DistilINFO Healthplan

UnitedHealth Group forecasts a revenue milestone of $400-403 billion for 2024, marking a significant rise from 2023’s $277.2 billion. Expecting... Continue Reading

Washington’s PeaceHealth settles a $4 million reimbursement to 4,000 patients, resolving a failure to disclose charity care policies. Allegations of... Continue Reading

Elevance Health’s report indicates Medicaid managed care, administering health plans’ pharmacy benefits, yields superior outcomes. Menges Group’s analysis, using NCQA’s... Continue Reading

Hospitals face escalating claim denials, with Medicare Advantage and commercial payers showing significant increases. The report, analyzing 1,300+ healthcare entities,... Continue Reading

UPMC, a Pittsburgh-based healthcare provider, plans to transfer 6 million patient records to Epic Systems by mid-2026. Dr. Johanna Vidal-Phelan,... Continue Reading

Recent Medicaid updates reflect seismic changes, from the sharp decline in improper payments reported by CMS to the rise in... Continue Reading

Witness the transformation of Blue Cross Blue Shield (BCBS) insurers into healthcare providers, shaping the industry’s landscape. Throughout 2023, BCBS... Continue Reading

Optum Rx pioneers maternal health support via independent pharmacies with its ‘Road to Healthy Baby’ program. Launched in select states,... Continue Reading

Civil rights groups, including the NAACP, assessed states’ handling of Medicaid disenrollment. Out of 50 states, only Hawaii received a... Continue Reading

Medi-Cal’s recent reforms alleviate the arduous process for diabetes patients, like June Voros, in obtaining essential supplies. By extending authorization... Continue Reading