Payer

CMS is proposing a five-year experiment that would allow state Medicaid programs and Medicare Part D plans to cover GLP-1s for weight management on a voluntary basis, according to an Aug. 1 report from The Washington Post. Ozempic, Wegovy, Mounjaro…

Bloomington, Minn.-based HealthPartners is launching Simplica NextGen Copay, a health plan with no deductible or coinsurance for in-network care. With the plan, beneficiaries will also see what they’ll pay upfront before scheduling, according to an Aug. 4 HealthPartners news release.…

In its second quarter earnings call, Cigna Group executives detailed how the company is continuing to build its position as a key player in the high-demand GLP-1 market, using its insurance and pharmacy benefit arms to shape how the high-cost…

With second quarter earnings now reported, health insurers are navigating elevated medical cost trends that are hurting their profit margins, driven by increased member utilization of specialty drugs, behavioral health, and emergency services. In their calls with investors, executives specifically…

The nation’s largest payers have filed their second-quarter earnings reports, revealing which companies recorded the largest profits for the three months ended June 30.  1. UnitedHealth Group: $3.4 billion  Total net income in the second quarter was $3.4 billion. UnitedHealthcare’s…

The Cigna Group reported a net income of $1.53 billion in the second quarter of 2025, compared to $1.55 billion during the same quarter last year, according to its July 31 financial report.  Total revenue was $67.2 billion for the…

Almost 39 million people were enrolled in HSA-eligible health plans in 2024, according to a July report from AHIP. The report findings are based on survey responses from 20 health plans offering employer-sponsored insurance and individual ACA coverage, collectively representing…

Fitch affirmed UnitedHealth Group’s “AA-” rating July 30 but revised the company’s outlook to negative from stable.  Fitch said the revision reflects new information disclosed by UnitedHealth during its second quarter earnings call held July 29.  “The company provided guidance…

Alignment Healthcare posted its first quarterly profit and raised its full-year membership, revenue, adjusted profit and adjusted EBITDA outlooks in its second quarter earnings published July 30. “Our strong Q2 performance proves two things: one that there is a model…

Humana reported a net income of $545 million in the second quarter, down from a net income of $679 million during the same period last year, according to its July 30 financial report.  The company posted total revenues of $32.9…