Finances: Page 9
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Neko Health raises $260M to expand body scan service, fund R&D
The company uses various medical devices to noninvasively check moles, the heart and more.
By Nick Paul Taylor • Jan. 28, 2025 -
Trump freezes federal grants with big potential impact on providers, Medicaid
Federal agencies must stop disbursing financial assistance under a new budget directive, threatening funding for providers and creating significant uncertainty for Medicaid payments to states.
By Rebecca Pifer Parduhn • Jan. 28, 2025 -
HCA closes 2024 strong despite lingering hurricane impacts
However, this year looks volatile, as the future of Medicaid state supplemental payment programs is uncertain and the threat of tariffs hang overhead.
By Susanna Vogel • Jan. 24, 2025 -
UnitedHealth reaches record revenue in 2024, though profit falls
UnitedHealth’s net income plummeted to its lowest level since 2019 amid hefty costs, including some from the Change cyberattack. CEO Andrew Witty also remembered slain executive Brian Thompson on a Thursday morning call.
By Rebecca Pifer Parduhn • Jan. 16, 2025 -
Digital health funding falls again in 2024: Rock Health
Investors focused their dollars on younger startups, while deal sizes for more established companies declined last year.
By Emily Olsen • Jan. 16, 2025 -
Investors ask UnitedHealth for answers about delayed, denied care
A faith-based group of investors has requested UnitedHealth prepare a report looking into how its practices could be leading to “delay or abandonment of medical treatment and serious adverse events for patients.”
By Rebecca Pifer Parduhn • Jan. 13, 2025 -
CMS proposes Medicare Advantage payment hike in 2026
The Biden administration’s last MA rule is a boon for insurers, though it remains to be seen how the incoming Trump administration might put its stamp on the regulation before it’s finalized this spring.
By Rebecca Pifer Parduhn • Jan. 13, 2025 -
Walgreens makes progress on turnaround in Q1, though losses grow
Despite a $265 million net loss, investors saw reason for optimism in the quarter, including renegotiated pharmacy contracts and the closure of 70 underperforming stores.
By Rebecca Pifer Parduhn • Jan. 10, 2025 -
Deep Dive
Health insurers will step off the roller coaster in 2025
After a turbulent year, things should calm for payers with the advent of a business-friendly Trump administration — though challenges will persist. Here are experts’ biggest predictions for 2025.
By Rebecca Pifer Parduhn • Jan. 8, 2025 -
Stopgap funding bill includes sweeping PBM reform, preserves telehealth flexibilities
The bipartisan agreement will fund the government through March. It could also reshape the pharmacy supply chain by reforming how controversial drug middlemen do business.
By Rebecca Pifer Parduhn • Dec. 18, 2024 -
Centene lobbies Trump administration to preserve Medicaid, ACA following ‘tragic’ year
The insurer warned Republicans about the political ramifications of cutting healthcare programs during its investor day, which began with a moment of silence for slain UnitedHealthcare CEO Brian Thompson.
By Rebecca Pifer Parduhn • Dec. 13, 2024 -
New bipartisan legislation would force insurers, PBMs to sell pharmacy businesses
The PBM Act would make companies like CVS and UnitedHealth that own health insurers or PBMs sell pharmacy assets. That would help independent pharmacies, but may not help patients, according to one expert.
By Rebecca Pifer Parduhn • Dec. 11, 2024 -
Fitch bumps outlook for nonprofit hospitals in 2025
Improved management of labor expenses contributed to the ratings change.
By Susanna Vogel • Dec. 11, 2024 -
About 1 in 3 retail pharmacies have closed since 2010: study
Independent pharmacies were more likely to shut down, possibly because they’re more often excluded from pharmacy benefit managers’ networks, according to research published in Health Affairs.
By Emily Olsen • Dec. 4, 2024 -
CMS recalculates Medicare Advantage stars for UnitedHealth, Centene
After both insurers challenged the agency in court, the CMS improved scores for 12 UnitedHealth contracts and seven Centene contracts.
By Rebecca Pifer Parduhn • Dec. 4, 2024 -
Ascension reduces operating loss, grows volumes in Q1
The provider is rebounding from a sweeping cyberattack this spring that took its electronic health record offline for weeks and led to significant losses.
By Susanna Vogel • Dec. 3, 2024 -
Sanofi joins J&J, Eli Lilly in proposing 340B rebate model
Sanofi plans to phase in its own rebate model for 25 drugs — including anti-inflammatory injectable Dupixent, one of the top 10 drugs in global sales — early next year. It’s unclear how regulators will react.
By Rebecca Pifer Parduhn • Updated Nov. 27, 2024 -
MPT installs new leadership at Prospect hospitals as system continues to miss rent payments
Prospect has attempted to sell hospitals to generate liquidity, but has been unable to offload several of its properties.
By Susanna Vogel • Updated Nov. 25, 2024 -
CareMax, dragged by Steward, files for bankruptcy
CareMax was the exclusive Medicare managed service organization to Stewardship Health. Steward’s bankruptcy posed an “existential threat” that CareMax said it couldn't overcome.
By Susanna Vogel • Updated Nov. 20, 2024 -
Offering health insurance is becoming less lucrative
In the third quarter, the seven major publicly traded insurers’ medical loss ratios increased an average of 3.3 percentage points year over year — a major jump in medical costs.
By Rebecca Pifer Parduhn • Nov. 18, 2024 -
High labor expenses still challenging providers: report
Medical groups' median investment in each employed physician surpassed $300,000 for the first time ever in the third quarter, according to Kaufman Hall.
By Emily Olsen • Nov. 13, 2024 -
Pharmacy costs, high utilization drive Kaiser to $608M operating loss in Q3
Kaiser said it would institute cost-cutting measures in response to the lackluster financial results, but didn’t detail specifics.
By Susanna Vogel • Nov. 12, 2024 -
Cigna confirms it is not pursuing Humana acquisition
The flat-out denial comes after Cigna CEO David Cordani tried to discourage persistent speculation of a Humana merger earlier this fall.
By Rebecca Pifer Parduhn • Nov. 11, 2024 -
Private equity dealmaking in healthcare services falls again in Q3: PitchBook
Still, PitchBook analysts said the PE market is poised for a turnaround.
By Emily Olsen • Nov. 8, 2024 -
MedPAC backs tying physician pay to inflation, but ducks specifics
During a meeting Thursday, commissioners debated different solutions to lackluster physician pay with one theme in common: linking doctors’ annual payment update to the Medicare Economic Index.
By Rebecca Pifer Parduhn • Nov. 8, 2024