Timeline — UnitedHealthcare
This organization's signals on one timeline — one topic-colored bubble row apiece.
34 signals in the last 30 days
+2 more not labeled
Signals in this window
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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.
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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.
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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...
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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 .
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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...
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Head of UnitedHealthcare’s Illinois market to oversee Wisconsin, Michigan
The head of UnitedHealthcare’s Illinois plan will now oversee Wisconsin and Michigan.
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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...
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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 .
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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.
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‘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...
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Maryland sues UnitedHealth for $380M over Medicaid administration issues
Maryland Attorney General Anthony Brown has filed a lawsuit against UnitedHealth Group and Optum, seeking $380 million in damages stemming from alleged issues administering a Medicaid behavioral health program. “Marylanders in crisis and the providers who care for them rely on Maryland’s Medicaid program for essential mental health and substance abuse care. Optum provided a […] The post Maryland sues UnitedHealth for $380M over Medicaid administration issues appeared first on Becker's Payer I...
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Optum Rx taps employer, government markets president
Mona Chitre, PharmD, will serve as the market president for the newly created employer and government markets segment under Optum Rx, UnitedHealth Group’s pharmacy benefit manager. Dr. Chitre will begin her role Aug. 31, according to an Aug. 26 LinkedIn post. She said the role unifies the commercial, health system, coalition, labor and trust, and […] The post Optum Rx taps employer, government markets president appeared first on Becker's Payer Issues | Payer News .
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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 .
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High medical costs continue to hang over insurers’ margin recovery: Moody’s
Most large health insurers posted stronger-than-expected earnings in the second quarter, but much of the improvement might not be durable, according to a Moody’s Ratings analysis published Aug. 24. Average EBITDA margins across the seven largest publicly traded insurers rose to 4.7% in Q2, up from 3.9% in the same period a year earlier. UnitedHealth […] The post High medical costs continue to hang over insurers’ margin recovery: Moody’s appeared first on Becker's Payer Issues | Payer News .
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UnitedHealthcare expands behavioral coaching program for youths
UnitedHealthcare is expanding access to its child and family behavioral coaching program, making it available to 13 million commercial members.
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UnitedHealth Group in the headlines: 10 updates
From posting a $5.5 billion profit in the second quarter, to a former UnitedHealthcare executive being confirmed as the next CDC director, here are 10 updates on UnitedHealth Group and its subsidiaries that Becker’s has reported since July 20: 1. Luigi Mangione pleaded guilty to federal stalking charges in connection with the December 2024 killing […] The post UnitedHealth Group in the headlines: 10 updates appeared first on Becker's Payer Issues | Payer News .
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UnitedHealthcare expands behavioral coaching to 13 million members
UnitedHealthcare expanded its child and family behavioral coaching program, giving approximately 13 million eligible commercial members access to behavioral health support. The 2026 expansion adds access for an additional 5 million members at no added cost for employers with fully insured plans. More than 500 employers now offer the program, according to an Aug. 18 news release […] The post UnitedHealthcare expands behavioral coaching to 13 million members appeared first on Becker's Payer Iss...
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Four health systems, including Ochsner and Denver Health, go live with Epic's real-time prior authorization checks
UnitedHealthcare, Network Health and Aetna are among the first group of health plans to go live with the API, while Ochsner Health, Froedtert ThedaCare Health, Denver Health and Summit Health are the four health systems now using the real-time prior auth checks.
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STAT+: The IRS is probing UnitedHealth, and a private equity slowdown
UnitedHealth faces an investigation over tax payments, and we examine why PE deals for doctor groups are slowing.
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UnitedHealth disputes IRS proposal to boost tax bill
UnitedHealth Group received notices of proposed adjustment from the IRS March 6, the company shared in quarterly Securities and Exchange Commission filings. The transactions facing possible tax adjustment spanned 2017 through 2020 and involved transfer pricing with an unnamed foreign subsidiary. The filings said the agency “is seeking to significantly increase taxable income” for the […] The post UnitedHealth disputes IRS proposal to boost tax bill appeared first on Becker's Payer Issues | Pa...
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Investor suit says UnitedHealth ignored governance, cybersecurity gaps for years
UnitedHealth misled investors, shuttered an internal Medicare billing audit and ignored cybersecurity lapses that led to the historic Change Healthcare cyberattack, according to a lawsuit filed by two shareholder groups.
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STAT+: UnitedHealth faces IRS probe over potential tax avoidance
The health insurer may face a significant increase in taxes, amid a dispute with federal authorities.
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Luigi Mangione pleads guilty in federal case over murder of UnitedHealthcare CEO Brian Thompson
The man accused of murdering UnitedHealthcare CEO Brian Thompson has pleaded guilty in the federal trial against him, per media reports.
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Luigi Mangione pleads guilty to federal stalking charges in the killing of UnitedHealthcare CEO
In pleading guilty, Mangione admitted to following UnitedHealth executive Brian Thompson and then shooting him.
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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...
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Luigi Mangione admits he shot UnitedHealthcare CEO
Luigi Mangione has pleaded guilty to federal stalking charges in connection with the December 2024 killing of UnitedHealthcare CEO Brian Thompson outside a Midtown Manhattan hotel, the New York Times reported. “I shot Mr. Thompson in Manhattan,” Mr. Mangione told the judge Aug. 14. “I understood that my actions would place him in fear of […] The post Luigi Mangione admits he shot UnitedHealthcare CEO appeared first on Becker's Payer Issues | Payer News .
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Luigi Mangione expected to plead guilty in UnitedHealthcare CEO killing
The plea would come at a Friday hearing that U.S. District Judge Margaret Garnett set after federal prosecutors and defense lawyers jointly requested one.
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St. Luke’s, UnitedHealthcare automate 88% of claim statuses via Epic
Bethlehem, Pa.-based St. Luke’s University Health Network and UnitedHealthcare say they’ve automated claim status updates for 88% of the claims exchanged between the two organizations, using Epic’s Payer Platform, according to Epic’s newly released 2026-2027 Almanac. The two organizations turned on Epic’s Claim Status feature to give St. Luke’s staff real-time visibility into where claims […] The post St. Luke’s, UnitedHealthcare automate 88% of claim statuses via Epic appeared first on Becke...
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Investor lawsuit alleges UnitedHealth ignored Medicare, cyber risks
The complaint alleges that UnitedHealth shut down an internal audit program that showed problems in its Medicare billing.
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Medicaid Managed Care: The Big Five in Q2 2026
The “Big Five” have announced their results for the calendar quarter ending June 30. They are, of course, the five publicly-traded companies with the largest presence in the Medicaid managed care market, together accounting for about half of all Medicaid enrollees: Centene Corporation, CVS Health/Aetna, Elevance Health, Molina Healthcare, and UnitedHealth Group. The Medicaid market […]
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56% of employers using Big 3 PBMs consider switch
Fifty-six percent of employer clients of “Big Three” pharmacy benefit managers — CVS Caremark, Cigna’s Express Scripts and UnitedHealth Group’s Optum Rx — are thinking about switching in the next one to three years. The 2026 “Pulse of the Purchaser” survey, released Aug. 11 by the National Alliance of Healthcare Purchaser Coalitions, included 408 responses […] The post 56% of employers using Big 3 PBMs consider switch appeared first on Becker's Payer Issues | Payer News .
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UnitedHealth sets quarterly dividend
UnitedHealth Group’s board of directors approved a per-share cash dividend of $2.32 to be paid Sept. 22. The dividend will be paid to all shareholders of the company’s common stock as of business close on Sept. 14. The company released its second-quarter earnings July 16, posting nearly $5.5 billion in profit. UnitedHealth boosted its full-year […] The post UnitedHealth sets quarterly dividend appeared first on Becker's Payer Issues | Payer News .
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UnitedHealth paid $3B for benefits platform Alegeus
UnitedHealth Group paid $3 billion for benefits administration platform Alegeus, according to an Aug. 10 filing with the Securities and Exchange Commission. The company had not previously disclosed a price for the deal. In the filing, which does not directly name Alegeus, UnitedHealth said it entered an agreement in the first quarter to acquire a […] The post UnitedHealth paid $3B for benefits platform Alegeus appeared first on Becker's Payer Issues | Payer News .
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BCBS Illinois exec to depart for kidney foundation’s CEO role
William Crowley, BSN, executive director of clinical operations for Health Care Service Corp.’s Blue Cross Blue Shield of Illinois, will join the National Kidney Foundation of Illinois as CEO Aug. 24. Over his 25-plus-year career, Mr. Crowley has held senior leadership and director roles at UnitedHealth Group’s Optum Health, as well. He has also worked […] The post BCBS Illinois exec to depart for kidney foundation’s CEO role appeared first on Becker's Payer Issues | Payer News .