In 2025, 73% of health plans had an operating loss, up from 70% in 2024 and 54% in 2023. While 42% of health plans grew their operating margin from 2024, and 16% with losses in 2024 became profitable the following year, financial…

Hospital price caps are gaining momentum across the U.S. A number of states have enacted or are advancing legislation to limit what hospitals can charge commercial payers, and health system leaders are navigating what those policies mean for their organizations. …

Payers and for-profit health systems alike are feeling the fallout from changes to the ACA environment, according to second-quarter 2026 earnings. Centene’s exchange membership fell by more than 2 million, Cigna announced plans to exit ACA exchanges entirely in 2027,…

The American Hospital Association has urged CMS to lift funding caps in the Rural Health Transformation Program.  In an Aug. 5 letter to CMS Administrator Mehmet Oz, MD, the AHA asked the agency to remove the program’s 15% cap on…

Dallas-based Tenet Healthcare, one of the largest for-profit health systems in the U.S., is seeking CFOs at six of its hospitals.   Tenet operates 50 acute care and specialty hospitals serving primarily urban and suburban communities, as of June 30.  Here…

This month, Nebraska became the first state in the nation to begin rolling back Medicaid coverage by way of the federal work requirements enacted under HR 1. Dozens of other states will follow next year.  But the nation’s largest health…

Health insurers released their second-quarter earnings from mid-July through early August, with all but Elevance Health posting year-over-year profit gains. Earnings for the major payers coincided with the release of the Fortune Global 500. UnitedHealth Group moved up to become the fourth-largest company…

Hospital finance leaders have beaten back 340B payment cuts, site-neutral reimbursement and Medicaid rollbacks before. They have never had to model all three landing in the same fiscal year. That is the challenge in front of them now.  CMS’ proposed…

Here are 62 health systems with strong operational metrics and solid financial positions, according to reports from credit rating agencies Fitch Ratings and Moody’s Investors Service released in 2026. Note: This is not an exhaustive list. Health systems were compiled…

While Santa Paula (Calif.) Hospital and its surrounding ambulatory care clinics remain fully operational, Ventura County (Calif.) Health Care Agency officials are evaluating the facility’s long-term plans as they consider a Jan. 1, 2030, compliance deadline that officials said could…