More data is pointing to concerns of skyrocketing healthcare costs in the upcoming years. Steeper medical utilization is one cause for concern, according to several sources. Meanwhile, HR 1 is radically reshaping Medicaid, and the expiration of ACA enhanced subsidies…
Financial
Molina Healthcare reported $60 million in net income for the second quarter of 2026, a 76% year-over-year drop from $255 million. The insurer attributed the decline mainly to lower premium revenue and a higher medical loss ratio. Total revenue for…
UnitedHealth Group posted nearly $5.5 billion in profit for the second quarter of 2026, up sharply from the same period last year. The company released second-quarter earnings July 16, raising its full-year outlook to a range of $18.45 to $18.95…
Elevance Health posted nearly $1.5 billion in profit during the second quarter of 2026, down 16% compared to last year. The company raised full-year guidance for diluted and adjusted diluted earnings per share to be at least $20.10 and $27,…
The HHS Office of Inspector General reported a $5.56 billion in savings and recoveries from Oct. 1, 2025, through March 31, 2026. OIG released its semiannual report in July. The division focuses on fraud, waste and abuse in government healthcare…
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CVS Health CEO David Joyner is skeptical as to whether the evidence backs GLP-1 investment right now. “Everybody intuitively believes these medications create long-term health benefits, but the evidence hasn’t yet demonstrated that paying today’s prices generates enough downstream savings,”…
Support for expanding Medicare into a government-run health plan for everyone swings by nearly 20 percentage points depending on how the idea is described to voters, according to new polling that arrives as the ACA marketplace is deteriorating and employer…
Memorial Hermann Health System plans to shut down its commercial health insurance business. The wind-down affects the Houston-based system’s HMO, PPO, and self-funded products for employers. On its website, the system said it would be difficult to reach the scale…
CVS Health and its long-term care pharmacy subsidiary, Omnicare, have reached a Justice Department settlement with a $440 million floor. The settlement would resolve a false claims case that resulted in a nearly $950 million judgment. A jury had previously…
CMS is proposing to create a new payment pathway for algorithm-driven diagnostic software, including AI tools, as part of its 2027 Hospital Outpatient Prospective Payment System and Ambulatory Surgery Center proposed rule, issued July 2. The proposal marks CMS’ first…