Elevance Health is reaffirming that shareholders’ adjusted net income guidance for full year 2025 will be $34.15 to $34.85 per diluted share. The company said in an April 17 regulatory filing that its first quarter results will reflect medical cost…
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UnitedHealth Group is feeling “better than pretty good” about the potential for pharmaceutical tariffs and the resulting possible impact on its businesses. President Donald Trump has threatened tariffs on pharmaceutical imports, with U.S. Commerce Secretary Howard Lutnick saying April 13…
UnitedHealth Group posted nearly $6.3 billion in net income during the first quarter of 2025, but the company reduced its year-end earnings outlook amid rising use of physician and outpatient services among its Medicare Advantage membership and “unanticipated changes in…
Anthem has reached a settlement in a case alleging its standards for residential mental health coverage were unnecessarily strict. According to an April 15 joint-status filing, Anthem and the plaintiffs in the case reached an agreement in principle on the…
Alignment Healthcare has promoted two executives to lead its AI and member experience efforts. Arta Bakshandeh, DO, has been named president of AVA, the company’s AI clinical insight platform, according to an April 15 news release. Dr. Bakshandeh was most…
CMS has denied an appeal from Humana to raise its 2025 star ratings, the company disclosed in an April 15 court filing. Humana saw its Medicare Advantage star ratings drop significantly from 2024 to 2025, which will hurt the company’s…
Patient expectations will push healthcare to evolve by 2030, according to 23 payer executives. Leaders said AI, new models of care and a push toward convenience will transform healthcare in the next five years. Becker’s connected with 23 leaders to…
Differential coding practices led to a significant increase in Medicare Advantage risk scores and an estimated $33 billion in additional payments to plans in 2021, according to a March study published in the Annals of Internal Medicine. The study analyzed…
From UnitedHealthcare planning to cut prior authorization by 10% in 2025 to a congressman reintroducing reform legislation on, here are nine prior authorization updates that Becker’s has reported on since March 3: 1. Rep. Mark Green, MD, of Tennessee reintroduced…
CMS proposed a major payment boost for Medicare Advantage plans but declined to take up new regulations around AI and GLP-1 drugs. Here are 10 Medicare Advantage updates Becker’s has reported since March 18.