Competitive / Operational Strategy
Signals classified into this topic vertical.
115 signals
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UnitedHealthcare, U of Miami Health face network split
University of Miami Health System is set to go out of network with UnitedHealthcare Aug. 1 if the two sides do not reach a new contract. Without an agreement, UHealth’s hospitals, facilities and physicians will be out of network for UnitedHealthcare’s employer-sponsored plans, its Florida Medicaid plan and its ACA plans. A separate contract covers […] The post UnitedHealthcare, U of Miami Health face network split appeared first on Becker's Payer Issues | Payer News .
UnitedHealthcare FloridaUnitedHealthcare · 46 signals · last 30 days -
Judge denies Cigna bid to have health data-tracking lawsuit tossed
A Pennsylvania federal judge ruled that four of the five claims in a lawsuit alleging Cigna violated privacy protections through third-party vendors using tracking technologies on its website can proceed. The complaint dates to May 2025, with the most recent amended complaint from March 2026. Plaintiffs include current and past Cigna policyholders who allege a […] The post Judge denies Cigna bid to have health data-tracking lawsuit tossed appeared first on Becker's Payer Issues | Payer News .
Cigna PennsylvaniaCigna · 15 signals · last 30 days -
MultiCare, Premera reach deal to keep coverage for over 100K WA patients
MultiCare, which operates more than a dozen hospitals in Washington, has agreed to keep charging Premera Blue Cross insurance customers in-network rates after months of negotiations that threatened their coverage. The hospital system and insurer are still hashing out the details, Bill Akers, executive vice president of sales and marketing for Premera, said Tuesday. Both […]
Blue Cross WashingtonBlue Cross Blue Shield plans · 36 signals · last 30 days -
Dogwood notifies attorney general’s office that HCA is in ‘potential noncompliance’ with Mission sale contract
By Ted Clifford Asheville Watchdog A report from the independent monitor tasked with supervising Mission Hospital has found two areas of “potential noncompliance” with the agreement HCA Healthcare signed when buying the hospital in 2019. The potential violations were a warning from federal regulators in October 2025 that Mission stood to lose Medicaid and Medicare […] The post Dogwood notifies attorney general’s office that HCA is in ‘potential noncompliance’ with Mission sale contract appear...
Competitive / Operational Strategy · 36 signals · last 30 days -
Big payers keep betting on services — but discipline is still the name of the game
The country’s biggest payers have been branching out beyond insurance for years — and the investments keep mounting. As insurers partake in health services, the line between coverage and care delivery blurs. But, while some bets pay off and position companies as players beyond health insurance, some companies are taking steps back. Cigna Cigna is […] The post Big payers keep betting on services — but discipline is still the name of the game appeared first on Becker's Payer Issues | Payer News .
CignaCigna · 15 signals · last 30 days -
Aetna’s chief medical officer pushes back on the ‘AI bot war’
Artificial intelligence is now embedded across health insurance and care delivery operations, but Aetna’s chief medical officer says the industry still has a choice in what it does with the technology, even if early results aren’t encouraging. “AI opens the door to move at a speed and with a level of clinical engagement that’s really […] The post Aetna’s chief medical officer pushes back on the ‘AI bot war’ appeared first on Becker's Payer Issues | Payer News .
AetnaCVS Health / Aetna · 12 signals · last 30 days -
UnitedHealthcare, ECU Health extend agreement until August
Hospitals under Greenville, N.C.-based ECU Health — a collaboration between East Carolina University and Vidant Health — will remain in network for some UnitedHealthcare plans through Aug. 6, the insurer and health system said. Hospital access will continue for employer-sponsored commercial, Medicare Advantage and individual family plans until early August, rather than July 15. “We […] The post UnitedHealthcare, ECU Health extend agreement until August appeared first on Becker's Payer Issues...
UnitedHealthcareUnitedHealthcare · 46 signals · last 30 days -
UNC Health dismisses 340B underpayment lawsuits targeting Humana
Chapel Hill, N.C.-based UNC Health hospitals have voluntarily dismissed two lawsuits against Humana over alleged 340B drug underpayments, according to July court filings. UNC Health Care System and affiliated hospitals dismissed their case against Humana and ChoiceCare Network July 17 in the U.S. District Court for the Middle District of North Carolina. Separately, Blue Ridge […] The post UNC Health dismisses 340B underpayment lawsuits targeting Humana appeared first on Becker's Payer Issues...
Humana North CarolinaHumana · 13 signals · last 30 days -
Village of Glenwood, Blue Cross and Blue Shield of Illinois, and National Fitness Campaign Provide Free Fitness for Everyone in Glenwood
The Village of Glenwood, Blue Cross and Blue Shield of Illinois, and National Fitness Campaignexternal link, today announced a partnership to bring an outdoor Fitness Court and digital wellness programming to The Village of Glenwood. The Fitness Court, located at Arquilla Park, 225 Park Drive, Glenwood, will open July 25th at 10:00 a.m. with a ribbon-cutting ceremony.
Blue Cross Blue Shield plans · 36 signals · last 30 days -
STAT+: The next step of site-neutral, and a fiery PBM hearing
Medicare proposes to reduce payments to hospitals for certain drugs and imaging services.
Competitive / Operational Strategy · 36 signals · last 30 days -
Optum names chief AI officer
Shobhit Varshney has been named chief AI officer at Optum. Mr. Varshney said July 16 on LinkedIn that he will focus on AI strategy, platform and delivery. He will oversee the enterprise AI platform, including United AI Studio, AI and data science teams, and governance policies. He joins from Citi, where he was global head […] The post Optum names chief AI officer appeared first on Becker's Payer Issues | Payer News .
OptumUnitedHealthcare · 46 signals · last 30 days -
What’s next for Optum Financial after its latest acquisition
The company acquired benefits platform Alegeus Technologies this month.
OptumUnitedHealthcare · 46 signals · last 30 days -
FTC, CVS Health agree to settle PBM insulin suit
The federal government in September 2024 sued the country’s three largest pharmacy benefit managers for allegedly inflating the list price of insulin drugs.
CVS HealthCVS Health / Aetna · 12 signals · last 30 days -
Pearl Health raises $110M to expand Medicare-focused AI platform
Pearl Health’s artificial intelligence platform is designed to help providers manage their Medicare population.
Competitive / Operational Strategy · 36 signals · last 30 days -
AETNA NETWORK SERVICES LLC v. POONIA
Case 2:26-cv-06623-ES-MAH Document 1-17 Filed 06/05/26 Page 1 of 74 PageID: 139 EXHIBIT Q Case 2:26-cv-06623-ES-MAH Document 1-17 Filed 06/05/26 Page 2 of 74 PageID: 140 Provider manual Resources, policies and procedures at your fingertips Aetna.com 1126773-01-02 (8/23) Case 2:26-cv-06623-ES-MAH Document Original document
AetnaCVS Health / Aetna · 12 signals · last 30 days