Modern Healthcare

1 week ago | modernhealthcare.com | Nona Tepper

Breadcrumb Home Finance April 17, 2025 12:28 PM Tweet Share Share Email More Reprints Print AP Images Elevance Health will beat its earnings guidance for the first quarter despite high Medicare Advantage costs, the company announced Thursday. The health insurer reported that while Medicare Advantage spending was elevated during the period, it fell within the range the company anticipated.

1 week ago | modernhealthcare.com | Caroline Hudson

Ascension has sold dozens of facilities over the past few years to streamline its sprawling footprint, and now it may be turning into a buyer. Ascension announced two deals this month that would expand its clout in two southern states. Last week, the health system said it formed a joint venture with startup PathPoint Health to open two Tennessee centers that would treat metabolic conditions such as diabetes and obesity, with additional sites planned.

1 week ago | modernhealthcare.com | Diane Eastabrook

Home health providers are turning up the heat on Medicare Advantage plans over reimbursements and patient access. Compassus, Aveanna Healthcare, Vital Caring Group and others said they want health insurers to pony up part of the 5.06% rate increase they will be getting next year from the Centers for Medicare and Medicaid Services or risk losing member access to home healthcare services.

1 week ago | modernhealthcare.com | Nona Tepper

Humana's plea for a boost to its Medicare Advantage star ratings has been rejected, the company disclosed Tuesday. The health insurer asked the Centers for Medicare and Medicaid Services for an administrative appeal of the agency's calculation of its quality ratings for 2025, which plunged more than other leading carriers since the prior year. The agency declined last week, although the decision is subject to review by CMS Administrator Dr. Mehmet Oz until April 28, Humana wrote in a legal filing.

1 week ago | modernhealthcare.com | John Tozzi

Inside UnitedHealth Group Inc., the company is a force for good. Employees often describe its work as a “mission.”The public perception, though, is that it’s a faceless giant denying care to boost profits. That narrative exploded through a barrage of sinister social media posts after executive Brian Thompson was killed on his way to an investor meeting in December. Related: UnitedHealthcare’s new CEO reflects on tragedy, public scrutinyUnitedHealth is trying to bridge that gap.