STAT+: Biden administration sticks with slight cuts to 2025 Medicare Advantage payments
Over the past few weeks, Medicare Advantage insurers demanded that the Biden administration give them…
Category: health insurance
Why a bill meant to stop surprise medical bills hasn’t worked
You’re reading the web version of Health Care Inc., STAT’s weekly newsletter following the flow of money…
STAT+: Medicare Advantage insurers pressure Biden administration for bigger payments
The public will soon find out whether the federal government is willing to meet the…
STAT+: UnitedHealth appears to be upping loan offers to providers, after Change cyberattack
UnitedHealth Group appears to be offering some providers more substantial loans in the wake of…
STAT+: As Humira biosimilars take over the market, CVS has created a new ploy: the drug ‘rebate credit’
The biggest enticement that large pharmacy benefit managers offer to the employers that hire them…
Opinion: Prescription for resilience: Health care needs financial sector-inspired regulation
In the early days after it was hit by a cyberattack on Feb. 21, Change…
STAT+: UnitedHealth is on a buying spree of outpatient surgery centers
UnitedHealth Group quietly acquired dozens of outpatient facilities in 2023, with a particular focus on…
STAT+: Medicare announces loan program to aid providers affected by Change cyberattack
Medicare announced on Saturday that it will make advance payments available to physician groups, hospitals,…
STAT+: UnitedHealth gives timeline for Change restoration: payments up by late next week
Change Healthcare’s parent company said it’ll have its electronic payment function up and running by…
STAT+: Large insurers say up to one-quarter of claims run through Change Healthcare
Some of the country’s biggest health insurers said Tuesday that up to one-quarter of their…
STAT+: Explaining Change Healthcare and the gravity of its cyberattack
The cyberattack on Change Healthcare has fractured the country’s health care payment infrastructure. But it…
STAT+: Medical device lobby says it’s tired of waiting on Medicare to cover breakthrough devices
Medical technology lobby AdvaMed is fed up with the Centers for Medicare and Medicaid Services….
STAT+: Change Healthcare cyber attack outage could persist for weeks, UnitedHealth Group executive implies
The outage caused by the Change Healthcare cyberattack could last weeks, a top UnitedHealth executive…
STAT+: Experts say scale of Change cyberattack shows risk of centralized claims processing
Change Healthcare’s recent cyberattack has hospitals, doctors’ offices, and pharmacies across the country reeling as…
STAT+: UnitedHealth cyberattack cripples pharmacies’ and hospitals’ ability to process insurance claims
Hospitals, pharmacies, and other health care providers are getting stuck in an insurance processing logjam…
Medicare Advantage’s 33 million club
You’re reading the web version of Health Care Inc., STAT’s weekly newsletter following the flow of money…
STAT+: Obamacare plans don’t have to cover weight loss drugs. The government is considering changing that
WASHINGTON — Drugmakers are doing everything to tap the bottomless well of demand for new…
STAT+: Banning surprise medical bills is raising costs elsewhere
Without question, the new federal law banning surprise billing is achieving its goal of protecting…
STAT+: Medicare Advantage enrollment races past 33 million
Roughly 33.4 million adults older than 65 and people with disabilities were enrolled in a…
STAT+: Louisiana, Oregon deals show health insurer acquisitions aren’t a sure thing anymore
A deal is never really done until it’s done. On Tuesday, two different proposed insurance…
STAT+: Private equity investment in Medicare Advantage drops
Major insurance companies like UnitedHealthcare and Humana have edged out private equity firms from investing…
STAT+: States are ramping up scrutiny of health transactions, as more provider groups look for buyers
UnitedHealth Group’s Optum has bought an untold number of physician practices over the years. It…
STAT+: Cano Health’s downfall offers a warning for Medicare Advantage
Private Medicare just isn’t the gold mine it once was. Case in point: Cano Health,…
Let the Medicare Advantage lobbying begin
You’re reading the web version of Health Care Inc., STAT’s weekly newsletter following the flow of money…
STAT+: New Medicare Advantage rule is boon for providers, drag on insurers
Starting this year, private Medicare plans have to cover their members’ hospitalizations at the higher…
STAT+: Devoted Health’s losses in Medicare Advantage persist
Devoted Health has been one of the most prominent health insurance and provider startups of…
STAT+: Medicare Advantage insurers face slight proposed cut to 2025 payments
The federal government is cutting the average benchmark payments for 2025 Medicare Advantage plans by…
Cigna to sell Medicare Advantage plans to Blue Cross Blue Shield insurer for $3.3 billion
Cigna is officially exiting the Medicare business, agreeing to sell all of its Medicare insurance…
Bernie Sanders’ showdown with pharma CEOs is coming to a head
You’re reading the web edition of D.C. Diagnosis, STAT’s twice-weekly newsletter about the politics and…
STAT+: Humana projects a tough road for Medicare Advantage, sinking its stock
Humana’s Medicare Advantage business is faring even worse than the company let on last week,…
Medicare Advantage update pushes Wall Street to reset expectations
You’re reading the web version of Health Care Inc., STAT’s weekly newsletter following the flow of money…
STAT+: Humana slashes profit predictions amid soaring Medicare Advantage costs
Humana’s Medicare Advantage enrollees got care in the hospital and physician clinics way more often…
STAT+: How digital therapeutics companies are improvising when insurance coverage isn’t guaranteed
For years, the playbook for many companies that wanted to market digital therapeutics was stupid…
STAT+: Biden changes will force health insurers to speed up and get more specific if they want to deny care
The Biden administration moved Wednesday to force insurance companies to give specific reasons for denying…
STAT+: Copay coupons for some drugs must count toward deductibles, after Biden court move
WASHINGTON — Insurers will have to count drug copay coupons toward deductibles and patient spending…
The state of Medicare Advantage, in one chart
You’re reading the web version of Health Care Inc., STAT’s weekly newsletter following the flow of money…
Opinion: What STAT readers think about JPM’s locked lactation room, covering weight loss drugs, and more
STAT now publishes selected Letters to the Editor received in response to First Opinion essays…
STAT+: Heated lawsuit between AdventHealth, MultiPlan attracts hospital lobbyists
A lawsuit between a large hospital system and a dominant vendor that works for health…
UnitedHealth’s next physician acquisition & the January health insurance churn
You’re reading the web version of Health Care Inc., STAT’s weekly newsletter following the flow of money…
STAT+: CVS Health sees Medicare Advantage patients seek more care, eating into profits
Medicare Advantage members continue to go to the doctor and get health care procedures a…
STAT+: Walgreens isn’t acquiring anytime soon, per CEO
Between Walgreens’ earnings call last week and its J.P. Morgan Healthcare Conference presentation on Monday,…
STAT+: What to expect from hospitals and health insurers at this year’s JPM Healthcare Conference
Nonprofit hospitals often get overshadowed at the J.P. Morgan Healthcare Conference, the health care industry’s…
UnitedHealth’s rehab restrictions, Texas medical school drama, and health care’s biggest profits
You’re reading the web version of Health Care Inc., STAT’s weekly newsletter following the flow of…
An ugly fight over care for the poor in Texas
You’re reading the web edition of D.C. Diagnosis, STAT’s twice-weekly newsletter about the politics and…
STAT+: Here’s who’s profiting the most in health care
For all the flack they get, the country’s four biggest pharmacy benefit managers reported a…
We wish we’d written that: STAT staffers share their favorite stories of 2023
It’s time to take stock of the year that was in health and science: the…
STAT+: 3 health policies states are taking on in 2024
For most states, the new year means a new legislative session. STAT’s taking a look…
STAT+: UnitedHealth used secret rules to restrict rehab care for seriously ill Medicare Advantage patients
Health insurance giant UnitedHealth Group used secret rules to restrict access to rehabilitation care requested…
STAT+: Complications spiked 25% in hospitals bought by private equity
There’s ample evidence that private equity buyouts in health care drive up costs. A new…
U.S. government spent more on health care in 2022 than six countries with universal health care combined
American taxpayers footed the bill for at least $1.8 trillion in federal and state health…