Category: Healthcare Finance News

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…

Supreme Court rules against hospitals over DSH payment

The Supreme Court has ruled against hospitals in a case over disproportionate share hospital payments.
The Justices handed up a 7-2 decision on Tuesday. 

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.

Cedar announces agentic AI for healthcare billing

Patient financial platform Cedar has launched Kora, an AI voice agent that is projected to automate 30% of inbound billing calls by the end of the year.  
The platform is trained on Cedar’s pre-existing billing data so that Kora is able to intelligentl…

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…

Allegheny Health uses AI for prior authorization automation

Allegheny Health Network has implemented touchless prior authorization using AI automation technology in a partnership with Humata Health, a physician-led company backed by investors such as Optum Ventures.

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 …

HHS rolls back reports of a national autism registry

The Department of Health & Human Services is reportedly not creating a national autism registry, which seemingly contradicts statements made by the director of the National Institute of Health last week.