What We've Been Up To

December Benefit News

Cigna Humana Merger Talks Cancelled Cigna and Humana, two major players in the health insurance industry, were in talks for a massive merger that would have created a $140 billion company. However, the negotiations ended prematurely due to a disagreement over the price. Despite both companies recognizing the strategic value of merging and anticipating regulatory […]

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November Benefit News

Is AI Wrongly Denying UnitedHealthcare Claims? A class-action lawsuit against UnitedHealthcare has been issued for allegedly using an artificial intelligence algorithm, nH Predict, to wrongfully deny coverage under Medicare Advantage health policies. The lawsuit claims that the algorithm was used to override physician recommendations and deny claims for extended-care facility stays for elderly patients. The […]

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October Benefit News

Indiana Employers Fight High Healthcare Costs A group of employers wanted to learn more about the cost of healthcare and compare it to other states. What they found was that the data wasn’t accessible to them. The group then combined their claims data and sent it to an outside think tank, Rand Corp. which then […]

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August Benefit News

Outsourcing to Optum – One Healthcare System’s View Health systems across the country are seeking to reduce costs and increase efficiencies by outsourcing administrative work to UnitedHealth Group’s organization, Optum. Bassett Healthcare Network in rural New York has partnered with Optum for two years and relays the benefits of working with Optum. After an honest […]

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June Benefit News

Rising Medical Costs Raise Flags and Drop Stocks for Health Plans Patients who put off elective surgeries during Covid such as joint replacements are returning for care at a much higher rate than insurers had predicted. This jump has led to a jump in medical costs and a drop in stock prices for groups such […]

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March Benefit News

Humana Leaves Employer Insurance Market Humana has decided to leave the employer insurance market and focus instead on its government programs including its Medicare Advantage plans and specialty segments. Humana’s Medicare Advantage plans increased this year and are expected to continue to rise prompting the company to focus its resources on increasing that line of […]

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October News

Health Care Industry News Humana Study Shows $265 Billion Is Wasted Each Year on Health Care Since 2014 the rate of insured Americans had been increasing, however, since 2017, the rate of uninsured has increased from 25.6 million people to 27.5 million. Health care advocates point to a decline in coverage under public health programs […]

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