Finances
-
‘A game changer’: UHS closes $835M Talkspace acquisition
Bringing Talkspace on board should expand behavioral health services for UHS’ existing patients, while ushering more consumers through the health system’s doors, UHS CEO Marc Miller said.
By Rebecca Pifer Parduhn • Aug. 17, 2026 -
Insurers want to hike small businesses’ premiums by 14% next year: KFF
It’s becoming harder for small employers to offer insurance coverage, and another year of double-digit premium increases won’t help. Insurers say their hands are tied.
By Rebecca Pifer Parduhn • Aug. 7, 2026 -
Hinge Health expands into gastrointestinal care with $105M acquisition
Hinge is purchasing Cylinder Health in a “logical extension” of the San Francisco-based company’s business, one analyst commented.
By Rebecca Pifer Parduhn • Aug. 6, 2026 -
Complete Health to pay $14M to settle Medicare Advantage fraud allegations
The value-based primary care provider submitted false diagnosis codes to the CMS for three years, inflating its reimbursement by millions of dollars, according to the DOJ.
By Rebecca Pifer Parduhn • Aug. 5, 2026 -
CVS triples net income thanks to booming health plan profitability
“There’s not much more to say for CVS’ 2Q other than... wow,” one analyst commented. CVS also announced a new GLP-1 deal with Eli Lilly.
By Rebecca Pifer Parduhn • Aug. 5, 2026 -
Hospitals feel the pinch as more patients lose insurance
Half a year after enhanced Affordable Care Act subsidies expired, hospitals say more patients are going uninsured. That’s starting to drag their finances.
By Sydney Halleman • Aug. 4, 2026 -
Teladoc lowers revenue outlook amid BetterHelp demand headwinds
Demand for the mental health unit’s insurance offering accelerated faster than expected, eating into its cash pay business. The quarter marked an “unfortunate setback” for BetterHelp, one analyst said.
By Emily Olsen • July 30, 2026 -
Cigna’s profits jump thanks to employer-sponsored plans
Cigna increased its 2026 earnings outlook following the second quarter, unbothered by inflated costs for surprise billing dispute resolutions reported by its peer UnitedHealth.
By Rebecca Pifer Parduhn • July 30, 2026 -
UHS flags rising uninsured volumes in Q2
“Virtually everyone” losing Affordable Care Act coverage is going uninsured, one UHS executive said. The hospital operator expects to lose $10 million more than expected as a result this year.
By Sydney Halleman • July 29, 2026 -
Humana to exit more Medicare Advantage plans in 2027
The insurer is laser-focused on reaching margin targets, and will sacrifice some plans with lower returns next year to do so, CFO Celeste Mellet said.
By Rebecca Pifer Parduhn • July 29, 2026 -
‘Back on track’: Centene swings to more than $1B in profit in Q2
The managed care giant raised its 2026 earnings outlook for the second time this year following the results, which its CFO called “fantastic.”
By Rebecca Pifer Parduhn • July 28, 2026 -
Almost all of HCA’s Affordable Care Act patients are going uninsured. Here’s how that affected Q2
People formerly covered by the ACA exchanges are remaining uninsured almost on a one for one basis. “For us, obviously, it’s not a good thing,” CEO Sam Hazen said.
By Rebecca Pifer Parduhn • July 27, 2026 -
Tenet raises 2026 outlook after weathering ACA headwinds
The hospital operator recorded a $65 million hit from turbulence on the Affordable Care Act exchanges in the second quarter, but avoided the worse repercussions slamming some of its peers.
By Emily Olsen • July 27, 2026 -
Rise of uninsured patients hits CHS’ finances in Q2
CHS’ financial results fell below internal expectations as the hospital operator served more uninsured patients and surgery volumes declined, executives said.
By Sydney Halleman • July 24, 2026 -
Molina plans additional ACA cuts in 2027
Molina’s second quarter was complicated, with stability in Medicaid and outperformance in Medicare Advantage overshadowed by problems in the ACA exchanges. The trend was “unfortunate,” according to the insurer’s CEO.
By Rebecca Pifer Parduhn • July 23, 2026 -
Clinic and physician practice bankruptcies spike in 2026 so far
The bankruptcies come as the healthcare sector faces looming financial pressures, including cuts to Medicaid, according to the report by Gibbins Advisors.
By Emily Olsen • July 20, 2026 -
Sponsored by PointClickCare
How Medicare Advantage plans can strengthen Star Ratings through better care transitions
Why leading Medicare Advantage plans are making care transitions a strategic priority.
July 20, 2026 -
UnitedHealth raises 2026 guidance again as cost controls pay off in Q2
UnitedHealth’s profit spiked to $5.5 billion in the second quarter thanks to notable earnings recovery in its insurance and value-based care delivery businesses. The healthcare juggernaut delivered for investors, analysts said.
By Rebecca Pifer Parduhn • July 16, 2026 -
Elevance shuts down D.C. Medicaid business, eyes additional exits after passable Q2
Elevance will leave D.C. this summer and is considering other markets to depart, executives said. The company outperformed Wall Street expectations in the second quarter — but not by much, and its stock fell accordingly.
By Rebecca Pifer Parduhn • Updated July 17, 2026 -
HCA cuts 2026 earnings forecast on insurance coverage losses
Payer mix changes, mostly from people dropping out of Affordable Care Act plans, caused HCA to lose $400 million in the second quarter — much more than the company (or its investors) had expected.
By Rebecca Pifer Parduhn • July 14, 2026 -
‘The system is undeniably broken’: More insurers sue CMS over Medicare Advantage stars
SCAN Health Plan and Alignment Healthcare both filed lawsuits against the CMS last week after regulators refused to recalculate industry-wide MA scores using the same methodology as for Clover Health.
By Rebecca Pifer Parduhn • July 13, 2026 -
Soon-to-expire ACO REACH generates more savings for Medicare
The model, which is set to sunset at the end of this year, generated $988 million in savings for Medicare in 2024, according to new CMS data. That’s up from almost $695 million in savings from the year prior.
By Rebecca Pifer Parduhn • July 13, 2026 -
Unai Huizi Photography/Shutterstock.com and ModMed via Gemini
Sponsored by ModMedFlipping the script on payer denials and downcoding
Tired of skyrocketing payer denials? Here is how medical practices can finally fight back with AI.
By Rob Ware, Senior Vice President and General Manager of Revenue Cycle Management, ModMed • July 13, 2026 -
CVS CEO says Aetna has a handle on medical costs in advance of Q2 earnings
David Joyner’s assurances, which come about a month before CVS is scheduled to report its second quarter results, will likely be welcomed by investors wary after a difficult few years for insurers.
By Rebecca Pifer Parduhn • July 9, 2026 -
Whistleblower lawsuit accuses Alignment of accounting fraud
A former executive is claiming that the MA insurer recorded millions of dollars as capital expenditures that should have been operating expenses, inflating its value. Alignment strongly denied the allegations.
By Rebecca Pifer Parduhn • July 9, 2026