News
The company escaped an elevated cost trend among insurers partly due to its smaller Medicare Advantage footprint.
Aetna and Humana also allegedly discouraged brokers from enrolling disabled seniors, who were viewed as less profitable.
Operating margins for U.S. health systems narrowed slightly to 0.9% in March after holding steady in January and February.
Aetna has struggled since its reintroduction into the ACA exchange, and posted an adjusted operating income loss of $924 million in 2024.
Hospitals claim that HHS underfunded them from 2006 to 2009.
Conway is currently the CEO of Optum Rx, and will replace Heather Cianfrocco, who is moving to a new role.
The insurer says it's enhancing its Medicaid platform, focusing largely on dual-eligibles.
Kaiser says most of the complaints arose in the aftermath of the COVID-19 pandemic, when care needs were surging.
Revenue cycle teams are able to resolve billing inquiries faster through an automated AI call center.
The ultimate goal is to streamline documentation and coding in the mid-revenue cycle.