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Oakland, Calif.-based Kaiser Permanente recorded an operating income of $495 million (1.4% operating margin) in the third quarter of 2026,…
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Elevance Health filed a lawsuit Nov. 4 against autism therapy group Perfect Child, alleging the in-network applied behavior analysis provider leveraged out-of-network shell entities to secure higher reimbursement. The complaint, filed in New York state court, said Perfect Child’s owner,…
Humana reported a net income of $162 million for the third quarter, down from $195 million in the same period last year, the company said Nov. 6. The insurer raised its full-year 2026 adjusted EPS guidance to at least $9.50,…
AI spending in healthcare nearly tripled between 2024 and 2025, reaching $1.4 billion, and roughly three in four US health systems now use at least one AI application. But for most organizations, this first wave automated isolated tasks without moving…
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Mark Cuban has a blunt message for hospital CFOs: Stop letting insurers and benefits administrators dictate the terms of the deal and start using AI to uncover where hospitals may be overpaying. The billionaire entrepreneur and co-founder of Cost Plus…
At least six health insurers have now sued CMS over their 2027 Medicare Advantage star ratings, claiming the agency used quality measures that were never formally adopted through the rulemaking process. Combined, the plans say the ratings will cost them…
CMS finalized its Home Health Prospective Payment System final rule Nov. 4, including a 2.4% home health payment boost for 2027. The rule also includes stricter Medicare provider enrollment provisions as the federal government continues to target alleged fraud, waste…
Today’s CIOs are faced with countless opportunities to invest in AI, but with little more than promises that any project will result in measurable ROI. If we believe AI can transform operations across the hospital, what’s the right decision framework?…
The Cigna Group plans to cut more jobs, according to a company letter that was sent to employees Nov. 2. The letter, obtained by Becker’s, did not specify how many jobs would be affected but confirmed there would be fewer…
UnitedHealthcare individual and group retiree Medicare Advantage members will continue to have in-network access to Ballad Health under a new multi-year contract inked by the two organizations. The contract includes value-based measures around care quality and patient experience, according to…
A federal judge has lifted CMS’ freeze on new ACA marketplace broker registrations, clearing the way for approximately 19,000 licensed agents and brokers to assist consumers with 2027 coverage. The U.S. District Court for the District of Maryland ruled Nov.…
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