UnitedHealth Group PBM to cut some drug reauthorization requirements
UnitedHealth Group’s pharmacy benefit manager OptumRx plans to cut up to 25% of its medication reauthorizations. OptumRx will trim reauthorization requirements for about 80 drugs beginning May 1 and will consult with physicians and pharmacists to expand the list of medications over time, the company said in a news release Wednesday.
Chronic Condition Special Needs Plan enrollment grew 67.3%, to 1.1 million members in 2025, the greatest annual growth in the ...
Medicare pays Advantage health plans higher rates to cover sicker patients but requires their conditions to be properly documented in medical records. The DOJ alleges Medicare paid UnitedHealth ...
The Justice Department has sued to block the group’s $3.3 billion ... the company’s Medicare Advantage plans. Doctors had told the news outlet that UnitedHealth trained them to report these ...
UnitedHealth Group shares tumbled Friday on a report that ... that lead to extra payments for its Medicare Advantage, or MA, plans. Those are privately run versions of the government's Medicare ...
The DOJ is looking into how UnitedHealth Group records diagnoses that set off extra payments to its Medicare Advantage plans, sources familiar with the matter told the Wall Street Journal.
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