From plans to exit the individual ACA exchange market to naming a new chief medical officer, here are eight updates on Aetna that Becker’s has reported since March 11: 1. The Department of Justice filed a sweeping lawsuit against Humana,…
Payer
The nation’s largest payers have filed their first-quarter earnings reports, revealing which recorded the largest profits in the first three months of 2025. 1. UnitedHealth Group: $6.3 billionTotal net earnings in the first quarter were nearly $6.3 billion. UnitedHealthcare’s total…
The Cigna Group will introduce two new programs to help manage the cost and delivery of GLP-1 drugs. On a May 2 earnings call, Cigna Group President and COO Brian Evanko, in addition to reporting total year-over-year revenue up 14%,…
The Department of Justice has filed a sweeping lawsuit against Humana, Aetna, and Anthem, along with Medicare Advantage brokers eHealth, GoHealth, and SelectQuote, alleging a multi-year scheme involving unlawful kickbacks and discriminatory practices against disabled MA enrollees. According to the…
The Cigna Group raised its year-end adjusted income from operations to at least $29.60 per share, according to the company’s first quarter earnings published May 2. Total revenues in the first quarter were $65.5 billion, up 14% year over year.…
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Facing a $200 million loss in 2024, Bloomington, Minn.-based HealthPartners is scaling back its health plan operations, the Minnesota Star-Tribune reported April 30. As of April 1, HealthPartners has exited Minnesota’s Special Needs Basic Care Medicaid program, per the Star-Tribune.…
A group of New York state employees is suing Carelon Behavioral Health, alleging the health benefits provider knowingly maintained inaccurate directories of mental health providers, referred to in the lawsuit as “ghost networks.” In a proposed class-action lawsuit filed in…
Novo Nordisk and Humana’s CenterWell Pharmacy are expanding their GLP-1 partnership to further increase access to Wegovy through direct-to-patient delivery and telehealth services. Telehealth providers Hims & Hers Health, LifeMD, and Ro will work directly with NovoCare to prescribe Wegovy…
Health insurers face “relatively modest short-term effect from tariffs,” according to an April 28 brief from Fitch Ratings. The short-term effects could change though depending on how long tariffs last and the industries they apply to, and insurers could face…
Aetna will exit the individual ACA exchange market in 2026, citing continued underperformance. CVS Health reported its first quarter earnings May 1. On a call with investors, CEO David Joyner said the company determined there is “not a near or…