UnitedHealth defends HouseCalls, Vertex to acquire Crinetics, CVS settles billing case

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UnitedHealth defended its HouseCalls home-visit unit after an external audit found more than 96% of diagnoses made by its clinicians in 2025 were accurate, despite allegations of improper Medicare payments. Vertex Pharmaceuticals agreed to acquire Crinetics Pharmaceuticals for a total equity value of about $10 billion, or nearly $8.8 billion net of estimated cash acquired, in a deal expected to close in the third quarter of 2026. CVS Health and its subsidiary Omnicare agreed to pay $440 million to the Department of Justice to resolve a lawsuit accusing the senior care pharmacy of improperly billing the federal government for false prescription drug claims. Health insurers led by UnitedHealth, Humana, and CVS Health are expected to receive at least $13.4 billion in federal funds this year as part of the Medicare Advantage quality bonus program. Americans buying health insurance through the Affordable Care Act marketplace could face another year of steep premium hikes in 2027, with insurers seeking median increases of 14% after rates jumped 20% this year, according to an analysis by KFF.

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CVS and Omnicare to pay $440M to settle false billing lawsuit.

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