No Surprises dispute resolution is creating billions of dollars in extra costs, could raise premiums: analysis

Providers are turning to the law’s arbitration process in droves to settle out-of-network claims, one factor fueling spending that could cost consumers down the line.

By Rebecca Pifer • Aug. 27, 2025

ModivCare files for bankruptcy with over $1.4B in debt

The medical transportation firm blamed mounting headwinds for its financial challenges, including labor cost inflation and declining reimbursements from public payers.

By Susanna Vogel • Aug. 26, 2025

CVS Caremark fined $290M for Medicare fraud

CVS tried and failed to convince the judge to decrease the penalty. The company plans to appeal the ruling.

By Rebecca Pifer • Aug. 20, 2025

Private equity owners led to Genesis Healthcare’s bankruptcy: report

The skilled nursing operator filed for bankruptcy in July, a “predictable” outcome after years of financial mismanagement from Genesis’ private equity investors, according to the Private Equity Stakeholder Project.

By Susanna Vogel • Aug. 19, 2025

Large employers forecast ‘daunting’ 9% hike in healthcare costs next year

Employers surveyed by the Business Group on Health are bracing for the largest annual increase in healthcare costs in more than a decade — a sobering prospect, one expert said.

By Rebecca Pifer • Aug. 19, 2025

Cencora directors agree to $111M settlement over alleged opioid mismanagement

The settlement brings to a close litigation from pension funds that argued Cencora’s leadership ignored red flags about improper opioid distribution practices for years in order to profit.

By Rebecca Pifer • Aug. 18, 2025

Driving value and efficiencies with intelligent automation for claims audit processes

By leveraging innovative technologies, leading payers are overhauling their claims audits to create revolutionary new efficiencies, driving business value by minimizing error and reducing the need for post payment audits.

Aug. 18, 2025

UnitedHealth closes $3.3B Amedisys buy after long regulatory battle

The settlement between UnitedHealth, Amedisys and the DOJ cleared the way for the deal to be finalized after a long regulatory delay. Amedisys stopped trading on Nasdaq.

By Rebecca Pifer • Aug. 15, 2025

Providence narrows operating loss in Q2, but challenges remain

The Renton, Washington-based provider said it’s closer to “breakeven” after implementing efficiency initiatives, including staffing cuts.

By Susanna Vogel • Aug. 14, 2025

HCA, Mission settle monopoly allegations in North Carolina

Mission has agreed to funnel $1 million into a new charity care fund for low-income patients and keep a regional hospital open for another three years. The settlement puts to bed a yearslong legal dispute with local governments.

By Rebecca Pifer • Aug. 14, 2025

Kaiser raises operating income in Q2 but eyes looming headwinds

The nonprofit said it’s feeling growing pressure from higher utilization in its health plan and heightened care delivery costs. It’s also preparing to face fallout from policy changes in Washington.

By Susanna Vogel • Aug. 13, 2025

Physicians are working more but reimbursement isn’t keeping pace, report finds

Physicians are working harder now than in past years, but they’re getting less for that work, according to new research from Kaufman Hall. The situation could worsen as more Americans lose health insurance.

By Rebecca Pifer • Aug. 12, 2025

Depressed volumes hounded for-profit providers in Q2

Executives at major for-profit hospital chains gave conflicting explanations for the softer volumes in the second quarter, from flagging consumer confidence to lower Medicaid admissions. 

By Sydney Halleman • Aug. 11, 2025

Healthcare bankruptcies dipped to 3-year low in the second quarter

Although fewer companies are expected to file for Chapter 11 protections in 2025 relative to last year, significant headwinds remain on the horizon, according to a new report from Gibbins Advisors.

By Susanna Vogel • Aug. 7, 2025

The great Medicare Advantage contraction appears set to continue

Insurers plan to keep sacrificing MA growth for profitability next year, after second quarter results for Humana and CVS showed the success of the strategy.

By Rebecca Pifer • Aug. 6, 2025

Hinge Health beats Wall Street expectations on revenue in first public earnings

The digital musculoskeletal care company hit the public markets in May, one of just a few digital health firms to complete an IPO in recent years.

By Emily Olsen • Aug. 6, 2025

Cigna beats investor expectations on Evernorth growth

Cigna’s health insurance business is performing within expectations, even as the insurer faces persistently heightened medical costs, executives said.

By Emily Olsen • Aug. 1, 2025

Trump administration to pilot 340B rebate model next year

The pilot is a significant departure from the current model, which gives hospitals upfront discounts for some drugs. Hospitals say 340B is a lifeline, while drugmakers say hospitals have abused the program.

By Susanna Vogel • Aug. 1, 2025

Teladoc beats Wall Street expectations in Q2 amid strategic revamp

Still, the virtual care giant reported revenue and earnings decline at BetterHelp, Teladoc’s direct-to-consumer mental health segment that has faced challenges for several quarters.

By Emily Olsen • July 31, 2025

CVS hikes adjusted earnings guidance as Aetna performance improves

The company raised its outlook as many insurers are struggling with elevated medical costs in the second quarter.

By Emily Olsen • July 31, 2025

UHS posts softer-than-expected volumes for second consecutive quarter

In light of the results, executives backed away from prior behavioral health growth targets for 2025, though they slightly raised the midpoint of overall revenue guidance.

By Susanna Vogel • July 30, 2025

Humana hikes 2025 guidance on medical cost control, pharmacy growth

The health insurer’s results are a bright spot in what’s otherwise been a gloomy quarter for the sector. Humana says it has a handle on snowballing medical costs after taking a conservative stance heading into the year.

By Rebecca Pifer • July 30, 2025

UnitedHealth expects lower profits in 2025 amid medical cost spike

The beleaguered company plans to focus on business fundamentals, cut Medicare Advantage plans, raise prices and forge a new relationship with regulators as it slogs its way back to favored status with Wall Street.

By Rebecca Pifer • July 29, 2025

Why healthcare must finally retire the paper check

It’s time for healthcare to retire the paper check for good. Here’s why.

By Shabaz Hossain • July 28, 2025

Depressed volumes drag CHS’ second-quarter earnings

Executives said the declines were due to flagging consumer confidence. Also, CEO Tim Hingtgen announced he plans to step down in September.

By Sydney Halleman • July 25, 2025