Author: Elizabeth Casolo

The Cigna Group posted a $1.9 billion profit in 2025’s third quarter, up from $739 million during the same period last year, according to an Oct. 30 earnings release. Total revenue reached $69.7 billion, a 9.5% increase year over year,…

The ACA marketplace’s open enrollment period kicks off on Nov. 1, but HealthCare.gov and states have price previews already available. The shopping window will remain open until Jan. 15, 2026, but those assessing their coverage face uncertainty. The fate of…

Centene’s prescription drug plan enrollment is driving Medicare performance, contributing about half of the segment’s revenue, according to an Oct. 29 earnings call.  Centene’s premium and service revenue reached $44.9 billion in the third quarter of 2025. Medicare prescription drug…

CVS Health boosted its guidance despite a $4 billion loss. The company documented $103 billion in revenue for third-quarter 2025, according to an Oct. 29 financial report. Revenue was up 7.8% year over year. The company raised its outlook and…

Centene reported a $6.6 billion loss in 2025’s third quarter but landed $49.7 billion in revenue, the company shared in its Oct. 29 earnings release. The company cited the One Big Beautiful Bill Act and a dip in its stock…

Optum Health, UnitedHealth’s care services division, “strayed from the initial intent,” said Optum CEO Patrick Conway while discussing the unit’s performance during UnitedHealth Group’s Oct. 28 earnings call. However, he remained confident that the company can push the business forward.  Mr.…

UnitedHealth Group posted a $2.3 billion profit for its third quarter of 2025, down from a $6.1 billion profit for the same time last year. The company released its third-quarter earnings Oct. 28 and raised its 2025 outlook. At the…

Health plans found that 39% of provider’s surprise billing disputes were ineligible for arbitration and never should have been submitted to the federal independent dispute resolution process, according to a survey published Oct. 24. The No Surprises Act established the…

On average, in 2022, Medicare Advantage enrollees had plans that covered only 48% of the physicians that traditional Medicare beneficiaries could access, according to an Oct. 27 KFF report. The study reviewed 4,200 individual HMO/PPO MA plans that covered 20.3…

Jenny Smith will take over as president and COO of the Hawaii Medical Service Association on Nov. 1, according to an Oct. 24 news release. She will serve as the organization’s first female president. Since April 2024, Ms. Smith has…