Category: Health Insurance

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.

Behavioral health should shift to value-based care despite challenges, Evernorth says

Basing payment on clinical outcomes rather than the volume of service is increasingly common among medical practitioners, yet value-based reimbursement is less common among mental health practices. According to a new paper published by Evernorth, a Cig…

Most Medicaid adults are working, KFF analysis finds

Four years ago, the Biden administration rolled back a controversial rule that required Medicaid beneficiaries to work in order to receive coverage.

Mobile Healthcare does house calls

Monadnock Community Hospital (MCH) in Peterborough, New Hampshire has enacted a mobile healthcare program to close care gaps in nearby rural communities.

HIMSS25 session shows how physicians are incentivized in alternative payment models

Harpreet Cheema, system senior vice president of Payer Strategy and Analytics of CommonSpirit Health and representatives from Innovaccer will give the best practices for establishing a clinically integrated network as the first step towards population …

AI’s ability to transform value-based care

Analytics driven by artificial intelligence could transform value-based care by addressing long-standing inefficiencies and enabling providers to deliver better outcomes at lower costs.
This is among the key findings from a HealthScape Advisors report,…

American Hospital Association says White House should grant tariff exceptions

The American Hospital Association has sent a letter to the Trump Administration urging it to consider exceptions to the proposed tariffs on medical devices and pharmaceutical products from China, Canada and Mexico.

Hospitals face rising costs, supply chain disruptions as tariff uncertainty continues

The Trump administration’s proposed tariffs on imported goods from Canada and Mexico may currently be on pause, but uncertainty over their potential reinstatement is having a ripple effect across the healthcare and pharmaceutical industries.
An additio…