State Intelligence — Minnesota
Signals referencing this state across all sources.
14 signals
-
Minnesota may need to claw back Medicaid funds from providers
The Minnesota Department of Human Services told Becker’s Oct. 15 that it may need to claw back funds from Medicaid providers if it faces a disallowance from CMS in the coming weeks. CMS has deferred $550 million in Medicaid funds to the state, according to an Oct. 2 letter from Minnesota DHS Temporary Commissioner John […] The post Minnesota may need to claw back Medicaid funds from providers appeared first on Becker's Payer Issues | Payer News .
Policy / Regulatory Changes · 140 signals · last 30 days -
UnitedHealthcare mistakenly tells members that 8 clinicians died
UnitedHealthcare recently sent letters to members across the country mistakenly informing them that eight physicians had died, as first reported by The Minnesota Star Tribune on Oct. 7. According to the report, letters claiming the deaths of two Minnesota physicians were dated Sept. 11. Two weeks later, members received letters addressing the mistake and confirming […] The post UnitedHealthcare mistakenly tells members that 8 clinicians died appeared first on Becker's Payer Issues | Payer News .
UnitedHealthcare MinnesotaUnitedHealthcare · 46 signals · last 30 days -
Fairview sues UnitedHealthcare over alleged Medicare Advantage false advertising
Minneapolis-based Fairview Health Services filed a lawsuit Oct. 1 against UnitedHealthcare, alleging false advertising with the insurer’s 2027 Medicare Advantage plans. The complaint, filed in Minnesota federal court, said Fairview decided in June to not renew its contract with UnitedHealthcare’s MA plans for 2027. However, the lawsuit said UnitedHealthcare has falsely presented that Fairview would […] The post Fairview sues UnitedHealthcare over alleged Medicare Advantage false advertising a...
UnitedHealthcare MinnesotaUnitedHealthcare · 46 signals · last 30 days -
BCBS Minnesota cuts most Medicare Advantage plans following $500M loss
Blue Cross and Blue Shield of Minnesota is discontinuing most of its Medicare Advantage plans at the end of 2026, citing more than $500 million in Medicare losses over the past three years amid rising medical and pharmacy costs. “While I am reassured that our financial foundation remains strong, that does not mean we can […] The post BCBS Minnesota cuts most Medicare Advantage plans following $500M loss appeared first on Becker's Payer Issues | Payer News .
Blue Cross Blue Shield plans · 36 signals · last 30 days -
Optum Health taps CEO for AI, product innovation
Wes Donohoe is serving as Optum Health’s CEO for AI and product innovation, the company confirmed to Becker’s Sept. 28. According to Mr. Donohoe’s LinkedIn post, he started the role, which focuses on AI and product innovation, Sept. 21. Mr. Donohoe said he spent his first week traveling to Minnesota and Texas to meet with […] The post Optum Health taps CEO for AI, product innovation appeared first on Becker's Payer Issues | Payer News .
UnitedHealthcare · 46 signals · last 30 days -
BCBS Minnesota taps chief investment officer
Blue Cross and Blue Shield of Minnesota named Todd Hedtke as treasurer and chief investment officer. Mr. Hedtke shared the update in a September LinkedIn post. He previously founded Integroz US, an investment architecture advisory firm and was CEO of Allianz Investment Management, according to his LinkedIn profile. The insurer’s former treasury vice president and […] The post BCBS Minnesota taps chief investment officer appeared first on Becker's Payer Issues | Payer News .
Blue Cross Blue Shield plans · 36 signals · last 30 days -
Former Optum director sentenced to three years in prison for defrauding company
A former senior director of data analytics at Optum has been sentenced to three years in federal prison for creating a no-show job for a friend and pocketing kickbacks from their salary. Karan Gupta, 48, of Walnut Creek, Calif., was sentenced Aug. 24 by U.S. District Judge Kate Menendez in Minnesota, according to an Aug. […] The post Former Optum director sentenced to three years in prison for defrauding company appeared first on Becker's Payer Issues | Payer News .
Optum MinnesotaUnitedHealthcare · 46 signals · last 30 days -
Investors renew fight against UnitedHealth, claiming $237M in insider stock sales
UnitedHealth Group shareholders are renewing pressure on the company in an amended complaint, filed Aug. 7 in the U.S. District Court for the District of Minnesota. An initial complaint from July 2024 focused on concerns over the “firewall” between UnitedHealthcare and Optum. UnitedHealth established the policy in 2022 amid a Justice Department challenge of the […] The post Investors renew fight against UnitedHealth, claiming $237M in insider stock sales appeared first on Becker's Payer Issue...
UnitedHealthcare · 46 signals · last 30 days -
Weaponizing Fraud Against Medicaid in California and Minnesota: Another Quarter, Another Round of Deferrals
At a July 21 press conference, CMS Administrator Mehmet Oz announced that his agency was deferring payment of $1.1 billion in federal Medicaid matching funds to California and Minnesota “pending review of high-risk claims in crackdown on fraud.” The amount of the California deferral was $867.5 million; the Minnesota deferral, $199.0 million. CMS has previously taken […]
Policy / Regulatory Changes · 140 signals · last 30 days -
Trump administration says it’s deferring $1B in Medicaid payments to California and Minnesota
The Trump administration said it was deferring more than $1 billion in Medicaid payments to Minnesota and California because of “suspected fraud and noncompliance.”
-
CMS withholds $1B in Medicaid payments from California, Minnesota
The government is pausing the payments due to what federal officials called "suspected fraud and noncompliance."
Policy / Regulatory Changes · 140 signals · last 30 days -
HHS defers $1B+ in Medicaid funds to Minnesota, California
HHS and CMS are deferring more than $1 billion in federal Medicaid funds to Minnesota and California, agency officials confirmed July 21. The agencies said they are deferring approximately $867.5 million in payments to California and $199 million to Minnesota after financial reviews flagged claims that require additional assessment before the release of matching funds. […] The post HHS defers $1B+ in Medicaid funds to Minnesota, California appeared first on Becker's Payer Issues | Payer News .
Policy / Regulatory Changes · 140 signals · last 30 days -
Revalidation of ‘High-Risk’ Medicaid Providers: Early Lessons from Minnesota
On April 23, the CMS Administrator, Dr. Mehmet Oz, issued a letter to State Medicaid Directors “formally asking that your state develop and submit a comprehensive two-year provider revalidation (PR) strategy….” This SMD is not posted on Medicaid.gov with all the other SMDs, but you can view it on the Fox News website. The state […]
Policy / Regulatory Changes · 140 signals · last 30 days -
Beyond Minnesota: Four Medicaid Services Vulnerable to Fraud and the Case for Stronger CMS Enforcement
The post Beyond Minnesota: Four Medicaid Services Vulnerable to Fraud and the Case for Stronger CMS Enforcement appeared first on Paragon Health Institute .
Policy / Regulatory Changes · 140 signals · last 30 days