Category: Healthcare Finance News

Democrats introduce resolutions to keep public input in rulemaking

Democratic senators and representatives have introduced companion resolutions  calling upon the Trump Administration to reverse course on a decision to no longer require public input on changes to public programs and policies overseen by the Department…

Michigan sues Express Scripts, Prime for anticompetitive conduct

Michigan Attorney General Dana Nessel filed a lawsuit against Express Scripts and Prime Therapeutics last week, claiming the two pharmacy benefit managers allegedly engaged in anticompetitive conduct that harmed independent pharmacies in the state.

Cigna benefits from low medical costs, posts $1.3B in revenue

With a medical loss ratio of 82.2%, insurer Cigna has felt less pressure around medical costs than its peers, allowing the company to pull in $1.3 billion in profit during the first quarter of the year.
While the medical loss ratio is higher than it wa…

Elevance, Humana and Aetna allegedly paid kickbacks to brokers

The United States has filed a complaint against Aetna, Elevance and Humana for allegedly paying millions of dollars in kickbacks to insurance brokers eHealth, GoHealth and SelectQuote. 

Revenues and expenses up, margins down for nation’s hospitals

Hospitals across the U.S. are seeing both higher revenues and higher expenses, and operating margins have begun to contract slightly, according to March data published by Strata. 

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.