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Kaiser Permanente posts Q2 net loss of $1.3B
The Oakland, California-based integrated health system attributed the setback in its quarterly results to market investments.
By Susan Kelly • Aug. 9, 2022 -
Permission granted by Clover Health
Clover Health’s Toy to step up as CEO as insurtech bolsters revenue
In a call with investors, incoming chief executive Andrew Toy said the path to profitability is “a huge focus” for Clover, and pointed to shrinking its medical loss ratio and controlling operating expense growth as key strategies.
By Rebecca Pifer Parduhn • Aug. 9, 2022 -
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Yujin Kim/Healthcare Dive
TrendlinePayer/provider relationships
As M&A intensifies and companies embrace more holistic and value-based care models, partnerships have become more closely intertwined.
By Healthcare Dive staff -
Drew Angerer/Getty Images via Getty Images
Senate passes bill extending ACA subsidies, adding Medicare price negotiations
The Inflation Reduction Act looked dead just weeks ago until Sen. Joe Manchin, D-W.Va., announced late last month that he had successfully negotiated with Democrats to pass it.
By Sydney Halleman • Aug. 8, 2022 -
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Cigna’s Q2 profit climbs to $1.6B as fewer patients seek care
The payer raised its revenue and operating income targets for the year as a result of the quarterly performance.
By Samantha Liss • Aug. 4, 2022 -
Bruce Bennett via Getty Images
CVS could look to regional buys as it plans primary care acquisitions
“We can’t be in ... primary care without M&A. We’ve been very clear about that,” CEO Karen Lynch said during an earnings call Wednesday.
By Sydney Halleman • Aug. 3, 2022 -
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Number of uninsured Americans falls to all-time low
Policy experts are worried, however, that progress on coverage expansion will be threatened when a moratorium on Medicaid disenrollment ends.
By Susan Kelly • Aug. 3, 2022 -
Justin Sullivan via Getty Images
CVS beats Q2 expectations, Aetna revenue rises nearly 11%
The company raised its full-year guidance despite a $77 million decrease in adjusted operating income, primarily due to declines in its retail segment.
By Sydney Halleman • Aug. 3, 2022 -
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Medicare Advantage plans make inflated dialysis payments, study says
Research published in Health Affairs found large chains in the consolidated dialysis sector have the market power to negotiate higher MA reimbursement.
By Susan Kelly • Aug. 1, 2022 -
CMS calls for public input to improve Medicare Advantage
The agency wants feedback from a variety of voices on how it can strengthen the popular but increasingly controversial program.
By Susan Kelly • Aug. 1, 2022 -
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Molina’s profit rises to $248M on higher Q2 membership
The insurer’s premium revenue increased 18% in the second quarter compared with the prior-year period as the payer saw membership increase 9%.
By Samantha Liss • July 29, 2022 -
Permission granted by CVS Health
CVS names first chief psychiatric officer
Taft Parsons, who previously worked for Molina Healthcare and Henry Ford Health System, will be tasked with focusing on mental well-being for patients and leading the Aetna Medical Affairs Behavioral Health organization.
By Shannon Muchmore • July 29, 2022 -
Anna Moneymaker/Getty Images via Getty Images
Senate Dems reach draft deal to extend ACA premiums, lower drug costs
The bill, part of a more than $300 billion package, extends enhanced ACA premiums and allows Medicare to negotiate select prescription drug prices starting in 2026.
By Sydney Halleman • July 29, 2022 -
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Molina pivots to permanent remote work, plans to cut real estate footprint by two-thirds
The payer is headquartered in Long Beach, California, and has offices in New York City and assorted properties in other states. It employs 14,000 people.
By Samantha Liss • July 28, 2022 -
States mixed on how to improve Medicaid unwinding with PHE end date unknown
States have a wide variety of opinions on how difficult resuming annual eligibility reviews after the COVID-19 public health emergency ends might be, according to MACPAC.
By Rebecca Pifer Parduhn • July 28, 2022 -
Samantha Liss/Healthcare Dive
Centene warns star ratings will be ‘disappointing’
The issues stem from Centene’s WellCare acquisition and plans are already underway to turn the star ratings around, CEO Sarah London said.
By Samantha Liss • July 28, 2022 -
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Humana's Q2 profit jumps to $696M on lower medical costs
One reason for the lower inpatient utilization is the shift to outpatient care, which is primarily driven by orthopedic care, Humana CFO Susan Diamond said.
By Samantha Liss • July 27, 2022 -
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CMS targets maternal health, extends postpartum coverage
The strategy to improve outcomes and equity includes ensuring access to reproductive healthcare services and adopting a new “birthing-friendly” hospital designation.
By Susan Kelly • July 27, 2022 -
Humana to reorganize, launches executive search
The move will slim the organization down into separate units called Insurance Services and CenterWell, building on the payer’s recent acquisition of Kindred amid the push for care at home.
By Samantha Liss • July 27, 2022 -
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Elevance Health ups bet on post-acute focus
The payer, formerly known as Anthem, is leveraging its recent acquisition of myNexus to scale a new post-acute product to all of its Medicare markets, executives said last week.
By Samantha Liss • July 26, 2022 -
Samantha Liss/Healthcare Dive
Centene posts $172M loss in Q2
Despite the loss, the payer beat analyst expectations in a number of key metrics and raised its financial outlook for the remainder of the year.
By Samantha Liss • July 26, 2022 -
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HHS proposes reinstating nondiscrimination protections stripped by Trump administration
One notable change includes language around clinical algorithms, prohibiting discrimination through the use of that technology in healthcare settings.
By Hailey Mensik • July 26, 2022 -
Permission granted by Salesforce.com
OIG warns of telehealth fraud risks in wake of DOJ crackdown
The special alert to healthcare providers describes how fraudsters recruit and reward practitioners in schemes to exploit the growth of telemedicine.
By Susan Kelly • July 25, 2022 -
Samantha Liss/Healthcare Dive
Centene to sell international assets to private hospital operator in France
The deal executes on the payer’s plan to sell off non-core assets, part of a longer-term strategy to improve profit margin.
By Samantha Liss • July 25, 2022 -
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Elevance shares fall as medical spending metric increases
Bloomberg reported the drop was the largest intraday decline in two years for Elevance, formerly known as Anthem.
By Samantha Liss • July 21, 2022 -
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Elevance steps away from New York Medicare Advantage contract amid continued litigation
CEO Gail Boudreaux told investors Wednesday the insurer "needed greater certainty" in order to continue with the contract.
By Samantha Liss • July 20, 2022
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