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UnitedHealthcare expands ACA presence to 30 more states
UnitedHealthcare will be expanding its individual and Family Affordable Care Act Marketplace plans to 30 additional states, with the increase encompassing new coverage areas in Indiana, Iowa, Nebraska and Wyoming, as well as additional counties in 13 o…
$47.5 million grant allows Rutgers to turn lab discoveries into practical healthcare
Leaders from Rutgers University and the broader New Jersey community convened last week to celebrate a $47.5 million federal grant for the Rutgers Institute for Translational Medicine and Science, which will be used to transform laboratory discoveries …
Aetna underperforms, plans recovery as CVS Health logs $95.4B in revenue
CVS Health saw revenues climb 6.3% as compared to last year, posting $95.4 billion in revenue for the third quarter, even as its health benefits segment underperformed, due principally to high utilization.
CMS gives renal dialysis facilities a 2.7% increase
Among a spate of final rules issued by the Centers for Medicare and Medicaid Services is one updating payment rates and policies under the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) for renal dialysis services furnished to Medicare…
AHA criticizes 2.9% increase in CMS’ OPPS final rule
The American Hospital Association has criticized the Centers for Medicare and Medicaid Services for its Hospital Outpatient Prospective Payment System (OPPS) final rule, saying the increase for outpatient hospital services doesn’t go far enough.
CMS is…
Aetna offering new ‘transparent’ health plan
Aetna, part of CVS Health, has rolled out SimplePay Health, an alternative health plan that aims to simplify the member experience.
The plan, for self-insured clients, is intended to further reduce costs and improve outcomes and features a payment mode…
Teladoc posts $640.5 million in revenue, stresses virtual care improvement
Teladoc Health put in a stronger-than-expected showing in the third quarter, bringing in $640.5 million in revenue, down 3% year-over-year (YOY), according to the company’s earnings results.
MSSP yielded $2.1 billion in net savings in 2023, CMS says
The Medicare Shared Savings Program (MSSP) yielded more than $2.1 billion in net savings in 2023 – the largest savings in the program’s history, according to the Centers for Medicare and Medicaid Services.
Hospital margins climb to 5.1% in September
Hospital operating margins inched upward for a second consecutive month, with new data from Strata showing the median year-to-date (YTD) operating margin for hospitals nationwide rose to 5.1% in September, up from 4.9% in August and 4.8% in July.
Humana increases revenue to $29.4 billion in Q3
Humana pulled in $29.4 billion in revenue in Q3 of this year, increasing from $25.4 billion in Q3 2023, according to its latest earnings report.
For the first three quarters, Humana has now made about $1.9 billion in profit and $88.5 billion in revenue…
