UnitedHealth Group announced a dramatic leadership shakeup, with former CEO and current chairman Stephen Hemsley stepping back into the top job following the abrupt resignation of Andrew Witty. The move comes at a time of escalating crises for the healthcare giant — including the recent fatal shooting of Brian Thompson,

Andrew Witty, UnitedHealth Group CEO, abruptly resigned today, six months after UnitedHealthcare CEO Brian Thompson was shot and killed in Manhattan by Luigi Mangione, which sparked a national uproar over health care in America.

UnitedHealth CEO Andrew Witty is stepping down for personal reasons and the nation’s largest health insurer suspended its full-year financial outlook due to higher-than-expected medical costs. Chairman Stephen Hemsley will become CEO, effective immediately, the Minnesota company said.