Insurers of qualified health plans (QHPs) sold on Healthcare.gov denied an average of 20% of all claims in 2023 – 19% of in-network claims and and 37% of out-of-network claims, finds a new KFF survey.
The in-network denial rate ranged widely, with sign…
During its Investor Day last week, Centene released its earnings guidance and projected between $166.5 and $169.5 billion in revenue for 2025, representing slight growth year-over-year.
The Congressional Budget Office has estimated that the expiration of enhanced subsidies for Affordable Care Act plans – which are set to expire in 2026 – could drive up premiums in the individual market.
CVS will be closing its three Utah MinuteClinic locations this week, with facilities in Highland, Ogden and West Jordan slated for closure by Saturday.
In a statement shared with Healthcare Finance News, CVS said it regularly evaluates MinuteClinic’s f…
While hospital and health system financial performance was relatively stable in September, expenses remain high, especially when compared to 2021-2023, according to Kaufman Hall’s September Flash report released this month
Contract labor rates and uti…
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…
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…
As the cost of healthcare in the U.S. continues to rise, many employers are rethinking their plan designs instead of passing the added expenses onto workers, found a report from global advisory and broking firm WTW.
Performance metrics were mixed for many healthcare organizations in August, with patient demand stalling as expenses continued to rise, according to new data from Strata Decision Technology.
Advocate Health, the nation’s third-largest non-profit health system, will begin canceling all judgment liens previously placed on homes and real estate as part of its efforts to collect unpaid medical bills, and will also forgive the outstanding debts…
