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Humana posts big loss, dour outlook on Medicare Advantage cost spike
The health insurer’s stock plunged Thursday morning following its 2023 results, which fell startlingly short of Wall Street’s expectations.
By Rebecca Pifer Parduhn • Jan. 24, 2024 -
Permission granted by Elevance Health
Elevance controls medical costs to $6B profit in 2023
The payer curbed the worst of medical cost growth last year, and expects to do the same in 2024 — an assumption one analyst called “aggressive” given persistent higher utilization among seniors.
By Rebecca Pifer Parduhn • Jan. 24, 2024 -
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Walgreens exploring sale of Shields Health Solutions: Bloomberg
The specialty pharmacy could be valued at more than $4 billion in a sale, but a deal might slow the healthcare segment’s drive toward profitability.
By Emily Olsen • Jan. 24, 2024 -
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Sponsored by TeleperformanceImplementing high-tech, high-touch digital services to create more personalized, patient-centric care
Improve the patient experience by addressing high interaction volume and channel complexity.
By Jeff Hechemy, Executive Vice President – Healthcare at Teleperformance • Jan. 22, 2024 -
Samantha Liss/Healthcare Dive
Centene wins New Hampshire Medicaid contract
It’s not yet clear how much the new Medicaid managed care contract is worth. The state’s previous contract with insurers, including Centene, allocated $6 billion in funds over five years.
By Rebecca Pifer Parduhn • Jan. 19, 2024 -
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Humana slashes 2023 profit outlook as high medical costs continue
The insurer also lowered its expectations for Medicare Advantage membership growth this year to below the industry average.
By Rebecca Pifer Parduhn • Jan. 18, 2024 -
Courtesy of Summa Health
General Catalyst to acquire Ohio nonprofit Summa Health
The venture firm is following through on its promise to acquire a health system to use as a testing ground, though the deal with Summa is in very early stages.
By Rebecca Pifer Parduhn • Jan. 17, 2024 -
Illustration: Xavier Lalanne-Tauzia for Industry Dive
CarePoint and Hudson Regional Hospital announce new system
The deal would create a four-hospital system in New Jersey.
By Susanna Vogel • Jan. 16, 2024 -
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MA spending to outstrip traditional Medicare by $88B this year: MedPAC
MedPAC released the data Friday during a contentious meeting where members argued over the efficacy of Medicare Advantage.
By Rebecca Pifer Parduhn • Jan. 16, 2024 -
Permission granted by General Catalyst
Q&ASynergies and deep talent pools: General Catalyst’s Alex Momeni on why digital health M&A could increase in 2024
In part two of a three-part series, Momeni discusses digital health consolidation and when the IPO market could unfreeze.
By Emily Olsen • Jan. 12, 2024 -
Courtesy of UnitedHealth Group
UnitedHealth reports highest medical costs since COVID-19 pandemic’s start
While the insurer continues to be rocked by more seniors seeking outpatient care, the fourth quarter also saw high levels of vaccinations and COVID-19 admissions that accelerated spending.
By Rebecca Pifer Parduhn • Jan. 12, 2024 -
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Most nonprofit hospitals and health systems had ‘strong’ cash reserves in 2022, KFF finds
An analysis of cash on hand suggests that, despite declining operating margins, some nonprofit health systems had enough of a financial cushion to weather tough operating conditions in 2022.
By Susanna Vogel • Jan. 9, 2024 -
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Digital health funding last year reached lowest level since 2019: report
Startups turned to “creative” funding mechanisms like unlabeled and silent rounds to buy time in 2023, but those strategies likely won’t work again this year, according to a report by Rock Health.
By Emily Olsen • Jan. 9, 2024 -
Courtesy of Walgreens
Walgreens to pay Humana $360M to settle drug pricing dispute
The settlement is a little over half of what Walgreens was originally ordered to pay, after an arbiter said the retail pharmacy chain overcharged Humana for prescription drugs for more than a decade.
By Rebecca Pifer Parduhn • Jan. 9, 2024 -
Permission granted by GSR Ventures
Q&A‘Healthy pullback’: GSR Ventures’ Sunny Kumar on normalizing digital health funding, accelerating M&A in 2024
In part one of a three-part Q&A series, Sunny Kumar discusses digital healthcare investment, the landscape for M&A and when the public markets could open back up.
By Emily Olsen • Jan. 5, 2024 -
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CVS names Tom Cowhey permanent CFO
The company on Friday solidified what had been a temporary role for Cowhey, while sharing it expects enrollment in Medicare Advantage plans to exceed previous targets for 2024.
By Rebecca Pifer Parduhn • Jan. 5, 2024 -
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Walgreens nearly halfway through planned VillageMD clinic closures
The pharmacy chain announced last quarter that it would exit clinics in underperforming markets as it focuses on driving profitability in its healthcare segment.
By Emily Olsen • Jan. 4, 2024 -
Michael M. Santiago via Getty Images
Cano accelerates turnaround plan after NYSE delisting notice
The struggling primary care chain is now targeting $290 million in cost reductions by the end of this year.
By Emily Olsen • Jan. 3, 2024 -
Illustration: Xavier Lalanne-Tauzia for Industry Dive
OpinionPredictions on 2024 healthcare M&A trends: What leaders need to know
A shift in funding sources, new regulatory policies in Medicare and technology advances may influence M&A in the sector next year, according to Samantha Prokop from law firm Gunster, Yoakley & Stewart.
By Samantha L. Prokop • Dec. 22, 2023 -
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Antitrust enforcements hit a high in 2022, with health deals impacted
The 2022 report comes after regulators finalized merger guidelines this week that could have a chilling effect on healthcare M&A.
By Susanna Vogel • Dec. 22, 2023 -
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UnitedHealth, OptumRx sued by independent pharmacy over ‘unconscionable’ fees
Osterhaus Pharmacy in Iowa — which is also suing CVS Caremark — is taking issue with pharmacy benefit managers’ use of performance-based fees that it says are contributing to independent pharmacy closures.
By Rebecca Pifer Parduhn • Dec. 20, 2023 -
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Nasdaq says Veradigm won’t be delisted — for now
A Nasdaq panel ruled the healthcare IT company wouldn’t be delisted from the exchange as long as it complies with financial reporting requirements by late February.
By Emily Olsen • Dec. 14, 2023 -
Samantha Liss/Healthcare Dive
Centene tries to quell concerns of ACA overhaul during investor day
The Affordable Care Act has been under fire from Republican presidential candidates heading into an election year. But “once you giveth you cannot taketh away,” said the head of external affairs for the major marketplace carrier.
By Rebecca Pifer Parduhn • Dec. 13, 2023 -
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KKR to acquire stake in healthcare data analytics firm Cotiviti
The purchase would give private equity firm KKR and existing owner Veritas Capital equal stakes in the company.
By Emily Olsen • Updated Feb. 16, 2024 -
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Health costs grew in line with overall inflation in 2023, new Turquoise data shows
The findings — some of the first from new price transparency data — illustrate how overall economic inflation could be catching up to faster health cost growth.
By Rebecca Pifer Parduhn • Dec. 12, 2023
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