Finances: Page 10
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CVS appoints new Aetna head following mixed third-quarter results
This year has been defined by an unsuccessful fight against elevated medical costs for CVS. The third quarter was no different.
By Rebecca Pifer Parduhn • Nov. 6, 2024 -
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MACPAC calls for greater transparency amid steep rise in Medicaid directed payments
Dramatic growth in an opaque Medicaid funding mechanism is exacerbating concerns about the program’s fiscal integrity — while spurring financial gains for the hospital industry.
By Rebecca Pifer Parduhn • Nov. 5, 2024 -
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Physicians, hospitals decry 2025 Medicare payment rates
Physicians will see their Medicare reimbursement fall 2.9% next year if Congress doesn’t stop the cuts. Meanwhile, reimbursement for hospital outpatient departments is rising 2.9%.
By Rebecca Pifer Parduhn • Nov. 4, 2024 -
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Cigna CEO tamps down on Humana deal speculation
Despite reports this fall that the two payers had reopened merger talks, Cigna plans to use excess cash to buy back its shares, David Cordani told investors.
By Rebecca Pifer Parduhn • Oct. 31, 2024 -
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Humana boosts 2024 earnings guidance thanks to Medicare Advantage member retention
The insurer said it doesn’t expect earnings growth next year due to significant investments it plans to make to boost MA stars.
By Rebecca Pifer Parduhn • Oct. 30, 2024 -
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Rising healthcare costs could trickle down to workers: employer survey
Employers said higher drug costs pose the biggest threat to healthcare affordability, according to the National Alliance of Healthcare Purchaser Coalitions report.
By Rebecca Pifer Parduhn • Oct. 30, 2024 -
Illustration: Xavier Lalanne-Tauzia for Industry Dive
Demand for services boosts Tenet’s third-quarter revenue to $5.1B
Despite beating estimates for revenue, the health system lowered the upper end of its full year revenue outlook. Analysts said the revision was due in part to the sale of some hospitals.
By Susanna Vogel • Oct. 29, 2024 -
Courtesy of HCA Healthcare
HCA logs $50M hurricane hit in Q3, expects greater loss in Q4
The for-profit giant affirmed its full-year revenue guidance, but executives said the ongoing impact of the storms would likely cause the operator to come in “on the lower half” of its range.
By Susanna Vogel • Oct. 29, 2024 -
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Centene beats investor expectations despite Medicaid headwinds
Like other payers, Centene flagged a mismatch between patient acuity and payment rates in Medicaid. But the insurer said a diversified portfolio helped it navigate challenges in the third quarter.
By Emily Olsen • Oct. 26, 2024 -
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AMA sues MultiPlan, insurers, alleging ‘cartel’ to fix physician prices
MultiPlan, which denies the allegations, has been sued dozens of times over concerns the company is conspiring with health insurers to underpay doctors for out-of-network care.
By Rebecca Pifer Parduhn • Oct. 25, 2024 -
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State Medicaid directors concerned about program’s stability: KFF
The presidential election, loss of higher federal funding, inflationary pressures and other challenges are leaving state regulators uncertain about Medicaid’s “new normal.”
By Rebecca Pifer Parduhn • Oct. 24, 2024 -
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Molina ‘beating the odds’ in Medicaid
Conservative planning and continued business growth helped Molina keep an ongoing mismatch between payment rates and member acuity from dinging its bottom line in the third quarter.
By Rebecca Pifer Parduhn • Oct. 24, 2024 -
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Insurer lobby blames government policies for 2025 Medicare Advantage market makeup
The Better Medicare Alliance is warning of disruptions to care for America’s seniors, though MA premiums and major benefits are essentially unchanged next year.
By Rebecca Pifer Parduhn • Oct. 23, 2024 -
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Centene sues HHS over Medicare Advantage star ratings fall
Centene is emulating other insurers unhappy with how regulators handled quality ratings for 2025. The flurry of complaints is “symptomatic of what appear to be systemic issues” with CMS calculations, Centene said.
By Rebecca Pifer Parduhn • Oct. 23, 2024 -
Emily Olsen/Healthcare Dive
HLTH24Health startups need consolidation after pandemic funding ‘sugar high’
M&A could allow startups to add products and capabilities in a more restrained funding environment, panelists said at HLTH.
By Emily Olsen • Oct. 22, 2024 -
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CVS replaces CEO Karen Lynch with Caremark head
The struggling healthcare giant also pulled its earnings guidance, citing increased medical cost pressures in health benefits.
By Emily Olsen • Oct. 18, 2024 -
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Elevance lowers guidance on ‘unprecedented’ Medicaid challenges
Executives said the increased costs pressuring its Medicaid business would improve after states updated payment rates to better match member acuity.
By Emily Olsen • Oct. 17, 2024 -
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UHS, HCA could see financial boost from growth in state-directed payments for Medicaid services
Higher payments in four states could increase the hospital operators' profitability in the near term, according to analysts.
By Susanna Vogel • Oct. 16, 2024 -
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Health tech investment shows signs of recovery in 2024: SVB
Funding in the first eight months of the year has already exceeded pre-pandemic levels, according to Silicon Valley Bank. But high valuations recorded in 2021 are still affecting the market.
By Emily Olsen • Oct. 16, 2024 -
Daphne Howland/Healthcare Dive
Walgreens to close 1,200 stores
The closures reverse Walgreens’ expansion ambitions from a few years ago, when the company attempted to merge with rival Rite Aid.
By Daphne Howland • Oct. 15, 2024 -
Courtesy of UnitedHealth Group
UnitedHealth lowers adjusted profit outlook as cyberattack costs rise
The insurer has recorded $2.5 billion in total impacts from the attack through the nine months ended Sept. 30, according to UnitedHealth’s third-quarter earnings.
By Emily Olsen • Oct. 15, 2024 -
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Sponsored by HuronCost, care and digital transformation: What’s next for healthcare systems?
Healthcare executives shed light on the trends, challenges, and growth areas shaping the industry.
Oct. 14, 2024 -
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Digital health deal count declines in Q3, but check sizes stabilize: Rock Health
Startups notched 110 deals in the third quarter, compared with 133 in the second quarter. But average deal size held steady, suggesting investors are making “fewer, more focused bets,” according to the consultancy firm.
By Emily Olsen • Oct. 8, 2024 -
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Humana’s Medicare Advantage dilemma worsens amid precipitous drop in 2025 star ratings
Only 25% of Humana members will be in plans with four stars or above next year, down from 94% this year, the insurer disclosed last week. The downgrade could wipe out Humana’s profits in 2026.
By Rebecca Pifer Parduhn • Oct. 3, 2024 -
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UHS forced to pay more damages related to child sexual abuse allegations at behavioral care facilities
The health system has been hit with a combined $895 million in damages this year related to alleged child abuse at some of its behavioral health subsidiaries.
By Susanna Vogel • Oct. 2, 2024
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