Finances: Page 9
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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 Rebecca Pifer Parduhn • March 20, 2025 -
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 Rebecca Pifer Parduhn • March 19, 2025 -
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 -
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 Emily Olsen • March 12, 2025 -
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 Emily Olsen • March 12, 2025 -
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 -
UHS’ income soars in 2024 on behavioral health volume
Still, executives addressed concerns about potential changes to federal healthcare policy that could impact the provider’s bottom line, including cuts to Medicaid.
By Susanna Vogel • Feb. 28, 2025 -
Deep Dive
Insurers closed out 2024 on shaky footing
Operating income fell for all but two major payers’ insurance divisions in the fourth quarter. And 2025 may be no better, after many insurers released outlooks suggesting medical costs will continue to rise.
By Rebecca Pifer Parduhn • Feb. 25, 2025 -
Veradigm changes up board of directors
The health IT vendor was delisted from trading on Nasdaq last year for failing to file timely financial reports. Last month, the company ended a strategic review without finding a buyer.
By Emily Olsen • Feb. 24, 2025 -
Private equity investment in healthcare remained steady in 2024: report
Investment could rise in 2025 if interest rates decline and the Trump administration is friendly to private equity firms.
By Susanna Vogel • Feb. 24, 2025 -
CHS’ losses widen in 2024
The hospital operator said divestitures, medical specialist fees and payer denials pressured the system last year.
By Susanna Vogel • Feb. 20, 2025 -
Amwell touts military contract deployment wins in Q4
The telehealth vendor posted a net loss again last year, but said it plans to achieve positive cash flow by 2026.
By Susanna Vogel • Feb. 13, 2025 -
GOP calls for $1.5T in cuts, much of which could come from healthcare
House Republicans unveiled their budget wish list last week, which directs the Energy and Commerce Committee — which oversees Medicare and Medicaid — to find $880 billion in savings.
By Rebecca Pifer Parduhn • Feb. 13, 2025 -
Tenet has ‘outstanding’ 2024, addresses policy changes in Washington
Health system leaders said Tenet is mostly insulated from proposed policy changes like Medicaid cuts due to its focus on ambulatory surgical centers.
By Susanna Vogel • Feb. 13, 2025 -
CVS slashes profit in 2024 as high medical costs hit Aetna
However, the healthcare giant beat Wall Street expectations for earnings and revenue in the fourth quarter, sending its stock soaring on Wednesday.
By Emily Olsen • Feb. 12, 2025 -
Large healthcare companies are redistributing most of their profits to shareholders, study finds
Researchers suggested that policymakers encourage reinvestment of capital into patient care and limit share buybacks based on the findings.
By Rebecca Pifer Parduhn • Feb. 12, 2025 -
Mass General Brigham to conduct largest layoffs in its history
MGB said the layoffs are necessary to get ahead of an anticipated budget shortfall of $250 million over the next two years.
By Susanna Vogel • Feb. 11, 2025 -
Humana’s 2024 profit slashed in half amid higher medical spending
The massive insurer now expects to lose 550,000 Medicare Advantage members — roughly one-tenth of its individual MA footprint — this year as a result of plan cuts.
By Rebecca Pifer Parduhn • Feb. 11, 2025 -
Kaiser’s 2024 earnings show ROI of Risant Health spinoff
Risant acquisitions accounted for about half of Kaiser’s net income in 2024.
By Susanna Vogel • Feb. 10, 2025 -
Walgreens offloads more Cencora shares
The sale netted about $300 million for Walgreens and shrinks the company’s stake in Cencora to approximately 6%, down from 10%.
By Rebecca Pifer Parduhn • Feb. 7, 2025 -
New contract wins ding Molina’s earnings outlook for 2025
Medicaid and dual-eligible contracts fuel growth for the California-based insurer, but also come with upfront implementation costs that will lower its earnings this year, executives said.
By Rebecca Pifer Parduhn • Feb. 6, 2025 -
Express Scripts, Kroger reach new pharmacy network agreement
The two have mended fences after a nasty contract dispute in 2022 caused Kroger pharmacies to go out of network with Express Scripts’ members.
By Rebecca Pifer Parduhn • Feb. 5, 2025 -
Oscar Health reports first profitable year
The insurer lost $153.5 million in the fourth quarter but still eked out a $25.4 million profit for the full year thanks to snowballing growth in ACA plans.
By Rebecca Pifer Parduhn • Feb. 5, 2025 -
Molina closes ConnectiCare acquisition
The deal adds $1.4 billion in annual premiums to Molina’s topline and 140,000 additional Medicare, Affordable Care Act marketplace and commercial members to the insurer’s rolls.
By Rebecca Pifer Parduhn • Feb. 4, 2025 -
Centene sets itself up for ‘equilibrium’ in 2025
The insurer also reported notable ACA growth for this year, though membership could tick back down through the second quarter due to program integrity efforts.
By Rebecca Pifer Parduhn • Updated Feb. 5, 2025