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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…
Elevance planning CareBridge acquisition estimated at $2.7 billion
Elevance Health announced plans to acquire home health company CareBridge during its most recent earnings call, with Elevance Health CEO Gail Boudreaux saying it will serve as the foundation for subsidiary Carelon’s home health business.
“We’re excited…
Employers using various strategies to contain healthcare costs
While premiums for employer-sponsored health insurance continue to rise each year, employers who have been engaged in novel strategies – such as value-based drug formularies and tiered provider networks based on price and quality – experienced lower-th…
Pharmacy owner sentenced in $41 million insurance fraud case
A Dallas pharmacy owner who routinely billed insurance companies for headache sprays, pain creams and scar creams never dispersed to patients has been sentenced to 10 years in federal prison, according to the U.S. Department of Justice.
AMA files lawsuit alleging price-fixing by MultiPlan
The American Medical Association and the Illinois State Medical Society (ISMS) filed a lawsuit last week against MultiPlan claiming the data analytics agency is at the center of an alleged price-fixing conspiracy with commercial health insurance compan…
Lawsuit accuses Anthem Blue Cross Blue Shield of New York of harboring a ‘ghost network’
A new lawsuit filed in the Southern District of New York accuses Anthem Blue Cross Blue Shield of New York of maintaining a “ghost network” of doctors, with patients pursuing pricey out-of-network care and experiencing care delays due to inaccurate pro…
389 healthcare companies hit by ransomware this year, Microsoft finds
This year, 389 healthcare institutions in the U.S. were attacked with ransomware, which caused network shutdowns, offline systems, rescheduled appointments and delays in critical procedures, finds a new report from Microsoft.
Oscar Health expands ACA presence with chronic condition plans
Healthcare insurtech Oscar Health will be expanding its presence on the Affordable Care Act marketplace in 2025 and is introducing new plans for people with multiple chronic conditions.
The company will expand into 405 markets across 18 states next yea…
Elevance laying off 123 California employees
Elevance Health is laying off a combined 123 employees across two southern California locations, according to regulatory documents filed this month.
