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Minnetonka, Minn.-based UnitedHealth Group made an unsolicited offer of $28 per share to acquire Brentwood, Tenn.-based Surgery Partners, Bloomberg reported…
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Oakland, Calif.-based Kaiser Permanente recorded an operating income of $495 million (1.4% operating margin) in the third quarter of 2026, up from $218 million (0.7% margin) during the same period last year, according to its Nov. 6 financial report. Seven…
CMS is ending its Medicare Part D Premium Stabilization Demonstration at the end of 2026, bringing standalone drug coverage back to “traditional market conditions,” per the agency. After the Inflation Reduction Act redesigned Part D to lower drug cost-sharing, Part…
Children are 23 percent of the U.S. population, yet pediatrics drew just 8.1 percent of matched medical residents in 2025, down from 8.8 percent in 2021, according to the Children’s Hospital Association. For children’s hospitals, that shortfall becomes a daily…
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Health systems across the country are making very different bets on whether to be in the insurance business. Carle Health, Michigan Medicine, Memorial Hermann, Providence, and UMass Memorial have all shuttered or sold their insurance arms within the last two…
The attorneys general of Oregon, Minnesota, New Mexico and Washington are suing HHS and CMS, arguing the federal government cannot pull existing Medicaid funding from states that don’t adopt the Medicaid work requirement in HR 1. The lawsuit, filed Nov.…
Tacoma, Wash.-based MultiCare Health System has entered the Medicare Advantage market with its new health plan, a move more than a decade in the making that runs against a tide of health system-owned plan closures across the country. MultiCare Health…
America’s aging population is changing what health systems are asked to deliver, and the pressure is landing hardest on the specialties responsible for chronic disease, complex conditions, procedural care and preventive health. Cardiology, vascular care, oncology, gastroenterology, radiology, anesthesiology, primary…
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Aetna left the ACA market at the beginning of 2026, citing underperformance. Other insurers have also been navigating a rocky ACA landscape, marked by the expiration of enhanced premium subsidies and shifting risk-pool dynamics. CVS Health previously recorded a $448…
A federal judge in Pennsylvania denied Aetna’s request for arbitration Nov. 4 in a lawsuit from Philadelphia-based Jefferson Health and Lehigh Valley Physician Hospital Organization regarding the insurer’s “level of severity inpatient payment policy” for Medicare Advantage beneficiaries. The lawsuit…
Elevance Health filed a lawsuit Nov. 4 against autism therapy group Perfect Child, alleging the in-network applied behavior analysis provider leveraged out-of-network shell entities to secure higher reimbursement. The complaint, filed in New York state court, said Perfect Child’s owner,…
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