Finances
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Hospitals, doctors could lose $32B in revenue next year if ACA subsidies expire: report
It’s the latest warning about the impact to the healthcare system if the subsidies are allowed to lapse, an issue at the center of the government funding fight taking place on Capitol Hill.
By Rebecca Pifer • Sept. 26, 2025 -
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Privia acquires Evolent’s value-based primary care unit for $100M
It’s an opportunity for Privia to further increase its shared savings in Medicare’s largest value-based program, while enticing Evolent Care Partners’ affiliated physicians onto its technology and services platform.
By Rebecca Pifer • Sept. 24, 2025 -
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Premier to go private in $2.6B deal with California investment firm
The take-private deal should give Premier more capital to bolster its operations and invest in technology.
By Rebecca Pifer • Sept. 23, 2025 -
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CVS’ Omnicare division files for bankruptcy
CVS’ pharmacy services subsidiary was hit with a $949 million judgment in July. The Chapter 11 process could delay the government from recouping the funds.
By Rebecca Pifer • Sept. 22, 2025 -
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States should be full steam ahead on Medicaid work requirements, experts say
There’s a lot that states want the CMS to weigh in on. But given the tight rollout timeline for the controversial mandates, they shouldn’t delay implementation, experts said during a MACPAC meeting.
By Rebecca Pifer • Sept. 22, 2025 -
Illustration: Xavier Lalanne-Tauzia for Industry Dive
Ascension returned to profitability in 2025
It’s a victory for the system, which reported a $1 billion loss last year as it struggled to recover from a cyberattack.
By Susanna Vogel • Sept. 19, 2025 -
Courtesy of Blue Shield of California
Kansas, Hawaii Blues invest in Blue Shield of CA’s health tech sister company
Stellarus was launched as part of Blue Shield of California’s restructuring to sell services to nonprofit plans that they don’t have the resources to build themselves. That pitch has now worked on at least two Blues plans.
By Rebecca Pifer • Sept. 18, 2025 -
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Doctors slam specialty cuts in 2026 Medicare pay proposal
Major physician groups and specialists commented in droves that regulators missed the mark on the Medicare physician fee schedule for next year.
By Rebecca Pifer • Sept. 16, 2025 -
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340B incentivizes hospital-clinic M&A, drives higher health spending: CBO
The nonpartisan scorekeeper’s new report reinforces longstanding concerns about the 340B drug discount program, including that it incentivizes behaviors that increase health costs for federal and private payers.
By Rebecca Pifer • Sept. 10, 2025 -
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Hospital financial performance holds steady, but headwinds loom: report
Hospital finances have been generally strong this year, but the future is precarious as expenses rise, according to an analysis by Kaufman Hall.
By Emily Olsen • Sept. 10, 2025 -
Courtesy of UnitedHealth Group
Early Medicare Advantage stars data bodes well for UnitedHealth
The healthcare behemoth expects to have roughly 78% of its MA enrollees in plans rated four stars or higher, a key cutoff for valuable bonuses in the privatized Medicare program.
By Rebecca Pifer • Sept. 9, 2025 -
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Surprise BillingNo 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 -
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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 -
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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 -
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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 -
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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 -
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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 -
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Sponsored by Sutherland GlobalDriving 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 -
Courtesy of UnitedHealth Group
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 -
Illustration: Xavier Lalanne-Tauzia for Industry Dive
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 -
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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 -
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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 -
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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 -
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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 -
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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
