UnitedHealthcare
Signals mentioning UnitedHealthcare, UnitedHealth, UHC, Optum.
139 signals
Signal volume
Signal mix
State footprint
- Texas 7
- Minnesota 5
- Florida 3
- Washington 3
- Maryland 3
- Wisconsin 3
- Tennessee 3
- Massachusetts 2
- Illinois 2
- Michigan 2
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Federal watchdog accuses Humana, UnitedHealthcare Medicare Advantage plans of upcoding
Newly released HHS OIG audits of HumanaChoice and UnitedHealthcare of Wisconsin found both plans frequently exaggerated the health needs of their members, generating almost $180 million in overpayments over two years.
UnitedHealthcare + Humana · 59 signals · last 30 days -
Ohio Chamber sues healthcare giant, accusing it of deceit, misinformation
The Ohio Chamber of Commerce is suing UnitedHealth, alleging that the conglomerate abandoned its contract to administer a Chamber-backed health plan for its members. UnitedHealth then used inside information to trick employers into thinking the Chamber plan was being terminated, said the suit, which was filed on Sept. 1 in federal court in Columbus. And […]
UnitedHealth OhioUnitedHealthcare · 46 signals · last 30 days -
Judge dismisses Ballad Health's MA claims denial lawsuit against UnitedHealth
Tennessee-based health system Ballad Health alleged the payer routinely denies or delays care physicians deemed necessary, and said it will continue to pursue the issue in arbitration as ordered by the court.
UnitedHealth TennesseeUnitedHealthcare · 46 signals · last 30 days -
Judge dismisses Ballad Health’s Medicare Advantage lawsuit against UnitedHealth
A federal judge has dismissed Ballad Health’s lawsuit accusing UnitedHealth Group of denying and underpaying Medicare Advantage claims, ruling the dispute must go to arbitration. Johnson City, Tenn.-based Ballad sued UnitedHealth in October, alleging the insurer spent years denying valid claims, delaying payment and overstating the severity of patient illnesses to collect higher MA reimbursements. […] The post Judge dismisses Ballad Health’s Medicare Advantage lawsuit against UnitedHealth app...
UnitedHealthUnitedHealthcare · 46 signals · last 30 days -
Cotiviti names Optum exec COO
Healthcare analytics company Cotiviti has named Erin Schmuker COO. Ms. Schmuker joins Cotiviti from Optum, where she most recently served as president of integrated pharmacies at OptumRx, according to a Sept. 14 news release. She previously served as managing director of Optum Ireland and UK. In her new role, Ms. Schmuker will lead Cotiviti’s enterprise […] The post Cotiviti names Optum exec COO appeared first on Becker's Payer Issues | Payer News .
OptumUnitedHealthcare · 46 signals · last 30 days -
United States ex rel. Poehling v. UnitedHealth Group Inc. et al.
Medicare Advantage risk adjustment coding litigation. The post United States ex rel. Poehling v. UnitedHealth Group Inc. et al. appeared first on Health Care Litigation Tracker .
UnitedHealthUnitedHealthcare · 46 signals · last 30 days -
UnitedHealth Group in the headlines: 10 updates
From announcing plans to drop prior authorization requirements for 1,700 services to facing a lawsuit from the Maryland attorney general, here are 10 updates on UnitedHealth Group and its subsidiaries that Becker’s has reported since Aug. 26: 1. Ujjwal Ratan joined UnitedHealth Group’s consulting and analytics division, Optum Insight, as chief AI officer. 2. UnitedHealth […] The post UnitedHealth Group in the headlines: 10 updates appeared first on Becker's Payer Issues | Payer News .
UnitedHealthcare · 46 signals · last 30 days -
Optum Insight names Amazon alum as chief AI officer
Ujjwal Ratan has joined UnitedHealth Group’s consulting and analytics division, Optum Insight, as chief AI officer. In a Sept. 10 LinkedIn post, Mr. Ratan said his role is to enable Optum Insight to operate as a connected agentic network in healthcare. “Agentic AI only works if the agents have real, connected data to reason over […] The post Optum Insight names Amazon alum as chief AI officer appeared first on Becker's Payer Issues | Payer News .
UnitedHealthOptumUnitedHealthcare · 46 signals · last 30 days -
Optum Health CEO pulls back curtain on turnaround
As UnitedHealth Group continues to chart a turnaround from a challenging 2025, the company's top brass is pulling back the curtain on those efforts at its healthcare services unit, Optum Health.
UnitedHealthOptumUnitedHealthcare · 46 signals · last 30 days -
UnitedHealth CFO says ‘tough decisions’ in Medicare Advantage are paying off
UnitedHealth Group says its Medicare Advantage business is outperforming initial margin targets for 2026, crediting deliberate financial recovery moves that meant fewer members this year. Speaking at a Wells Fargo conference Sept. 9, CFO Wayne DeVeydt said the company “really needed to make some tough decisions around the durability of the products we had, coupled […] The post UnitedHealth CFO says ‘tough decisions’ in Medicare Advantage are paying off appeared first on Becker's Payer Issues...
UnitedHealthUnitedHealthcare · 46 signals · last 30 days -
UnitedHealth’s Optum sells interest in Florida clinics
UnitedHealth Group’s Optum has sold interest in some of Optum’s Florida WellMed clinics to private equity company TPG, Bloomberg originally reported Sept. 9. UnitedHealth Chief Financial Officer Wayne DeVeydt told Bloomberg that the healthcare company was looking for a partner “that could actually work with us locally,” and UnitedHealth “didn’t need the dollars.” “We entered […] The post UnitedHealth’s Optum sells interest in Florida clinics appeared first on Becker's Payer Issues | Payer News .
UnitedHealthcare · 46 signals · last 30 days -
UnitedHealthcare expects to be ‘very competitive’ in Medicare Advantage next year, CFO says
The insurer is still working on strategies to ensure its MA markets remain as profitable as possible, but it’s confident in its posture heading into 2027 open enrollment, Wayne DeVeydt said Wednesday.
UnitedHealthcareUnitedHealthcare · 46 signals · last 30 days -
STAT+: UnitedHealth’s Democrat investment, and surprise billing bloat debate
UnitedHealth execs shower a top Democrats with cash, and the No Surprises Act debate heats up.
UnitedHealthUnitedHealthcare · 46 signals · last 30 days -
UnitedHealthcare taps Washington COO
De’Shanel Childs joined UnitedHealthcare as its COO in Washington state, according to a recent LinkedIn post. She had previously been a regional director of operations for Consumer Direct Care Network, a self-directed home care enterprise. Prior, Ms. Childs served in leadership capacities at Propeller Health, a former manufacturer under ResMed that worked on chronic disease […] The post UnitedHealthcare taps Washington COO appeared first on Becker's Payer Issues | Payer News .
UnitedHealthcare WashingtonUnitedHealthcare · 46 signals · last 30 days -
STAT+: UnitedHealth executives shower high-ranking Democrat with donations ahead of midterms
Katherine Clark, a top House Democrat, received more than $100,000 in campaign donations from people linked to UnitedHealth Group.
UnitedHealthUnitedHealthcare · 46 signals · last 30 days -
UnitedHealthcare cuts prior authorization from 1,700 codes
The list tells providers what treatments will no longer need preapproval this October, part of UnitedHealthcare’s pledge to cull 30% of its much-maligned utilization management controls. The codes span a broad range of services.
UnitedHealthcareUnitedHealthcare · 46 signals · last 30 days -
UnitedHealthcare to nix prior auth on 1,700 services on Oct. 1
UnitedHealthcare said earlier this year that it was aiming to eliminate 30% of prior authorization requirements by the end of 2026.
UnitedHealthcareUnitedHealthcare · 46 signals · last 30 days -
Ohio Chamber sues UnitedHealthcare over alleged effort to poach members
The Ohio Chamber of Commerce is suing UnitedHealthcare over allegations the insurer withheld data and used confidential information obtained as the administrator of the chamber’s health benefits program to steer small businesses into its own plans. Hours after the lawsuit was filed Sept. 1 in an Ohio federal court, U.S. District Judge Algenon Marbley temporarily […] The post Ohio Chamber sues UnitedHealthcare over alleged effort to poach members appeared first on Becker's Payer Issues | Payer...
UnitedHealthcare OhioUnitedHealthcare · 46 signals · last 30 days -
6 payer reimbursement changes to know in September
Several of the nation’s largest health insurers rolled out reimbursement policy changes Sept. 1, ranging from new lab testing coverage limits at UnitedHealthcare to a billing overhaul at Blue Cross Blue Shield of Michigan that has drawn pushback from providers. Six payer reimbursement changes to know: 1. UnitedHealthcare UnitedHealthcare is tightening reimbursement for lab tests […] The post 6 payer reimbursement changes to know in September appeared first on Becker's Payer Issues | Payer News .
UnitedHealthcare + Blue Cross Blue Shield plans · 80 signals · last 30 days -
UnitedHealthcare to participate in Mississippi’s short-term plans push
Mississippi Insurance Commissioner Mike Chaney confirmed UnitedHealthcare will offer short-term, limited-duration insurance through the Mississippi Comprehensive Health Insurance Risk Pool Association, with a projected start date in 2027. The short-term plans will run for a maximum of 364 days, Mr. Chaney told Becker’s. These plans are not ACA compliant, meaning they do not offer the […] The post UnitedHealthcare to participate in Mississippi’s short-term plans push appeared first on Becker's...
UnitedHealthcare MississippiUnitedHealthcare · 46 signals · last 30 days -
Head of UnitedHealthcare’s Illinois market to oversee Wisconsin, Michigan
The head of UnitedHealthcare’s Illinois plan will now oversee Wisconsin and Michigan.
UnitedHealthcare · 46 signals · last 30 days -
UnitedHealthcare to drop prior authorization requirements for 1,700 services
UnitedHealthcare has released the specific procedure codes it will exempt from prior authorization as part of the insurer’s previous pledge to reduce requirements by 30% before the end of 2026. The code lists cover 1,700 procedure codes for a range of services across commercial, Medicare Advantage, individual exchange, and Medicaid plans. Effective Oct. 1, providers […] The post UnitedHealthcare to drop prior authorization requirements for 1,700 services appeared first on Becker's Payer Issue...
UnitedHealthcareUnitedHealthcare · 46 signals · last 30 days -
UnitedHealthcare taps CEO for Washington state Medicaid plan
UnitedHealthcare Community Plan of Washington has named Scott Williams as CEO. According to an August LinkedIn post, Mr. Williams will work with members, providers, community groups, tribes and state leaders in his role with the Medicaid managed care plan. Prior to this position, Mr. Williams was a vice president of network contracting with UnitedHealth Group. […] The post UnitedHealthcare taps CEO for Washington state Medicaid plan appeared first on Becker's Payer Issues | Payer News .
UnitedHealthcare · 46 signals · last 30 days -
Maryland sues Optum over 'defective' computer system
Maryland has filed a lawsuit against UnitedHealth Group, alleging that its Optum unit defrauded the state's Medicaid program by providing a faulty computer system.
UnitedHealthcare · 46 signals · last 30 days -
‘Fundamentally different priorities’: Lee Health to go out of network for UnitedHealthcare members
Fort Myers, Fla.-based Lee Health said it would terminate hospital and physician contracts with UnitedHealthcare at the end of 2026. Beginning Jan. 1, 2027, Lee Health will be out of network for UnitedHealthcare employer-based, individual and Medicare Advantage plan members. Lee Health said UnitedHealthcare does not consider the health system to be part of the […] The post ‘Fundamentally different priorities’: Lee Health to go out of network for UnitedHealthcare members appeared first on Beck...
UnitedHealthcareUnitedHealthcare · 46 signals · last 30 days