Category: Healthcare Finance News

Chief growth officer on the competitiveness of home health market

The home care and hospice market is growing along with an aging population.

Class action lawsuit against UnitedHealth’s AI claim denials advances

A federal judge has dismissed five out of seven counts in a class action lawsuit against UnitedHealth Group but will allow it to continue, with the suit claiming that UHG, UnitedHealthcare and naviHealth denied claims by using an artificial intelligenc…

Reaction mixed to RFK Jr.’s confirmation as HHS secretary

The Senate on Thursday voted 52-48 largely along party lines to confirm Robert F. Kennedy Jr. as the new secretary of the Department of Health and Human Services. Republican Sen. Mitch McConnell of Kentucky joined with Democrats to oppose the nominatio…

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.