Business Intelligence

The new coverage areas bring UHC's ACA Marketplace plans to more than 1,250 counties across several states.

CEO David Joyner put much of the onus on the poor performance on elevated utilization coming out of the pandemic.

When hit, all hospital functions are severely impaired, including clinical care delivery, which can result in patient deaths, says Eric Liederman, CEO of CybersolutionsMD and former national leader of privacy, security and IT infrastructure at Kaiser Permanente.  

SimplePay Health is intended to further reduce costs and improve outcomes, company says.

The company says there's opportunity to enhance its value proposition in the realm of virtual care.

However, health systems didn't fare as well, seeing operating margins drop for a third consecutive month in September.

The revenue is a year-over-year increase from Q3 2023, during which the insurer's revenue capped at about $25.4 billion.

Elevance Health CEO Gail Boudreaux said it will serve as the foundation for subsidiary Carelon's home health business.

Tiered networks, value-based formularies and direct contracting with providers were correlated with lower costs.

According to the AMA, this has undercut fair payment for out-of-network healthcare services and eliminated market competition.