Finances: Page 8
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Uninsured, less educated patients less likely to question medical bills: study
One in five survey respondents reported that their household had received a bill they disagreed with or couldn’t afford in the past year, but only 62% reached out to a billing office, according to a new study published in JAMA.
By Emily Olsen • Sept. 3, 2024 -
Walgreens sued by shareholder amid plummeting stock price
The company’s top directors — including CEO Tim Wentworth and CFO Manmohan Mahajan — allegedly breached their fiduciary duty by inflating Walgreens’ performance projections.
By Rebecca Pifer • Aug. 30, 2024 -
Hospitals boost operating margins in July: report
Increased demand for services helped offset high expenses for hospitals, according to analytic solutions firm Strata.
By Susanna Vogel • Aug. 29, 2024 -
PBM executives threatened with fines and jail time for alleged perjury in House hearing
Testimony from the heads of Express Scripts, Optum Rx and Caremark in July defending pharmacy benefit managers’ business practices could be coming back to bite them.
By Rebecca Pifer • Aug. 29, 2024 -
J&J plans unilateral reform to 340B drug discount program
A looming change to how Johnson & Johnson pays out discounts to 340B-eligible drugs has hospitals — and the government — crying foul.
By Rebecca Pifer • Updated Aug. 27, 2024 -
Steward to close two Ohio hospitals, Pennsylvania facility at risk
The closures are a “tragic result of greed-driven hospital executives, backed by private equity, who prioritize their yachts and private jets over patient care,” said an Ohio nurse union leader.
By Rebecca Pifer • Aug. 23, 2024 -
Large employers forecast 7.8% hike in health costs next year, thanks to rising pharmacy spend
The growing burden of pharmaceuticals is expected to be the primary driver of higher healthcare spending in 2025, mostly due to expensive GLP-1 drugs in demand for weight loss, according to the Business Group on Health.
By Rebecca Pifer • Updated Aug. 21, 2024 -
The image by Renegomezphotography is licensed under CC BY-SA 4.0
Judge strikes down FTC noncompete ban nationwide
Obviating the ban has big implications for U.S. healthcare, an industry that frequently relies on noncompetes to lock medical workers into employment agreements with hospitals, insurers and other employers.
By Ryan Golden , Rebecca Pifer • Aug. 21, 2024 -
Humana pays $90M to settle whistleblower allegations of Medicare Part D fraud
The insurer, which did not admit wrongdoing, agreed to the deal on the eve of a jury trial.
By Rebecca Pifer • Aug. 20, 2024 -
Healthcare bankruptcies slow after reaching five-year high in 2023: report
The decline doesn’t mean the sector’s financial challenges have gone away. Case volumes could increase later this year, according to healthcare restructuring advisory firm Gibbins Advisors.
By Emily Olsen • Aug. 19, 2024 -
Deep Dive
Medicaid overtakes Medicare Advantage as health insurers’ bogeyman in Q2
Despite challenges in Medicaid and MA, major insurers still posted large earnings in the second quarter — many helped by health services divisions.
By Rebecca Pifer • Aug. 15, 2024 -
Kaiser’s operating margin rises to 3.1% in second quarter
The nonprofit healthcare giant's results represent a strong quarter and a solid end to the first half of the year, one analyst said.
By Susanna Vogel • Aug. 13, 2024 -
For-profit health systems see Medicaid supplemental payment bump in Q2
However, hospital executives said the uptick in supplemental funding still wasn’t enough to cover their costs.
By Susanna Vogel • Aug. 12, 2024 -
Nonprofits’ cash on hand hit 10-year low in 2023: report
S&P Global also found no "meaningful" improvement in cash flow for providers between 2022 and 2023.
By Susanna Vogel • Aug. 12, 2024 -
After decline, private equity investment in healthcare reaches turning point: PitchBook
Private equity dealmaking fell more than 16% in the second quarter, but the market is showing signs of a turnaround, according to the market research firm.
By Emily Olsen • Aug. 9, 2024 -
Walgreens considering full sale of VillageMD
The decision, disclosed Wednesday in a securities filing, is a sharp reversal to the pharmacy behemoth’s past commitment to building out its healthcare delivery offerings.
By Rebecca Pifer • Aug. 8, 2024 -
Aetna executive ousted as CVS’ Medicare Advantage woes drag into second quarter
On Wednesday, CVS slashed its earnings guidance for the third time this year, announced a plan to cut $2 billion in costs and fired the head of its insurance division Aetna, which continues to struggle with high medical utilization.
By Rebecca Pifer • Aug. 7, 2024 -
More than 700 rural hospitals at risk of closing: report
One challenge hospitals face is reimbursement from private payers, which doesn’t cover the higher costs of care in rural areas, according to a report by the Center for Healthcare Quality and Payment Reform.
By Emily Olsen • Aug. 7, 2024 -
Tenet to sell majority stake in 5 Alabama hospitals for $910M
The health system has divested a string of hospitals this year as it seeks to pay down debt and refocus its portfolio on ambulatory surgery centers.
By Susanna Vogel • Aug. 6, 2024 -
Walgreens further reduces stake in Cencora for $1.1B
The struggling drugstore chain has been chipping away at its stake in Cencora, formerly known as AmerisourceBergen, since last summer.
By Rebecca Pifer • Aug. 5, 2024 -
Medicare finalizes higher 2.9% inpatient payment rate for 2025
Hospitals still weren’t happy with the final rule despite the bump from the CMS’ proposed rates, citing cuts to long-term and disproportionate share facilities.
By Rebecca Pifer • Aug. 2, 2024 -
Cigna CEO promises ‘aggressive’ defense of pharmacy benefit managers
David Cordani’s comments to investors Thursday come as the payer blew past Wall Street’s expectations for the second quarter, helped by significant growth in its health services division — including PBM Express Scripts.
By Rebecca Pifer • Aug. 1, 2024 -
Tracking Steward's decline
Judge approves Steward’s plan to close 2 hospitals by month’s end
Steward also provided an update on increasingly tense negotiations with its landlord about how to distribute proceeds from sales.
By Susanna Vogel • Aug. 1, 2024 -
Humana expects to lose ‘few hundred thousand’ Medicare Advantage members next year
The insurer shrank its plan footprint for 2025 in a bid to improve margins. Now, Humana is giving market watchers loose guidance into how that reduction could affect its enrollment along with second quarter results.
By Rebecca Pifer • July 31, 2024 -
Google cuts ties with Amazon’s One Medical
Loss of the contract is a major setback for One Medical, as Google made up roughly 10% of the company’s revenue before it was acquired by Amazon and stopped disclosing financial results.
By Rebecca Pifer • Updated July 31, 2024