Finances: Page 2
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Centene stock hits decade low after insurer reports rare loss on higher medical costs
The St. Louis-based payer slipped into the red during the second quarter for the first time since 2022. Centene executives said they were disappointed and frustrated by the results.
By Rebecca Pifer • July 25, 2025 -
Molina cuts 2025 earnings outlook again on ACA, Medicaid pressures
The California-based insurer outlined its plans to survive what CEO Joe Zubretsky deemed a “season of great uncertainty” stemming from roiling acuity shifts and looming policy changes.
By Rebecca Pifer • July 24, 2025 -
Tenet raises 2025 expectations, but dodges questions about policy impacts
During an earnings call, the system's executives declined to say how the GOP's recently passed megabill, which includes steep cuts to healthcare programs, would impact the company.
By Sydney Halleman • July 23, 2025 -
Hospitals are buying more doctor’s offices. That’s tied to higher costs, study finds
A new National Bureau of Economic Research analysis links hospital-physician consolidation to lower competition and higher costs down the line. The American Hospital Association slammed the study as flawed.
By Rebecca Pifer • July 22, 2025 -
Humana refiles Medicare Advantage star ratings suit
Humana is taking a second bite at the apple to improve its sunken MA stars, filing an edited complaint with a Texas court on Monday. The insurer also announced plans to pare back its prior authorization policies.
By Rebecca Pifer • July 22, 2025 -
Bankrupt Steward sues former CEO over alleged financial mismanagement
The health system alleges Ralph de la Torre and other former leaders “pilfered” the company’s assets and led to its collapse last year.
By Emily Olsen • July 18, 2025 -
Elevance cuts 2025 guidance as profit falls from higher ACA, Medicaid costs
The insurer attempted to reassure investors that it can operate through looming policy changes that appear set to worsen existing challenges. It was unsuccessful: Elevance’s stock fell 11% following the second quarter results.
By Rebecca Pifer • July 17, 2025 -
Medicaid cuts could have ‘far-reaching’ healthcare, economic impacts: study
Coverage losses linked to the massive tax and policy law could drive up excess deaths and preventable hospitalizations by 2034, according to the study in JAMA Health Forum.
By Emily Olsen • July 16, 2025 -
CVS beats out UnitedHealth for CalPERS pharmacy benefits contract
The contract, though sizable, is likely immaterial to CVS’ earnings. But it moves the company in a positive direction as it struggles with recent challenges, an analyst said.
By Rebecca Pifer • July 16, 2025 -
Judge nixes Biden-era rule removing medical debt from credit reports
It’s a victory for the credit reporting industry and a loss for advocates of reducing medical debt. The Trump administration had declined to defend the rule in court.
By Rebecca Pifer • July 15, 2025 -
Nursing home operator Genesis Healthcare files for bankruptcy
Affiliates of Genesis’ investor ReGen Healthcare, a private equity firm, have entered into a deal to acquire Genesis, according to bankruptcy court documents.
By Sydney Halleman • July 11, 2025 -
Alignment Healthcare wins partial victory in Medicare Advantage star ratings case
A judge agreed that the CMS should recalculate the scores for one Alignment plan in Arizona. Now, all of the insurer’s MA members are in plans rated four stars or higher.
By Rebecca Pifer • July 10, 2025 -
AI startups boost digital health funding in H1: Rock Health
Digital health companies that use AI as a core part of their offerings raised more money on average than companies that didn't in the first half of 2025.
By Emily Olsen • July 9, 2025 -
CVS Omnicare ordered to pay $949 million in government fraud case
CVS plans to appeal the judgment, which comes after a jury ruled that its long-term care pharmacy benefits manager illegally charged Medicare, Medicaid and Tricare for prescription drugs for almost a decade.
By Rebecca Pifer • July 9, 2025 -
Molina cuts earnings guidance as costs rise in government programs
UnitedHealth and Centene both pulled their outlooks this year over elevated medical spending in Medicare Advantage and the Affordable Care Act respectively. Now, cost pressures are hitting their smaller peer.
By Rebecca Pifer • July 7, 2025 -
Deep Dive
340B could have a new cop on the beat. Hospitals are worried.
The HHS wants to move oversight of the controversial drug discount program to the CMS, which has a more aggressive history with 340B than its covered providers would prefer. “It could be truly devastating,” one expert said.
By Rebecca Pifer • July 2, 2025 -
6 ways employers can lower healthcare costs in 2025
“Employers have absorbed the majority of cost increases over the past four years, and they likely cannot continue to do so,” one expert said.
By Michael Brady • July 1, 2025 -
Walgreens swings to a loss ahead of Sycamore acquisition
Store closures and weak front-of-store sales led to a retail sales decline in Q3, but U.S. pharmacy and international sales were strong.
By Daphne Howland • June 26, 2025 -
Medicare go-broke date pushed up three years in latest trustees report
The clock is ticking to stabilize Medicare, as a key trust fund underpinning the insurance program’s hospital benefit is now set to be depleted in 2033 instead of 2036.
By Rebecca Pifer • June 20, 2025 -
Humana’s cautious defense of Medicare Advantage
At the insurer's investor day, Humana struck a middle ground in defending the importance of the privatized Medicare program — which accounts for the bulk of its revenue — while allowing that there’s room for improvement.
By Rebecca Pifer • June 17, 2025 -
Addiction treatment center to pay $1.9M to settle allegations it misled consumers
The civil penalty could almost quadruple if the FTC discovers Evoke Wellness, which allegedly poised as other treatment centers in a bid to nab new business, misrepresented its financial holdings.
By Rebecca Pifer • June 11, 2025 -
Hospital finances improved through April: Kaufman Hall
The improved financial performance was driven largely by rising patient volumes and hospital efficiency, according to the consulting firm.
By Emily Olsen • June 10, 2025 -
Omada goes public in second recent digital health IPO
The chronic condition management company’s debut comes weeks after another digital health company, Hinge Health, went public. The IPOs are a “promising bellwether” for the sector, one expert said.
By Emily Olsen • June 9, 2025 -
Amazon Pharmacy’s PillPack expands to Medicare patients
Amazon also announced a new feature allowing customers to invite caregivers to manage medications on their behalf as the e-commerce giant builds out its Amazon Pharmacy offerings.
By Rebecca Pifer • June 4, 2025 -
HHS releases more detailed 2026 budget disclosing scope of cuts
On Friday, the HHS fleshed out a preliminary budget released in the spring and gave new details about which of its programs would be terminated if the Trump administration gets its way.
By Rebecca Pifer • June 2, 2025