Healthcare Payers / Providers Reports

March 25, 2025

HUM, ALHC, UNH: Optimistic for Mid-Single Digit MA Rate Increase for CY26, Upcoding Remains a Longer-Term Issue

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Beth Steindecker

ALHC (US), CNC (US), CVS (US), ELV (US), EVH (US), HUM (US), PRVA (US), UNH (US)
March 14, 2025

Oz Nomination: Moving towards Senate Confirmation, Medicare Advantage Comments Show Mixed View

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Beth Steindecker

ALHC (US), CVS (US), EHTH (US), ELV (US), HUM (US), UNH (US)
March 10, 2025

[OSCR, ELV, CNC, HCA, THC]: Targeting Obamacare Program Integrity in Rulemaking and Legislation

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Beth Steindecker

CNC (US), CYH (US), ELV (US), HCA (US), MOH (US), OSCR (US), THC (US)
March 5, 2025

Diving Deeper on Outlook for Hospital-Targeted Medicaid Reforms [ARDT, CYH, HCA, THC, UHS, municipal-backed hospitals]

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Beth Steindecker

ARDT (US), CYH (US), HCA (US), THC (US), UHS (US)
February 26, 2025

[CI, CVS, UNH, HUM, ELV, GDRX]: House Hearing Retreads Already Agreed-to PBM Reforms, Still Likely as Legislative Payfors

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Beth Steindecker

CI (US), CVS (US), ELV (US), GDRX (US), HUM (US), UNH (US)
February 23, 2025

Medicaid Reform Watch: Still Early On – What to Watch for [CNC, MOH, ARDT, CYH, ENSG, ADUS]

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Beth Steindecker

ADUS (US), ARDT (US), CNC (US), CYH (US), ELV (US), ENSG (US), MOH (US)
February 21, 2025

UNH: Thoughts on Reported DOJ Investigation

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Beth Steindecker

ALHC (US), CVS (US), ELV (US), HUM (US), UNH (US)
February 19, 2025

[CHE, ADUS, Gentiva, Compassus]: CMS Grants Hospices Their Wish on SFP But Careful What You Wish For

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Beth Steindecker

ADUS (US), AMED (US), CHE (US), PNTG (US)
February 10, 2025

HUM: Government Legal Response Puts Up Fight in Star Ratings Lawsuit, We Still Favor HUM

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Beth Steindecker

HUM (US)
February 10, 2025

Sizing Medicaid Work Requirement Risks [CNC, MOH, ELV, THC, ARDT, ENS, ADUS]

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Beth Steindecker

ADUS (US), ARDT (US), CNC (US), ELV (US), ENSG (US), MOH (US), UNH (US)