Category: Healthcare Finance News

Miller Children’s launches pediatric care network

Miller Children’s and Women’s Hospital in Long Beach, California is kick-starting a new network to provide primary and specialty pediatric care.

Hospitals, physicians urge Congress to reject cuts to Medicaid

The American Hospital Association and several physician groups are urging Congress to reject cuts to Medicaid in the proposed budget resolution.
The AHA said even a small portion of the proposed cuts would destabilize hospitals and health systems.

California insurers launch primary care model

Three California-based health plans – Aetna, Blue Shield of California and Health Net – have come together to implement a shared value-based payment model under the California Advanced Primary Care Initiative’s Payment Model Demonstration Project. 

Humana cites rate increases, utilization in $693M Q4 loss

Humana’s financial results for Q4 and for full-year 2024 show a 10% revenue increase, but that’s about the only bright spot as the insurer was hit by significant losses, according to its Q4 earnings results.
Rising healthcare utilization and insufficie…

Mass General Brigham to lay off hundreds of non-clinical staff

Mass General Brigham plans to lay off hundreds of non-clinical employees due to a $250 million financial loss within the next two years, in what the health system calls a “gap of a quarter of a billion dollars.”

Aetna’s high medical costs hammer CVS earnings

CVS Health’s profits took a dip year-over-year, with the company reporting $1.6 billion in profits in Q4 2024, down from the $2 billion it brought in at the end of 2023.
Profits for the full year hit $4.6 billion – a sizable hit from the $83 million in…

Kaiser and Risant revenue exceeds $115 billion

Kaiser Foundation Health Plan & Hospitals reported revenue of $115.8 billion for 2024, a gain from the $100.5 billion reported in 2023.

Behavioral health should shift to value-based care despite challenges, Evernorth says

Basing payment on clinical outcomes rather than the volume of service is increasingly common among medical practitioners, yet value-based reimbursement is less common among mental health practices. According to a new paper published by Evernorth, a Cig…

Most Medicaid adults are working, KFF analysis finds

Four years ago, the Biden administration rolled back a controversial rule that required Medicaid beneficiaries to work in order to receive coverage.

Mobile Healthcare does house calls

Monadnock Community Hospital (MCH) in Peterborough, New Hampshire has enacted a mobile healthcare program to close care gaps in nearby rural communities.