UnitedHealth Group CEO Addresses ‘Mistakes,’ Updates Outlook After Suspension

UnitedHealth Group (NYSE: UNH) CEO Stephen Hemsley expressed optimism despite setbacks with the company’s health services arm and reaffirmed a commitment to reform following the company’s “mistakes” during the insurance giant’s second-quarter earnings call on Tuesday. The company also reasserted its plans to acquire Amedisys (Nasdaq: AMED). Despite numerous challenges in the past year, the […]

DOJ Reportedly Investigates UnitedHealth’s Medicare Advantage Business, UHG Pushes Back

The Department of Justice’s (DOJ) health care fraud unit is investigating UnitedHealth Group (NYSE: UNH) for criminal Medicare fraud, according to a report from the Wall Street Journal (WSJ). The exact details of the criminal allegations against UnitedHealth Group were not clear, according to the article, but the federal investigation is said to relate to […]

UnitedHealth Group Battling MA-Related Setbacks; Optum Continues Growth

Headwinds primarily associated with Medicare Advantage (MA) and care activity in its insurance business led UnitedHealth Group (UHG) (NYSE: UNH) to lower its anticipated earnings per share for 2025.  In the first quarter of 2025, UHG’s revenues increased by $9.8 billion year-over-year, reaching $109.6 billion. This growth was primarily driven by a more comprehensive approach […]

UnitedHealthcare To End Certain Home Health Prior Authorization Requirements As Part Of Larger Push

UnitedHealthcare is eliminating prior authorization requirements for certain home health services provided under Medicare Advantage plans as part of a larger push to cut prior authorization volume by 10% this year. Effective April 1, 2025, the insurance giant—part of UnitedHealth Group (NYSE: UHG)—will no longer require prior authorization or concurrent review processes for home health […]

Former NAHC Leader Dombi Joins Arnall Golden Gregory LLP; UnitedHealthcare Appoints New CEO

Bill Dombi, former president and CEO of the National Association for Home Care & Hospice, has joined law firm Arnall Golden Gregory LLP. Dombi will serve as senior counsel in the firm’s Washington, D.C. office. He has over four decades of experience spearheading major litigation and policy matters for the home health and hospice industry. […]

UnitedHealthcare CEO Brian Thompson Killed

UnitedHealthcare CEO Brian Thompson was shot and killed Wednesday morning in New York City, where UnitedHealth Group (NYSE: UNH) was hosting its annual investor conference. New York City Mayor Eric Adams called it a “targeted murder.” The city’s police commissioner, Jessica Tisch, also described it a “brazen targeted attack.” UnitedHealth Group is one of the […]

Essentia Health Will Continue Working With UnitedHealthcare, But Not Humana

Essentia Health has reached an agreement with UnitedHealthcare (UHC) to remain an in-network provider for UHC’s Medicare Advantage insurance plan in 2025. Earlier this year, Essentia announced plans to discontinue its status as an in-network provider for UHC and Humana Inc. (NYSE: HUM) Medicare Advantage insurance plans due to reported issues with denials of payment […]

Facing Headwinds, UnitedHealth Group Remains Focused On Value-Based Care

The Centers for Medicare & Medicaid Services’ (CMS) Medicare rate cuts, state-driven Medicaid member redeterminations and the Change Healthcare cyberattack. These are just three disruptions that UnitedHealth Group’s (NYSE: UNH) leadership has had to factor in when setting future growth objectives. “It’s a distinctive part of the culture of UnitedHealth Group that we continue to […]