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Evernorth expanding GLP-1 presence with EnReachRx
Cigna’s Evernorth is signaling that it will expand its GLP-1 medication offerings through the creation of a new program called Evernorth EnReachRx, a new patient support model for pharmacies that want to provide enhanced clinical services alongside the…
Michigan sues Express Scripts, Prime for anticompetitive conduct
Michigan Attorney General Dana Nessel filed a lawsuit against Express Scripts and Prime Therapeutics last week, claiming the two pharmacy benefit managers allegedly engaged in anticompetitive conduct that harmed independent pharmacies in the state.
Cigna benefits from low medical costs, posts $1.3B in revenue
With a medical loss ratio of 82.2%, insurer Cigna has felt less pressure around medical costs than its peers, allowing the company to pull in $1.3 billion in profit during the first quarter of the year.
While the medical loss ratio is higher than it wa…
Revenues and expenses up, margins down for nation’s hospitals
Hospitals across the U.S. are seeing both higher revenues and higher expenses, and operating margins have begun to contract slightly, according to March data published by Strata.
Aetna exiting ACA markets as CVS Health logs $1.8B in profit
CVS Health has seen profit and revenue grow over the past year, logging $1.8 billion in profit for the first quarter of the year, and $94.6 billion in revenue (compared to $1.1 billion and $88.4 billion in Q1 2024, respectively). But the company’s insu…
Patrick Conway named new CEO of Optum
Leadership changes are afoot at Optum, with parent company UnitedHealth Group announcing that Dr. Patrick Conway will become CEO of the division.
Humana pulls in $1.2B in profit, reaffirms outlook
Humana took in $1.2 billion in profit in the first quarter of 2025, enough for the insurer to reaffirm its outlook for the year.
Revenue clocked in at about $32.1 billion for the quarter, while earnings per share were $11.58.
Kaiser Permanente fined $819K for delays in handling member complaints
The California Department of Managed Health Care (DMHC) has levied a fine totaling about $819,150 to Oakland-based Kaiser Permanente for alleged delays in handling complaints from health plan members.
Cleveland Clinic to debut AI tools for revenue cycle
The Cleveland Clinic will be furthering its artificial intelligence ambitions by deploying generative AI tools meant to make medical coding more accurate and efficient.
In partnering with generative AI outfit AKASA, Cleveland Clinic will be implementin…
Houston Methodist, Ambiance partner on inpatient artificial intelligence
Houston Methodist is teaming up with ambient artificial intelligence company Ambience Healthcare on a collaboration to integrate AI into emergency departments and inpatient care settings.
This collaboration seeks to improve both efficiency and patient …
