Category: Healthcare Finance News

Hospital margins climb to 5.1% in September

Hospital operating margins inched upward for a second consecutive month, with new data from Strata showing the median year-to-date (YTD) operating margin for hospitals nationwide rose to 5.1% in September, up from 4.9% in August and 4.8% in July.

Humana increases revenue to $29.4 billion in Q3

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…

Two CFOs see promise of AI, but have yet to build a dedicated budget

CFOs of two of the country’s largest nonprofit health systems were asked about their financial strategies in the midst of generative AI becoming the next big thing with the launch of ChatGPT in 2022.

Elevance planning CareBridge acquisition estimated at $2.7 billion

Elevance Health announced plans to acquire home health company CareBridge during its most recent earnings call, with Elevance Health CEO Gail Boudreaux saying it will serve as the foundation for subsidiary Carelon’s home health business.
“We’re excited…

Geisinger uses AI platform for OR optimization

Geisinger is partnering for an AI platform to better manage operating room time and staffing.
The AI platform by partner Optmed.ai analyzes billions of logistical data points to manage OR workflow. This allows for more clinical procedures, which boosts…

Geisinger uses AI platform for OR optimization

Geisinger is partnering for an AI platform to better manage operating room time and staffing.
The AI platform by partner Optmed.ai analyzes billions of logistical data points to manage OR workflow. This allows for more clinical procedures, which boosts…

Employers using various strategies to contain healthcare costs

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…

Pharmacy owner sentenced in $41 million insurance fraud case

A Dallas pharmacy owner who routinely billed insurance companies for headache sprays, pain creams and scar creams never dispersed to patients has been sentenced to 10 years in federal prison, according to the U.S. Department of Justice.

CHS reports losses due to hurricanes, payer denials, increased workforce expenses

Community Health Systems took a financial hit for the third quarter due in part to the continuation of high payer denials, higher workforce expenses and the unanticipated setback of back-to-back hurricanes.

AMA files lawsuit alleging price-fixing by MultiPlan

The American Medical Association and the Illinois State Medical Society (ISMS) filed a lawsuit last week against MultiPlan claiming the data analytics agency is at the center of an alleged price-fixing conspiracy with commercial health insurance compan…