoe from child’s nostril | Chicago Tribune | 12/3/2019

Nothing to sneeze at: The $2,659 bill to pluck doll’s shoe from child’s nostril By Markian Hawryluk and Heidi de Marco Tribune News Service Dec 03, 2019 8:00 AM Lucy holds a pair of Polly … doll. She’s insured through her father’s high-deductible plan with UnitedHealthcare. Total Bill: $2,658.98, consisting of a $1,732 hospital bill and a $927 physician bill. Service Provider: St. Rose Dominican, Siena Campus, in Henderson, Nevada …

Steve Bannon

In Trump’s America, the H-1B dream has turned into a bureaucratic nightmare for skilled Indians | 12/3/2019

… in environmental engineering, and after a few internships where he picked up programming skills, he was hired in 2010 by UnitedHealthcare, a Fortune 500 insurance company based in Minnesota. He loved his job streamlining its … workers and substituted them with H1-B holders. Speaking with Steve Bannon on the Breitbart podcast in March 2016, Stephen Miller, the Sessions aide who would become the architect of Trump’s immigration policy, said H …

Michael Brown

Beshear aide voices concern as Kentucky’s new Medicaid contracts drop Passport, Anthem | 12/2/2019

UnitedHealthcare Community Plan of Kentucky and Molina Healthcare of Kentucky. The new contracts would replace the old ones on July 1, unless Passport and Anthem win protests they say they will file. On Dec. 10, Bevin will be replaced by Democrat Andy Beshear, who defeated him this month. Beshear’s top aide, J. Michael Brown, issued a statement saying, “Awarding $8 billion in contracts with just 11 days left in this …

Elizabeth Warren

As Buttigieg Rises, Insurers Offer More Medicare Benefits | Forbes | 11/29/2019

… they offer more benefits and services heading into 2020. And that may help Pete Buttigieg more than Bernie Sanders or Elizabeth Warren. It’s as if the health insurance industry is upping its game headed into … week, Walgreens Boots Alliance and UnitedHealth Group’s health insurance unit, UnitedHealthcare, said they are opening “Medicare services centers” inside the pharmacy chain’s U.S. drugstores in several markets effective in January 2020. In the coming weeks …

Tom Vilsack

(BPRW) The Fourth Annual GENYOUth Galabration Celebrates Those Who “Rise By Lifting Others! | 11/27/2019

… the organization’s annual youth leadership event. The evening would not be possible without the generous commitments made by Corteva Agriscience, UnitedHealthcare, Alight Solutions and TD Ameritrade. Vanguard Award Recipient Kevin Warren Perseverance and fortitude are … Vickers, M.D., Dean, University of Alabama School of Medicine; Honorable Tom Vilsack, President and CEO, U.S. Dairy Export Council, Former Secretary of U.S. Department of Agriculture; Russell Weiner, COO and President of the Americas, Domino’s …

Alexis Glick

(BPRW) The Fourth Annual GENYOUth Galabration Celebrates Those Who “Rise By Lifting Others! | 11/27/2019

… Our Gala highlights and celebrates the strides GENYOUth has made in supporting the development of healthy, high-achieving students,” said Alexis Glick, GENYOUth CEO. “We proudly recognize our corporate, foundation and individual partners who make … be possible without the generous commitments made by Corteva Agriscience, UnitedHealthcare, Alight Solutions and TD Ameritrade. Vanguard Award Recipient Kevin Warren Perseverance and fortitude are at the core of Kevin Warren’s personal and professional accomplishments …

Arianna Huffington

(BPRW) The Fourth Annual GENYOUth Galabration Celebrates Those Who “Rise By Lifting Others! | 11/27/2019

… Minnesota Vikings President and Co-Owner Mark Wilf, Famed Chef and TV Personality Carla Hall, Thrive Global Founder and CEO Arianna Huffington, NFL Hall of Fame Lineman Anthony Munoz, Journalist Katie Couric, Two-Time Olympic … be possible without the generous commitments made by Corteva Agriscience, UnitedHealthcare, Alight Solutions and TD Ameritrade. Vanguard Award Recipient Kevin Warren Perseverance and fortitude are at the core of Kevin Warren’s personal and professional accomplishments …

Jeff Miller

(BPRW) The Fourth Annual GENYOUth Galabration Celebrates Those Who “Rise By Lifting Others! | 11/27/2019

… the organization’s annual youth leadership event. The evening would not be possible without the generous commitments made by Corteva Agriscience, UnitedHealthcare, Alight Solutions and TD Ameritrade. Vanguard Award Recipient Kevin Warren Perseverance and fortitude are … Commentator for FOX Sports and NFL Hall of Fame Inductee; Jeff Miller, EVP Health and Safety for the NFL; Steven H. Nelson, Former CEO, UnitedHealthcare; Donald “DJ” Paoni, President SAP North America, Claressa Shields, Two …

James Park

Fitbit shares rise as filing reveals bidding war between Google and mystery firm | CNBC | 11/26/2019

James Park Mark Neuling CNBC Fitbit’s stock was up more than 3.7% Tuesday morning after an SEC filing revealed a bidding war between Google and a mystery firm for the fitness wearable maker. Google announced … has been aggressively exploring the health-tracking wearables space and UnitedHealthcare and Fitbit had an existing wellness partnership program called Motion. VIDEO 2:36 02:36 Facebook revealed as mystery firm bidding for Fitbit Closing Bell Discussions …

Brian Thompson

United Health Foundation and the Colorado Center for Nursing Excellence Partner to Increase Access to Behavioral Health Care Services for Residents of Rural Colorado | Business Wire | 11/26/2019

… Brian Thompson, chief executive officer, UnitedHealthcare Government Programs. “This partnership with the Colorado Center for Nursing Excellence will help rural Colorado residents lead healthier lives by training APRNs to provide the right care in the right place at the right time.” About the United Health Foundation Through collaboration with community partners, grants and outreach efforts, the United Health Foundation works to improve our health system, build a diverse and dynamic …

Kamala Harris

Google Alert - care plan | 11/26/2019

… 25, 2019 /PRNewswire/ – Inland Empire Health Plan (IEHP) is a trailblazer when it comes to transforming health … Flag as irrelevant Kamala Harris to release mental health plan with Charlamagne Tha God in Berkeley County ABC … more about Medicare, meet with service advocates to discuss their UnitedHealthcare plan … Flag as irrelevant State-Led Medicare For All Would Import All Of Canada’s Problems Forbes Ro Khanna introduced the “State-Based Universal Health …