Category: Operations, Business

Lawsuit blames patient death on Centene ‘ghost’ network

A Centene subsidiary is now facing a lawsuit filed by the mother of a deceased member in Arizona for allegedly failing to provide adequate access to mental health coverage.

Payers, providers and vendors team to boost efficiency, close care gaps

Strategic collaborations between payers, providers and health IT vendors are accelerating gains in healthcare efficiency, quality and financial performance, according to the latest KLAS Points of Light” report.

Most employers plan to pressure vendors on well-being offerings

Most employers say they plan on maintaining or even expanding their employee well-being programs, but they’ll be taking vendors to task.
According to Business Group on Health’s 2025 Employer Well-being Strategy Survey, 73% of employers plan to maintain…

Medical equipment seller nabbed for evading $2.4 million in taxes

A Florida man has been sentenced to two years in federal prison for evading nearly $2.4 million in taxes on income he earned from selling medical equipment.
According to documents and statements made in court, Roger Whitman manufactured and sold Rife m…

UnitedHealth Group CEO steps down, Hemsley appointed

UnitedHealth Group will be suspending its 2025 outlook and said CEO Andrew Witty will be stepping down from the company’s top post, citing personal reasons.

Michigan sues Express Scripts, Prime for anticompetitive conduct

Michigan Attorney General Dana Nessel filed a lawsuit against Express Scripts and Prime Therapeutics last week, claiming the two pharmacy benefit managers allegedly engaged in anticompetitive conduct that harmed independent pharmacies in the state.

CVS Caremark taps Omada on GLP-1 program

CVS Health’s pharmacy benefit manager, Caremark, is bringing Omada Health on board to be a part of its weight management program, with a focus on access to GLP-1 drugs.

Evernorth expands NeuroStar coverage to tackle adolescent depression

Photo: Basak Gurbuz Derman

FBI says terrorist threat against hospitals not credible

The FBI has said a public social media post alleging the planning of a coordinated, multi-city terrorist attack targeting hospitals does not represent a credible threat, according to the American Hospital Association.

Minnesota AG orders facilitator for $1B Minnesota deal

Minnesota Attorney General Keith Ellison is getting involved in negotiations over a $1 billion academic medicine deal between the University of Minnesota, Fairview Health Services and Essentia Health, with the entities agreeing to renewed discussions w…