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Bob Herman

Indiana

Healthcare Business Reporter at STAT

Health care business reporter for @statnews and its Health Care Inc. newsletter. Contact: [email protected] or bobjherman.09 on Signal.

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Articles

  • UnitedHealth faces Medicare Advantage challenges rivals have overcome

    6 days ago | statnews.com | Bob Herman

    Over the past two years, UnitedHealth Group seemed immune from the higher costs and systemic changes in the Medicare Advantage program that bedeviled its rivals. Until now. UnitedHealth, the country’s largest health insurance and services conglomerate, slashed this year’s profit projections by 12% last month, sending its stock down more than 20%.

  • Democrats urge Republicans to target Medicare Advantage ‘upcoding’ instead of cutting Medicaid

    1 week ago | statnews.com | Bob Herman

    As Republicans in Congress debate ways to cut Medicaid so they can fund tax breaks, Democrats are pushing them in a different direction: Cut excess spending in Medicare Advantage instead.

  • ACA woes, the Texas Medical Parking Center, and a pandemic stock that's crashed

    1 week ago | statnews.com | Bob Herman

    This is the online version of STAT’s email newsletter Health Care Inc., delivered to your inbox every Monday. Sign up here. President Trump has threatened to revoke Harvard’s tax-exempt status. Zero indication how or on what grounds he could do so. Could this mean anything for the tax-exempt hospital crowd? The line is open: [email protected] or bobjherman.09 on Signal.

  • Justice Department sues Medicare Advantage insurers and brokers, alleging kickbacks

    1 week ago | statnews.com | Bob Herman |Tara Bannow

    The Department of Justice has sued three of the largest Medicare Advantage insurers and three dominant insurance brokerages, alleging a scheme in which the health insurers bribed the brokers to steer older adults into their policies. The lawsuit targets CVS Health’s Aetna, Elevance Health’s Anthem, and Humana, which together cover nearly 40% of the Medicare Advantage market. The brokers named in the lawsuit are eHealth, GoHealth, and SelectQuote.

  • CVS Health’s Aetna to abandon Affordable Care Act insurance marketplaces, again

    2 weeks ago | statnews.com | Bob Herman

    CVS Health will not sell its Aetna health plans in the Affordable Care Act’s individual marketplaces in 2026, marking the second time in the past decade that Aetna has given up on ACA coverage. CVS expects to lose up to $400 million this year in its ACA plans. The conglomerate set aside $448 million in the first quarter to cover medical claims from ACA members that won’t be covered by insurance premiums.

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