Category: Healthcare Finance News

Change Healthcare cyberattack affected PHI of 100 million

The Change Healthcare cyberattack compromised the protected health information of at least 100 million people, according to The HIPAA Journal.
This represents a third of the population in the United States and makes the data breach the largest known br…

Molina beats financial expectations on higher premium revenue

Unlike Q3 earnings reports from insurers more heavily in the Medicare Advantage market, Medicaid-based Molina Healthcare on Thursday released third quarter financials that beat expectations.

Lawsuit accuses Anthem Blue Cross Blue Shield of New York of harboring a ‘ghost network’

A new lawsuit filed in the Southern District of New York accuses Anthem Blue Cross Blue Shield of New York of maintaining a “ghost network” of doctors, with patients pursuing pricey out-of-network care and experiencing care delays due to inaccurate pro…

Centene sues CMS over Medicare Advantage star ratings

Centene has joined the list of insurers that are suing the Centers for Medicare and Medicaid Services over the 2025 Medicare Advantage Star Ratings.
Centene of Missouri and 10 affiliated plans such as Meridian Health Plan of Michigan and several Wellca…

389 healthcare companies hit by ransomware this year, Microsoft finds

This year, 389 healthcare institutions in the U.S. were attacked with ransomware, which caused network shutdowns, offline systems, rescheduled appointments and delays in critical procedures, finds a new report from Microsoft.

Oscar Health expands ACA presence with chronic condition plans

Healthcare insurtech Oscar Health will be expanding its presence on the Affordable Care Act marketplace in 2025 and is introducing new plans for people with multiple chronic conditions.
The company will expand into 405 markets across 18 states next yea…

Providence Health & Services in Oregon optimizes value-based care

Value-based care has long been the goal, but becomes more than aspirational when the majority of patients are paying through Medicare and Medicaid.
Providence Health & Services in Medford, Oregon has a payer mix of 60% Medicare and 20% Medicaid, accord…

Elevance laying off 123 California employees

Elevance Health is laying off a combined 123 employees across two southern California locations, according to regulatory documents filed this month.

Waltz Health tackling GLP-1 management with Noom

Waltz Health, a digital health company focusing on the pricing and distribution of prescription medications, is collaborating with digital chronic disease prevention company Noom on a new weight loss program the two describe as comprehensive and more a…

Cleveland Clinic and Amazon One Medical collaborate on primary care clinics

The Cleveland Clinic and Amazon One Medical are collaborating on primary care clinics in Northeast Ohio. 
Amazon One Medical said it would open its first primary care office in affiliation with the Cleveland Clinic next year, offering same and next-day…