John Oliver Takes on UnitedHealth Group, Cites CHD's Sunlight Report
Last Week Tonight featured the Sunlight Report on UnitedHealth Group, the first-of-its-kind investigation that mapped UnitedHealth Group's sprawling empire of nearly 2,700 subsidiaries.
PR STUNT: UnitedHealth's Big Prior Authorization Cut
The nation's largest health insurer says it is eliminating prior authorization requirements for 1,700 medical codes. Look under the hood and the announcement is considerably less impressive.
Internal documents show CMS planned to expand WISeR, its troubled AI prior authorization experiment, to cancer care, heart procedures and emergency air transport.
Washington Wants AI Regulation. It Should Start With Health Insurers.
As lawmakers develop a national artificial intelligence framework, health insurers are already using automated decision-making tools to influence Americans' access to care.
The Villages' Medicare Advantage Saga Now Has a $541 Million Bill
The retirees got their happy ending. Now the federal government is trying to recover hundreds of millions in allegedly inflated Medicare Advantage payments.
How Much Is the No Surprises Act Costing the U.S. Health Care System?
Researchers say the law's arbitration system has generated $22.4 billion in costs. Physicians say a flawed insurer-calculated benchmark makes that number misleading.
Congress Wants to Crack Open Health Care's Black Box. One Sentence Could Keep It Shut.
Congress wants employers and unions to finally see where their health care dollars go. A last-minute change could let insurers and PBMs keep some of the most important receipts hidden.
UnitedHealth Shareholder Lawsuit: Company Rushed Change Integration to Make It Irreversible, Killed Medicare Audit
UnitedHealth's own shareholders allege it rushed the Change integration to lock in the deal -- and CEO Hemsley backed killing an audit that found $200 million in unsupported Medicare diagnoses.