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,…
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Health system leaders know the goal: delivering care that’s seamless, efficient and tailored to each patient. But operational fragmentation and limited visibility into capacity continue to disrupt that aim. At Becker’s 2025 Health IT + Digital Health + RCM Meeting,…
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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…
Minnesota Gov. Tim Walz has paused payments for 14 high-risk Medicaid services for up to 90 days while a third-party audit is conducted. The state’s Department of Human Services has contracted with Optum, which will analyze Medicaid fee-for-service claims data…
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…
Inefficiencies in documentation, contracts and workflows quietly chip away at revenue. Outdated revenue cycle management (RCM) practices can cost physician groups hundreds of thousands each year. Without a comprehensive operational review, many practices never realize how much potential income is slipping through the cracks.…
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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…
UnitedHealth Group is projecting its Medicare Advantage enrollment will decrease by 1 million people in 2026. That estimate is up from a 600,000-member decrease it projected in July. UnitedHealthcare CEO Tim Noel said on the company’s Oct. 28 earnings call…
Allentown, Pa.-based Lehigh Valley Health Network said it is planning to terminate its contract with UnitedHealthcare unless the payer works with the health system to remedy reimbursement issues. Without a resolution, LVHN will go out of network with UnitedHealthcare’s Medicare…