Elevance Health posted a $1.76 billion profit in the first quarter of 2026, down 19.4% year over year. The company raised full-year guidance to diluted and adjusted diluted earnings per share to be at least $19.85 and $26.75, respectively, according…
Financial
UnitedHealth Group is moving up its share repurchase timeline, announcing plans to deploy at least $2 billion in buybacks by the end of the second quarter. The accelerated timeline is well ahead of its original guidance, which had back-loaded repurchases…
UnitedHealth Group posted $6.28 billion in profit for the first quarter of 2026, dipping slightly compared to the same period last year. The company released first-quarter earnings April 21, raising the full-year outlook to more than $17.35 per share and…
Philadelphia-based Jefferson Health and its insurer arm, Jefferson Health Plans, are reckoning with GLP-1 costs for its members and 65,000 employees. “Many insurers, including Medicaid programs in Pennsylvania and elsewhere, have been forced to restrict or discontinue coverage due to…
Arkansas Blue Cross & Blue Shield reported $4.8 million in net income in 2025, a major financial turnaround for the insurer after reporting a $226.2 million net loss in 2024. President and CEO Curtis Barnett told Arkansas Business that total…
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Anthem has been served with a breach notice from Greene County General Hospital in Linton, Ind., tied to alleged payment failures nearing $1 million. The hospital said Anthem paid claims below contract requirements and processed regular commercial claims under the…
Digital payment modalities aren’t enough: How health plans can build provider payment confidence
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As administrative costs rise and reimbursement grows more complex, both health plans and providers are under increasing pressure to improve the payment experience. Faster payment remains important, and digital payment modalities such as standard ACH and virtual cards have helped…
Independence Health Group, the parent company of Independence Blue Cross, posted a $423 million net loss in 2025, according to an April 9 news release. Independence attributed the loss to “increased affordability pressure,” citing higher utilization, care complexity and pharmacy…
Blue Cross Blue Shield of Minnesota posted a $353 million operating loss in 2025, driven largely by losses in its Medicare Advantage and Medicaid businesses, the insurer said April 1. The plan paid $9.8 billion in medical and pharmacy claims…
Healthcare providers have developed consistent processes for producing the appropriate documentation for payers to support care delivery. However, the translation of specific procedures into the correct DRG doesn’t always align. Because false alignment persists, the core problem is systemic gaps…