Finances: Page 7


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    Illustration: Xavier Lalanne-Tauzia for Industry Dive

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    HCA grows revenue in Q1, reaffirms 2025 outlook

    Although HCA beat the street’s expectations for profit in the first quarter, analysts said reaffirming its guidance is a “prudent” move given possible headwinds from Washington.

    By Susanna Vogel • April 28, 2025
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    PeopleImages/Envato Elements

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    Sponsored by Cedar Gate Technologies

    The secrets to success with bundled payments in healthcare

    Bundled payment models are growing in healthcare. Here is the blueprint for success.

    April 28, 2025
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    Samantha Liss/Healthcare Dive
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    Centene raises outlook for revenue — and costs — in 2025

    Centene’s first-quarter results didn’t appear to quell investor concerns about volatility in the health insurance market.

    By Updated April 25, 2025
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    Illustration: Xavier Lalanne-Tauzia for Industry Dive

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    CHS emphasizes divestitures, strong volumes in Q1 earnings

    The Franklin, Tennessee-based system continued to deleverage its portfolio during the quarter, boosted volumes and “held the line” on supply expenses, CEO Tim Hingtgen said.

    By Susanna Vogel • April 24, 2025
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    Spencer Platt via Getty Images
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    Molina reports mixed Q1, says Medicaid rates are increasing

    The California-based insurer’s results were “good enough,” one analyst said.

    By April 24, 2025
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    Permission granted by Elevance Health
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    Elevance brushes off fears of spiking Medicare Advantage costs

    Investors balked last week after UnitedHealth reported first-quarter MA utilization grew at twice its expected rate. Yet Elevance said spending was in line with expectations, a development one analyst called surprising.

    By April 22, 2025
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    Courtesy of UnitedHealth Group
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    UnitedHealth posts ‘unacceptable’ first quarter, slashes 2025 guidance

    The healthcare juggernaut’s results came in unusually below Wall Street’s expectations and caused its stock to plummet Thursday. The development bodes ill for the rest of the managed care sector, analysts said.

    By April 17, 2025
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    US launches probe that could set stage for pharma tariffs

    The Commerce Department has begun a so-called Section 232 investigation into the national security effects of the U.S. importing pharmaceuticals and their starting materials.

    By Ned Pagliarulo • Updated April 14, 2025
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    Medicare proposes 2.4% pay hike for inpatient hospitals next year

    The rate increase is the lowest since 2019. The American Hospital Association slammed it as inadequate.

    By April 14, 2025
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    Late-stage digital health funding rebounds in Q1: Rock Health

    The median deal size for late-stage funding rounds was $105 million, nearly double the $55 million check size across 2024.

    By April 9, 2025
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    Joe Raedle via Getty Images
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    Walgreens shrinks losses as Sycamore take-private deal nears

    Walgreens also withdrew its 2025 financial guidance, citing the pending take-private deal, which is expected to close by the end of the year.

    By April 8, 2025
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    Mario Tama via Getty Images
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    CVS taps former UPS finance chief as new CFO

    Brian Newman will guide CVS’ finances at a challenging time for the retail pharmacy and health insurance giant. Still, CVS also said on Tuesday it could exceed previously issued guidance in 2025.

    By April 8, 2025
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    Courtesy of UnitedHealth Group
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    UnitedHealth shareholders withdraw effort to force transparency on coverage denials

    The faith-based shareholders’ proposal was challenged by UnitedHealth twice, thanks to a recent SEC guidance change the shareholders slammed as unfair. They could still reintroduce it next year.

    By April 7, 2025
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    More Americans say they can’t afford healthcare: Gallup

    Roughly 29 million people, or 11% of those surveyed, said they were unable to afford medication and care within the past three months.

    By Susanna Vogel • April 4, 2025
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    Margins improve at nonprofit hospitals in 2024, but headwinds loom: Fitch

    The median operating margin for providers that ended their fiscal years early was 1.2% last year, compared with -0.5% in 2023. However, potential Medicaid cuts could strain provider finances.

    By March 31, 2025
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    Peter Morgan/AP

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    Solventum cuts 800 positions

    CEO Bryan Hanson told investors last week that the restructuring plan would save the medical supply and health IT company $120 million annually.

    By Ricky Zipp • March 26, 2025
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    Sponsored by RxSense

    The future of pharmacy benefits: The shift to insourcing PBM services

    The pharmacy benefit landscape is shifting. With rising costs, limited transparency, and rigid structures imposed by legacy pharmacy benefit managers (PBMs), organizations are considering a bold move—bringing their PBM operations in-house.

    March 24, 2025
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    Optum Rx is reforming how it pays pharmacies

    The massive PBM is pivoting to a cost-based reimbursement model, which it says will reduce variation in how pharmacies are paid. Pharmacy groups say that depends on the specifics of Optum Rx’s plan.

    By March 21, 2025
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    Veradigm releases long-awaited financial results

    The health IT vendor hadn’t filed quarterly or annual reports since November 2022. Veradigm was delisted from Nasdaq for failing to comply with financial reporting requirements last year.

    By March 20, 2025
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    Julia Rendleman via Getty Images
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    Cigna closes $3.7B sale of Medicare business to HCSC

    The deal, which removes Cigna from the volatile Medicare Advantage market, closed a little over a year after being announced.

    By March 20, 2025
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    Courtesy of UnitedHealth Group
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    Optum Rx says it will eliminate 10% of prior authorizations

    The massive pharmacy benefit manager plans to stop requiring coverage reauthorizations for roughly 80 drugs used to treat migraines, multiple sclerosis, high cholesterol and more.

    By March 19, 2025
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    Illustration: Xavier Lalanne-Tauzia for Industry Dive

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    Providers contend with changes in Washington in 2025

    The nation’s leading for-profit health systems are closely monitoring changes to Medicaid funding and bracing for possible cuts to state supplemental payment programs this year.

    By Susanna Vogel • March 14, 2025
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    Courtesy of Hinge Health
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    Virtual physical therapy company Hinge Health files for IPO

    The digital health IPO market has slowed to a crawl in recent years, but it could be poised for a turnaround in 2025, experts say.

    By March 12, 2025
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    Medicaid expansion cuts could hit provider revenue, spike uncompensated care: report

    If states end their expansion programs in response to funding cuts, spending on healthcare services would fall by nearly $80 billion and uncompensated care costs would rise by $19 billion in 2026, according to new research.

    By March 12, 2025
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    Sponsored by Zelis

    5 considerations for health plans evaluating the VOI of healthcare technology

    Health plans must shift from ROI to VOI, evaluating tech investments for long-term, holistic value.

    By Jay Deady, President of Price Optimization, Zelis • March 3, 2025