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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 -
Samantha Liss/Healthcare Dive
‘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 -
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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 -
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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 -
Illustration: Xavier Lalanne-Tauzia for Industry Dive
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 -
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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 -
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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 -
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Sponsored by PointClickCareHow 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 -
Courtesy of UnitedHealth Group
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 -
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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 -
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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 -
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‘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 -
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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 -
Permission granted by The Economic Club of Washington, DC/Gary Cameron
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 -
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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 -
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Ascension to buy Tennessee system Williamson Health in $1B deal
Ascension beat out other offers, including from HCA and Optum, to give Williamson a financial lifeline amid serious challenges facing regional hospital operators. The deal is expected to be final by 2028 at the latest.
By Rebecca Pifer Parduhn • July 7, 2026 -
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Sponsored by CareAffirmWhy healthcare construction timelines are now operational risks
Healthcare systems are turning to modular construction to reduce risk and accelerate delivery.
July 6, 2026 -
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Elevance sues CMS after Medicare Advantage stars recalculation
Regulators recalculated plans’ quality scores last month after losing a lawsuit to Clover Health. But they used a different methodology for Clover than its peers, causing Elevance to lose out on $115 million, the insurer told a court.
By Rebecca Pifer Parduhn • July 2, 2026 -
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Medicare Advantage bonuses will exceed $13B this year, KFF finds
Medicare is spending more on quality bonuses despite fewer enrollees in eligible plans, the health policy research group said — a concerning trend putting more stress on Medicare’s coffers that could amplify calls for reform.
By Rebecca Pifer Parduhn • July 2, 2026 -
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Health services M&A is active in 2026, but uncertainty slows volume: PwC
Buyers are being more selective amid heightened policy and reimbursement pressure in healthcare, according to the analysis. Still, deal value is up compared to the first half of 2025.
By Emily Olsen • June 22, 2026 -
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Hospitals irate after Eli Lilly follows through on 340B ultimatum
The drugmaker stopped paying 340B discounts to hospitals that didn’t comply with its new paperwork requirements late last week. Hospitals are urging HRSA to step in.
By Rebecca Pifer Parduhn • June 22, 2026 -
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Sponsored by IcertisWhy payer contracts matter long after negotiations end
AI is turning payer contracts into revenue intelligence. Here is how.
By Susan Becker, Icertis, Director, Product Marketing, HLS • June 22, 2026 -
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Centene offers employee buyouts amid membership losses
Most of Centene’s 61,000 employees will be eligible to apply for voluntary separation. But the program doesn’t amount to a complete overhaul of the company, a spokesperson said.
By Rebecca Pifer Parduhn • June 16, 2026 -
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Medicare insolvency date creeps forward thanks to ‘Big Beautiful Bill,’ trustees find
The trust fund underpinning Medicare’s hospital benefit is set to run out of money one quarter earlier than previously expected as tax cuts in the GOP’s reconciliation legislation shrink Medicare’s revenue.
By Rebecca Pifer Parduhn • June 11, 2026
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