Officials accused UMR, a UnitedHealth TPA, of basing ER claim decisions on diagnosis codes rather than symptoms.

United Health Group’s pharmacy benefit manager, Optum Rx, stopped covering Cole Schmidtknecht’s ‘life-changing’ inhaler, suit ...

Across healthcare system, stakeholders share blame for high costs. This includes hospitals, drugmakers, insurers and others ...

UnitedHealth CEO Andrew Witty’s recent public comments suggest he understands healthcare’s biggest problem. The question is: ...

The fine follow four years of investigating the companies’ claims and practices involving balance billing. The fine money ...

Gravie, a Minneapolis-based employer health care-benefits company, has named Steve Wolin its new CEO. Wolin was previously ...

Eliminating or scaling back DEI will jeopardize programs that have helped many underserved groups receive a fair shot at ...

UnitedHealth Group operates a top-tier health insurer (UnitedHealthcare), pharmacy benefit manager (Optum Rx), provider (Optum Health), and health analytics franchise (Optum Insight). This ...

UnitedHealth Group Inc. unit UMR Inc. agreed to pay at least $20.25 million to settle a US Labor Department lawsuit saying it ...

The FTC report found that from 2017 to 2022, three PBMs—UnitedHealth Group's Optum, CVS Health's CVS Caremark and Cigna's Express Scripts—marked up prices at their pharmacies by hundreds or thousands ...

Optum Rx, the UnitedHealth pharmacy benefit manager unit, will soon pass all rebates it gets from prescription drug manufacturers on to employer health plan sponsors and other clients. Andrew ...

It caps off the first full quarter with David Joyner, a longtime CVS executive, as CEO of the troubled retail drugstore chain ...