3+ hour, 5+ min ago  (837+ words) A Healthcare Dive analysis of new government data lays out just how drastically insurers retrenched their MA businesses for 2026. Medicare Advantage growth continues to slow as health insurance giants pull back on the program, rattled by shrinking profits. Almost 35.5 million…...

6+ day, 33+ min ago  (463+ words) Nonprofit Prime Foundation, an affiliate of for-profit hospital operator Prime Healthcare, now owns21 hospitals across eight states. The deal expands Prime Foundation's footprint to 21 hospitals, according to the nonprofit. Prime Foundation now owns hospitals in Maine, Texas, Ohio, California, Rhode Island,…...

1+ week, 5+ day ago  (649+ words) Still, the for-profit hospital operator's projected loss is less than some of its peers, and Tenet'said it expected to grow its earnings this year. Health systems have been trying to quantify just how dramatically the loss of the enhanced ACA…...

1+ week, 6+ day ago  (790+ words) New membership expectations for 2026 leave Humana and UnitedHealth neck and neck when it comes to MA enrollment, though Humana's growth is a significant gamble at a time of elevated medical spending. Humana expects to grow its Medicare Advantage membership by…...

2+ week, 7+ hour ago  (763+ words) The CMS said the regulation should remove barriers to more affordable health plans, like catastrophic coverage, as enrollment on the exchanges falls. The CMS proposed a sweeping rule Monday making a number of changes to Affordable Care Act plans, including…...

2+ week, 6+ day ago  (1095+ words) The agency quietly released a memo updating MA plans on how it's approaching risk adjustment data validation audits after a Texas judge's ruling last year complicated the expanded reviews. The CMS has provided a long-awaited update on how it plans…...

3+ week, 13+ min ago  (557+ words) The full financial impact of the price hikes could exceed $67 million each year in just two dozen markets, according to the new study published in Health Affairs. There's a harsh spotlight on market concentration in healthcare, as lawmakers " including traditionally…...

3+ week, 1+ day ago  (279+ words) The sector recorded 45 filings last year, down 21% from 2024, according to Gibbins Advisors. But financial pressures from Medicaid cuts will likely challenge the industry. Most healthcare filings took place at the beginning of the year, with around 38% of the cases recorded…...

3+ week, 1+ day ago  (322+ words) In a world where rising costs, flat or declining reimbursement and staffing shortages threaten the viability of small and independent medical practices, those seeking to stay profitable and relevant can learn valuable lessons from the retail industry." Today's patients have…...

3+ week, 4+ day ago  (309+ words) The rule puts limits on states levying higher taxes on Medicaid businesses. Nearly all states use taxes levied on providers like hospitals or nursing facilities to help fund their share of Medicaid, according to health policy research firm KFF. The…...