Finances: Page 2

  • UnitedHealth Group office
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    Courtesy of UnitedHealth Group
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    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 • Jan. 27, 2026
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    Anchiy via Getty Images
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    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
  • Six people in business clothes sit behind a dias in a congressional room.
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    Rebecca Pifer Parduhn/Healthcare Dive
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    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 • Jan. 23, 2026
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    Win McNamee via Getty Images
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    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 • Jan. 22, 2026
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    Courtesy of UnitedHealth Group
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    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 • Jan. 21, 2026
  • A piece of paper with the word "Medicare" emblazoned on a blue background
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    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 • Jan. 16, 2026
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    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 • Jan. 16, 2026
  • UnitedHealth Group office
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    Courtesy of UnitedHealth Group
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    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 • Dec. 22, 2025
  • A tan and black monument sign with bold orange "Optum" lettering and the address "11000 Optum Circle" sits on a grassy lawn with low shrubs in front of a large, modern office building with glass windows and beige panels. Bare trees and a cloudy sky are in the background.
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    Alamy
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    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 • Dec. 18, 2025
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    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 • Dec. 18, 2025
  • A woman wearing a headscarf sits in a treatment chair in an oncology clinic as a doctor adjusts her chemotherapy.
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    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 • Dec. 16, 2025
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    JHVEPhoto via Getty Images
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    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 • Dec. 16, 2025
  • Stethoscope that has the wires spelling out 2026 with a blue background
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    iStock.com/MicroStockHub

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    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
  • David Joyner speaks in front of a blue background.
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    Rebecca Pifer/Healthcare Dive
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    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 • Dec. 10, 2025
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    Joe Raedle via Getty Images
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    Covert watchdog testing finds ACA vulnerable to subsidy fraud

    The Government Accountability Office successfully enrolled 18 out of 20 fake applicants in subsidized ACA plans. Republicans jumped on the report as ammunition in the debate over expanded subsidies.

    By • Dec. 4, 2025
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    Humana appeals Medicare Advantage star ratings loss to 5th Circuit

    The insurer continues to try to prove that regulators acted arbitrarily in downgrading its quality scores for 2025, despite numerous setbacks in the courts to date.

    By • Dec. 1, 2025
  • Medical professional looking at a tbalet while speaking to a family
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    Getty / andresr

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    Sponsored by Zelis

    ​Four ways to improve claims accuracy without losing provider trust

    ​Improve claims accuracy and provider trust with four strategies that reduce friction.

    Dec. 1, 2025
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    Premier closes $2.6B take-private deal

    The healthcare services and group purchasing organization stopped trading on Nasdaq Tuesday after more than a decade on the public markets.

    By • Nov. 26, 2025
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    Mayo Clinic doubled its operating income in Q3

    Strong patient demand helped lift Mayo Clinic’s operating income by more than 250% year over year.

    By Susanna Vogel • Nov. 25, 2025
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    Permission granted by Claritev
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    Sponsored by Claritev

    Empowered patients, competitive markets: How transparency will transform healthcare

    See how price clarity can unlock value and advance genuine patient empowerment.

    Nov. 24, 2025
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    Health tech venture capital investment rebounds in 2025: report

    Funding through the third quarter surpassed last year’s total, according to PitchBook. Meanwhile, average deal sizes are skyrocketing as high valuations — especially for AI startups — drive larger rounds.

    By • Nov. 20, 2025
  • Bottles of medications sit on shelves at a pharmacy.
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    Eric Thayer / Stringer via Getty Images
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    Employers, workers to face healthcare ‘affordability crunch,’ Mercer warns

    A “sharp growth” in prescription drug spending, including pricey GLP-1 weight-loss medications, helped fuel the increase, the consulting firm said.

    By Ginger Christ • Nov. 19, 2025
  • Text of the word 'Medicaid' in the middle of a U.S. dollar bill
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    Urban safety-net hospitals vulnerable to Medicaid cuts: analysis

    Though the impact on rural facilities has received more focus from lawmakers, the majority of hospitals that are most susceptible to the funding cuts operate in urban communities, according to the report.

    By • Nov. 19, 2025
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    Cleveland Clinic sees profits jump in Q3

    The academic medical system cited strong patient volumes and new Medicare Advantage agreements as driving increased revenue.

    By Susanna Vogel • Nov. 19, 2025
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    CommonSpirit continues to operate at a loss

    The health system blamed its performance for the quarter ended Sept. 30 on continued payer denials and cost challenges.

    By Susanna Vogel • Nov. 18, 2025