UnitedHealth rolls out AI in Optum Rx to flag pharmacy fraud, billing anomalies and medication risks, aiming to curb cost ...

The “third-party” auditor contracted by Minnesota to investigate the state’s handling of Medicaid fraud in its social ...

Pharmacy benefit managers act as middlemen between drugmakers, insurers, pharmacies and patients and are accused of selling marked-up medicine.

Heather Cianfrocco, an executive vice president at UnitedHealth and former CEO of its health services division Optum, announced she was leaving the company after a 24-year tenure.

On the corner of Northeast Knott Street and 33rd Avenue stands a neighborhood stalwart. It’s called Family Medical Group NE. The other day, Dave, who lives a few blocks away, stood under his blooming ...

Physicians and hospitals alike are still digging out financially from the impact of the massive Change Healthcare hack in 2024.

For physicians, the growing influence of pharmacy benefit managers is affecting how easily they can prescribe medications, how much patients pay out of pocket and how long treatment takes to begin, ...

The trouble for employers centers on a group of drugs typically needed by about 2% of the plan members, but that accounts for ...

The end of the earnings season is always a good time to take a step back and see who shined (and who not so much). Let’s take ...

Gov. Tim Walz (D-MN) has proposed a multimillion-dollar plan for the Minnesota government to take over the handling of ...

The practice, which involves insurers seeking money from at-fault parties, has birthed a host of businesses and is often billed as a way to lower premiums. It’s not without controversy.