Financial / Operating Pressure
Signals classified into this topic vertical.
100 signals
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Insurers say their 2027 Medicare Advantage offerings preserve benefits. The data tells a different story
A Leerink Partners analysis of Medicare Plan Finder shows how the largest MA carriers are cutting dental allowances and premium givebacks next year as they continue to prioritize margin recovery.
Financial / Operating Pressure · 30 signals · last 30 days -
STAT+: UnitedHealth investor lawsuit moves forward on allegations it ‘manufactured earnings’ to hide declining profits
An investor lawsuit against UnitedHealth Group will move forward after a federal judge declined the company’s motion to dismiss allegations.
UnitedHealthUnitedHealthcare · 46 signals · last 30 days -
7 payers among world’s best companies in 2026
Seven U.S. health insurers made Time’s 2026 list of the world’s top 1,000 companies. Time and market research firm Statista compiled the ranking by evaluating employee satisfaction, revenue growth and sustainability transparency. Cigna ranked 2nd overall, jumping up 8 places from last year, and Humana landed 15th place, leaping 219 spots. The seven health insurers […] The post 7 payers among world’s best companies in 2026 appeared first on Becker's Payer Issues | Payer News .
HumanaCignaHumana + Cigna · 27 signals · last 30 days -
Centene executive exits pile up in 2026
In 2026, Centene’s leadership has turned over at many levels, from state health plan executives to the C-suite. The insurer ended 2025 with a 91.9% medical loss ratio and a $6.7 billion loss. That loss was mainly driven by a $6.7 billion non-cash goodwill impairment, spurred by HR 1 and a drop in the company’s […] The post Centene executive exits pile up in 2026 appeared first on Becker's Payer Issues | Payer News .
CenteneCentene · 13 signals · last 30 days -
As vertical integration scrutiny grows, UnitedHealth takes center stage
“UnitedHealth Group should not be allowed to exist in the form that it currently does.” That was late-night TV host John Oliver’s verdict in his Sept. 20 episode on the inner workings of UnitedHealth Group, digging into a dramatic multi-year saga for the company that’s included a massive cyberattack, a sharp earnings decline and the […] The post As vertical integration scrutiny grows, UnitedHealth takes center stage appeared first on Becker's Payer Issues | Payer News .
UnitedHealthUnitedHealthcare · 46 signals · last 30 days -
73% of small, mid-size employers considering dropping group coverage in 2027: Survey
Nearly three in four small and mid-size employers that currently offer traditional group health insurance are considering dropping those benefits for 2027, driven overwhelmingly by rising premium costs, according to a September survey from eHealth. eHealth surveyed more than 500 small- to mid-size business owners and managers at companies with up to 500 employees from […] The post 73% of small, mid-size employers considering dropping group coverage in 2027: Survey appeared first on Becker's P...
eHealtheHealth · 2 signals · last 30 days -
Texas judge signs off on bankruptcy plans for CVS' Omnicare unit
CVS Health's Omnicare unit has started voluntary Chapter 11 bankruptcy proceedings as it navigates a series of legal challenges.
CVS Health TexasCVS Health / Aetna · 12 signals · last 30 days -
Ascension sells ownership in Arizona Medicaid plan to Aetna
The sale lets Ascension shed insurance risk while Aetna gains a stake in a profitable plan serving high-margin dual-eligible members.
Aetna ArizonaCVS Health / Aetna · 12 signals · last 30 days -
Humana study links pharmacy care coordination to lower costs, fewer hospitalizations for cancer patients
Humana researchers found that cancer patients who received specialty pharmacy care coordination services had fewer hospitalizations and emergency department visits, along with lower medical costs.
HumanaHumana · 13 signals · last 30 days -
‘We are going to hit the gas’: Aetna president details insurer’s turnaround
Aetna’s two-year financial turnaround has taken hold following a leadership overhaul, thousands of ongoing cost management initiatives and a margin recovery plan expected to complete by 2027. “Once you get the fundamentals in place, you start getting credibility, not only with investors, but internally with our employees, and then, in particular, with our members,” Aetna […] The post ‘We are going to hit the gas’: Aetna president details insurer’s turnaround appeared first on Becker's Payer I...
AetnaCVS Health / Aetna · 12 signals · last 30 days -
GoHealth to shut down ‘majority’ of operations, cut 103 jobs
GoHealth will lay off 103 of the 111 full-time employees reporting to its Chicago headquarters months after the health insurance marketplace and Medicare-focused digital health company filed for bankruptcy. The company said in a Sept. 3 WARN notice that due to economic difficulties, it will be “fully shutting down the majority of its current operations.” […] The post GoHealth to shut down ‘majority’ of operations, cut 103 jobs appeared first on Becker's Payer Issues | Payer News .
GoHealth -
Hospital emerges from bankruptcy after inking 4-year deal with BCBS Alabama
Montgomery, Ala.-based Jackson Hospital exited bankruptcy Sept. 14, its president and CEO John Quinlivan confirmed to Becker’s. The hospital’s emergence from bankruptcy comes about one month after it signed a four-year agreement with Blue Cross Blue Shield of Alabama. The BCBS agreement was set to become active once the exit was complete. Jackson Hospital filed […] The post Hospital emerges from bankruptcy after inking 4-year deal with BCBS Alabama appeared first on Becker's Payer Issues | Pa...
Blue Cross Blue Shield plans · 36 signals · last 30 days -
Up, up, and away: Are double-digit health insurance rate increases ahead?
It looks like another round of health insurance premium increases for millions of Floridians who get their insurance through the federal health care makretplaces. Twelve Affordable Care Act participating insurers submitted for rate increases in the coming year, data published by KFF show. AmeriHealth Caritas Florida filed for the largest increase, 39.14%. By contrast, Centene […]
Centene FloridaCentene · 13 signals · last 30 days -
UnitedHealth CFO says ‘tough decisions’ in Medicare Advantage are paying off
UnitedHealth Group says its Medicare Advantage business is outperforming initial margin targets for 2026, crediting deliberate financial recovery moves that meant fewer members this year. Speaking at a Wells Fargo conference Sept. 9, CFO Wayne DeVeydt said the company “really needed to make some tough decisions around the durability of the products we had, coupled […] The post UnitedHealth CFO says ‘tough decisions’ in Medicare Advantage are paying off appeared first on Becker's Payer Issues...
UnitedHealthUnitedHealthcare · 46 signals · last 30 days -
Anthem moves to cover surgical mesh for breast reconstruction
Anthem is now covering three surgical meshes for breast reconstruction, according to a clinical guideline published Aug. 27. DuraSorb Monofilament Mesh, GalaFLEX and TIGR Matrix Surgical Mesh “are considered medically necessary when used for breast reconstruction surgery,” the guidance said. “We regularly review our medical coverage policies to ensure they’re aligned with credible medical evidence […] The post Anthem moves to cover surgical mesh for breast reconstruction appeared first on Bec...
AnthemElevance Health · 16 signals · last 30 days -
Democrats in talks about expanding Medicare, breaking up large insurers: Report
House Democrats are discussing a healthcare policy agenda that could include an expansion of the Medicare program, the Washington Post reported Sept. 3. House Minority Leader Hakeem Jeffries told NBC News that reversing the Medicaid cuts under H.R.1 and reviving enhanced ACA premium tax credits have “uniform Democratic support” ahead of the midterms. But privately, […] The post Democrats in talks about expanding Medicare, breaking up large insurers: Report appeared first on Becker's Payer Iss...
Financial / Operating Pressure · 30 signals · last 30 days -
Humana sets quarterly dividend
Humana’s board of directors declared a $0.885 per share dividend to be paid Nov. 27. The dividend will be paid to all shareholders of record as of the close of business Oct. 30, according to a Sept. 2 Humana news release. The company reported a $694 million profit for the second quarter, up more than […] The post Humana sets quarterly dividend appeared first on Becker's Payer Issues | Payer News .
HumanaHumana · 13 signals · last 30 days -
UnitedHealthcare cuts prior authorization from 1,700 codes
The list tells providers what treatments will no longer need preapproval this October, part of UnitedHealthcare’s pledge to cull 30% of its much-maligned utilization management controls. The codes span a broad range of services.
UnitedHealthcareUnitedHealthcare · 46 signals · last 30 days -
Cigna unveils new plan to bring together medical, supplemental benefits
Cigna is looking to better link medical and supplemental benefits for its members and has unveiled a new employer benefit that aims to further that goal.
CignaCigna · 15 signals · last 30 days -
High medical costs continue to hang over insurers’ margin recovery: Moody’s
Most large health insurers posted stronger-than-expected earnings in the second quarter, but much of the improvement might not be durable, according to a Moody’s Ratings analysis published Aug. 24. Average EBITDA margins across the seven largest publicly traded insurers rose to 4.7% in Q2, up from 3.9% in the same period a year earlier. UnitedHealth […] The post High medical costs continue to hang over insurers’ margin recovery: Moody’s appeared first on Becker's Payer Issues | Payer News .
UnitedHealthUnitedHealthcare · 46 signals · last 30 days -
UnitedHealth Group in the headlines: 10 updates
From posting a $5.5 billion profit in the second quarter, to a former UnitedHealthcare executive being confirmed as the next CDC director, here are 10 updates on UnitedHealth Group and its subsidiaries that Becker’s has reported since July 20: 1. Luigi Mangione pleaded guilty to federal stalking charges in connection with the December 2024 killing […] The post UnitedHealth Group in the headlines: 10 updates appeared first on Becker's Payer Issues | Payer News .
UnitedHealthcareUnitedHealthUnitedHealthcare · 46 signals · last 30 days -
Hospital to exit bankruptcy, inks 4-year deal with BCBS Alabama
Montgomery, Ala.-based Jackson Hospital has filed to exit bankruptcy and signed a four-year deal with Blue Cross Blue Shield of Alabama, John Quinlivan, CEO of Jackson Hospital, said during an Aug. 17 news conference. The BCBS agreement will become active once the exit is complete. “The agreement does not give us everything we felt we […] The post Hospital to exit bankruptcy, inks 4-year deal with BCBS Alabama appeared first on Becker's Payer Issues | Payer News .
Blue Cross Blue Shield plans · 36 signals · last 30 days -
What the Medicare Advantage rebound signals for 2027
Major Medicare Advantage insurers' recovery accelerated in the second quarter after companies posted lower medical costs than expected.
Financial / Operating Pressure · 30 signals · last 30 days -
Jackson Hospital, Blue Cross Blue Shield reach deal to keep hospital open
A troubled Montgomery hospital and the state’s largest private health insurance company reached a four-year deal Monday to keep the hospital open after years of financial woes. The deal between Jackson Hospital and Blue Cross and Blue Shield of Alabama is contingent on the hospital emerging out of bankruptcy, said John Quinlivan, Jackson Hospital’s president […]
Blue Cross Blue Shield plans · 36 signals · last 30 days -
Kaiser Permanente notches 4.6% Q2 operating margin, $5.3B net income
The country's largest nonprofit health system outlined a 10.9% year-over-year increase in operating revenues for the quarter ended June 30.
KaiserKaiser Permanente · 4 signals · last 30 days