Category: Health Insurance

Covered California Pushes for Better Health Care as Federal Spending Cuts Loom

Monica Soni, Covered California’s chief medical officer, oversees an effort to hold health plans financially accountable for the quality of care they provide, including childhood vaccination rates, which have fallen in California and nationwide. She worries federal spending cuts could soon bring turbulence to the state’s Affordable Care Act marketplace.

Government Watchdog Expects Medicaid Work Requirement Analysis by Fall

This fall, the U.S. Government Accountability Office expects to release a report on how much it costs to run Georgia Pathways to Coverage — the country’s only active Medicaid work requirement program — as other states and Congress consider similar programs.

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…

KFF Health News’ ‘What the Health?’: 100 Days of Health Policy Upheaval

Members of Congress are back in Washington, and Republicans are struggling to find ways to reduce Medicaid spending without cutting benefits. Meanwhile, confusion continues to reign at the Department of Health and Human Services. Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health, Alice Miranda Ollstein of Politico, and Margot Sanger-Katz of The New York Times join KFF Health News’ Julie Rovner to discuss these stories and more.

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.

KFF Health Tracking Poll April 2025: Public’s View on Major Cuts to Federal Health Agencies

Amid sweeping cuts to federal government health agencies by the Trump Administration, much of the public opposes cuts to funding and staffing, including some Republicans. Support of many of these cuts is largely partisan, however, there is agreement ac…

California’s Primary Care Shortage Persists Despite Ambitious Moves To Close Gap

The state has in recent years embraced several initiatives recommended in an influential health care workforce report, including alternative payment arrangements for primary care doctors to earn more. Despite increasing residency programs, student debt forgiveness, and tuition-free medical school, California is unlikely to meet patient demand, observers say.

Most of the Public Oppose Major Federal Cuts to Health Agencies and Programs and Say They Have Been Made “Recklessly”

As the Trump administration and Congress pursue broad cuts to federal health agencies and budgets, most of the public, including some Republicans, oppose deep budget and staffing cuts to federal health programs and agencies, a new KFF Health Tracking P…

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.