Finances
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Kaiser increased its operating income in 2025, despite rising expenses
The integrated healthcare conglomerate nearly tripled its operating income last year compared to 2024.
By Sydney Halleman • Feb. 9, 2026 -
Centene swings to loss but predicts stabilization in 2026
Centene outperformed in the fourth quarter, while predicting earnings growth in 2026 — a rarity among managed care companies’ generally dour outlooks.
By Rebecca Pifer Parduhn • Feb. 6, 2026 -
Cigna posts ‘low-drama’ fourth quarter following major FTC settlement
Cigna is hoping the settlement it reached with regulators paired with recent legislation will mollify calls to reform PBMs — without affecting Express Scripts’ profitability.
By Rebecca Pifer Parduhn • Feb. 5, 2026 -
Prices rise at surgery centers acquired by Optum: study
The full financial impact of the price hikes could exceed $67 million each year in two dozen markets, according to the new study published in Health Affairs.
By Rebecca Pifer Parduhn • Feb. 3, 2026 -
Healthcare bankruptcies fall in 2025, but providers still face headwinds: report
Bankruptcy filings dropped 21% compared to 2024, according to Gibbins Advisors. Still, the sector’s financial outlook is unsteady due to pressures from Medicaid cuts and other policy changes.
By Emily Olsen • Feb. 2, 2026 -
Tenet regains full ownership in RCM subsidiary Conifer as CommonSpirit exits
CommonSpirit, angling to insource its revenue cycle management functions, is offloading its minority share in Conifer back to Tenet. Tenet said the deal will create almost $2.7 billion in value.
By Rebecca Pifer Parduhn • Feb. 2, 2026 -
Sponsored by Elavon
As self-pay increases, healthcare leaders look to retail for inspiration
Rising costs, low reimbursement, and staffing shortages challenge small medical practices. Learning from the retail industry can help them stay profitable.
Feb. 2, 2026 -
Sponsored by Amazon Business
How healthcare organizations can streamline procure-to-pay processes
A roadmap for reducing friction, improving visibility and optimizing healthcare buying.
Feb. 2, 2026 -
HCA could lose $1B from ACA subsidy lapse, Medicaid state payment decline
The for-profit hospital operator said it’s implementing a resilience plan to offset losses. Still, HCA anticipates its earnings this year will skew closely to or exceed 2025 figures.
By Sydney Halleman • Jan. 29, 2026 -
Deep Dive
Health insurers brace for impact in 2026
Profits will start to tick up after reaching trough levels. Washington will play nice. M&A and AI adoption will accelerate. We asked experts to look into their crystal balls on what the coming year means for a beleaguered industry.
By Rebecca Pifer Parduhn • Jan. 28, 2026 -
Elevance expects lower revenue, earnings, membership in 2026
This year should see improvements in Medicare Advantage and Affordable Care Act plans but continued pressure in Medicaid, Elevance executives warned investors.
By Rebecca Pifer Parduhn • Jan. 28, 2026 -
UnitedHealth revenue climbs in 2025, though profit continues to fall
The healthcare behemoth posted its lowest profits since 2018 last year, largely thanks to continued Medicare Advantage challenges. Executives warned how regulators’ “disappointing” rate update might further contract MA.
By Rebecca Pifer Parduhn • Jan. 27, 2026 -
Sponsored by Elavon
Is your billing system costing you too much?
Across healthcare, operating expenses have been climbing faster than revenues for more than a decade.
Jan. 26, 2026 -
Insurance CEOs’ no good, very bad day on the Hill
The chief executives of UnitedHealth, CVS, Cigna and Elevance were pilloried for care denials, vertical consolidation and sky-high executive compensation during two House hearings Thursday.
By Rebecca Pifer Parduhn • Jan. 23, 2026 -
Congress eyes tackling healthcare consolidation
“I think there’s common ground here,” one Republican congressman said during a House Budget Committee hearing. Squaring up against healthcare monopolies would be a major pivot for the GOP.
By Rebecca Pifer Parduhn • Jan. 22, 2026 -
UnitedHealth pledges to return ACA profits to customers
The announcement came one day before CEO Stephen Hemsley testified on healthcare affordability in front of two congressional committees.
By Rebecca Pifer Parduhn • Jan. 21, 2026 -
Medicare Advantage overpayments will total $76B this year: MedPAC
The findings are “very depressing,” one commissioner said. Still, it’s a smaller sum than in 2025, thanks to the continued phase-in of a new risk adjustment model.
By Rebecca Pifer Parduhn • Jan. 16, 2026 -
MedPAC steps away from advocating doctor pay be tied to inflation
The advisory group wants Congress to approve a 0.5 percentage point increase for doctors in Medicare next year. But some commissioners dissented over MedPAC’s about-face on underlying payment reform.
By Rebecca Pifer Parduhn • Jan. 16, 2026 -
UnitedHealth commits to changes after independent review
The healthcare behemoth released results of three highly anticipated external reviews that drilled down on a number of areas for improvement.
By Rebecca Pifer Parduhn • Dec. 22, 2025 -
Optum Rx says 100% of network community pharmacies in cost-based contracts
PBMs are pivoting reimbursement models to protect pharmacies from what they say is an unsustainable status quo.
By Rebecca Pifer Parduhn • Dec. 18, 2025 -
Healthcare services M&A could rise in 2026: PwC
Dealmaking in the sector is poised to increase next year after a lull in 2025, as companies use technology, like artificial intelligence, to attract buyers, according to the report.
By Emily Olsen • Dec. 18, 2025 -
Cencora takes majority stake in cancer care platform OneOncology for $5B
The drug distributor has been steadily building up its specialty support assets as it looks to increase access to drugs.
By Rebecca Pifer Parduhn • Dec. 16, 2025 -
Deep Dive
Goliath v. Goliath
A Medicare Advantage network spat between Optum and Humana in Washington state appears to be benefiting UnitedHealthcare at the expense of its biggest rival. Antitrust experts are alarmed.
By Rebecca Pifer Parduhn • Dec. 16, 2025 -
Sponsored by Brault
Emergency medicine reimbursement in 2026: Navigating a system under pressure
Is your EM practice ready for 2026? Get the latest on Medicare physician payments, commercial payer trends and how to navigate the reimbursement headwinds.
Dec. 15, 2025 -
CVS to launch ‘engagement’ platform in gamble on consumer, industry interest
CVS is bringing together its disparate businesses onto one platform, and giving its rivals the option to add their products and services as well. The goal is to improve consumers’ health engagement while generating more revenue.
By Rebecca Pifer Parduhn • Dec. 10, 2025