Payer: Page 15

  • Flags fly outside the New York Stock Exchange building in New York City.
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    Humana posts ‘really good’ first quarter on stable medical costs

    Despite the outperformance, the payer’s stock was largely flat following the earnings release — a market reaction that reflects the uncertainty facing Humana.

    By • April 30, 2025
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    Julia Rendleman via Getty Images
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    Cigna CIO departs to lead tech, operations group at UK bank

    Noelle Eder resigned earlier this month, marking the latest in a string of recent C-suite changes at the healthcare company. 

    By Roberto Torres • April 29, 2025
  • Robert F. Kennedy Jr sits behind a microphone
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    Kevin Dietsch/Getty Images via Getty Images
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    Tracker

    The Trump administration is overhauling healthcare policy. Follow the changes here.

    The FDA said it’s sending letters to drugmakers demanding they take down or modify ads that don't comply with federal guidelines, out of concern consumers aren’t seeing a “fair balance” of risks and benefits in drug ads.

    By Healthcare Dive staff • Updated Sept. 10, 2025
  • Centene's headquarters in Clayton, Missouri, a suburb outside of St. Louis.
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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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    Blue Shield of California exposed data of 4.7M people to Google

    The insurer learned that Google Analytics shared member data with its advertising service from April 2021 through January 2024.

    By • 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
  • a medicaid insurance card on top of a small American flag
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    CMS may be angling to reform Medicaid state directed payments

    A new regulation pending in front of the Office of Management and Budget suggests the Trump administration may be moving to overhaul the controversial financing mechanism.

    By • April 23, 2025
  • Elevance headquarters is a large white and brown building surrounding a grassy quad.
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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
  • U.S. President Donald Trump watches as Health and Human Services Secretary Robert F. Kennedy Jr. (C) swears in Dr. Mehmet Oz (R) as the Medicare and Medicaid Services Administrator during a ceremony in the Oval Office at the White House on April 18, 2025 in Washington, DC.
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    Andrew Harnik / Staff via Getty Images
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    Dr. Oz sworn in as CMS administrator

    During a ceremony at the Oval Office, Mehmet Oz said he would focus on reducing chronic disease, “modernizing” Medicare and Medicaid, and targeting fraud, waste and abuse in government insurance offerings.

    By • April 21, 2025
  • Sarah Huckabee Sanders speaks in front of a glowing backdrop.
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    Drew Angerer via Getty Images
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    Arkansas passes law banning PBMs from owning pharmacies

    The law in particular will affect CVS and UnitedHealth, both of which operate physical pharmacies in the state along with specialty and mail-order pharmacy businesses.

    By • April 21, 2025
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    Andrew Harnik via Getty Images
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    HHS restructuring

    Budget draft outlines Trump’s plan to slash federal health programs

    An OMB document proposes to cut the HHS budget by roughly one-third as well as eliminate several divisions and programs.

    By • April 17, 2025
  • UnitedHealth Group office
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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
  • A picture of the exterior of the US Department of Health and Human Services. In front of the building is a black sign designating the building's name.
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    Alex Wong via Getty Images
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    CMS rejects Humana’s Medicare Advantage star ratings appeal

    The decision, which Humana disclosed in a Tuesday filing with the court overseeing its lawsuit against the HHS, will be reviewed by Dr. Mehmet Oz, the new CMS administrator.

    By • April 16, 2025
  • President Donald Trump speaks in the Oval Office of the White House on April 7, 2025.
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    Kevin Dietsch via Getty Images
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    Trump signals plan to address ‘pill penalty’ of drug pricing law

    The president’s executive order promising to lower pharmaceutical prices includes support for a fix long sought by the industry, and could augur a new push for Medicare site neutrality.

    By Kristin Jensen • April 16, 2025
  • Cone Health's flagship hospital Mose
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    Courtesy of Cone Health
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    Cone fully acquires Medicare Advantage plan from Novant

    Novant has sold its minority stake in HealthTeam Advantage back to Cone Health, which is focusing on growing its insurance offerings.

    By • April 16, 2025
  • UnitedHealth Group office
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    Courtesy of UnitedHealth Group
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    UnitedHealth to enter mediation with DOJ over Amedisys deal

    This summer, UnitedHealth, Amedisys and antitrust regulators will have a magistrate judge’s help in hashing out a solution to the DOJ’s opposition to the merger.

    By • April 15, 2025
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    Many CMMI models didn’t generate savings: report

    Only one-third of the models analyzed produced substantial savings for the federal government, according to Avalere Health. The payment models have become a target for spending reductions under the Trump administration.

    By • April 14, 2025
  • A picture of the exterior of the US Department of Health and Human Services. In front of the building is a black sign designating the building's name.
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    Alex Wong via Getty Images
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    CMS to end some federal Medicaid spending for state health programs

    The decision represents “the end of an era of being open to a broader conception of health within the Medicaid program,” one expert said.

    By • April 14, 2025
  • The HHS in DC
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    Alex Wong via Getty Images
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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
  • House Speaker Mike Johnson, R-La., speaks to reporters after the House passes the Republicans' budget plan at the U.S. Capitol on April 10, 2025 in Washington, D.C.
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    House adopts budget plan that could cue Medicaid cuts

    Now, lawmakers will hash out legislation that follows the spending blueprint, which could include cuts to the safety-net insurance program — a potentially unpopular choice among Republican voters.

    By • April 10, 2025
  • a medicaid insurance card on top of a small American flag
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    Medicaid cuts unpopular with Trump voters: poll

    More than 50% of Trump voters oppose cutting Medicaid to pay for tax cuts, according to a GOP pollster. The survey suggests the issue could be politically challenging for Republican lawmakers.

    By • April 9, 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
  • A sign for the U.S. Department of Health and Human Services stands outside of a concrete building.
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    Ned Pagliarulo/Healthcare Dive
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    Trump’s CMS dramatically raises payments to Medicare Advantage plans

    The 5.1% benchmark increase is the largest in the past decade. The hike reflects more recent data capturing cost growth, according to the CMS. Though, the Trump administration likely “had its finger on the scale,” one analyst said.

    By • April 8, 2025
  • A piece of paper with the word "Medicare" emblazoned on a blue background
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    Trump rejects Biden administration plan to let Medicare cover obesity drugs

    The decision is a setback for GLP-1 drugmakers, though it's not entirely surprising given the Trump administration’s focus on curbing government spending.

    By • April 7, 2025
  • UnitedHealth Group office
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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