Health plans interested in inorganic growth should reflect deeply to better understand their motivations as it relates to their strategic goals.

Downgrades continued to outpace upgrades in 2024 although at a lower rate than in 2023. Many of the downgrades reflected ongoing expense pressure that exceeded revenue growth. Rating affirmations remained the majority rating action in 2024, as in prior years.

Following last week’s graphic on Medicare Advantage (MA) star ratings, this week we highlight how different types of MA plans perform along certain patient outcomes metrics.

SCOTUS to hear challenge to ACA preventive care mandate, DEA proposes telehealth rule for controlled substances, FDA announces three regulations

The latest Kaufman Hall Report includes highlights from the 35th annual Healthcare Leadership Conference, which featured high-level thinking and reflection on how our industry’s ongoing transformation will progress into the future.

CFPB removes medical debt from credit reports, ACA marketplace enrollment hits a record high, and US records first death from bird flu.

With the new year marking the official start of another record-breaking year for Medicare Advantage (MA) enrollment, this week’s graphic takes a look at MA star ratings.

The numbers from hospital and health system M&A activity in 2024 confirm the unevenness of recovery and the challenges that many organizations continue to face. The percentage of transactions involving a financially distressed party and the percentage of transactions involving a divestiture both reached record highs.

While patient volumes decreased this month, expenses rose. The workforce continues to be competitive as labor expenses rose despite the dip in patient volumes.

The assassination of UnitedHealthcare CEO Brian Thompson drew a chilling response from much of the American public. While wholly inappropriate, this reaction suggests that America’s healthcare consumers might want something very different from what they currently receive.

Congress scrambles for a new funding deal, a report details the financial impacts of a mandatory bundled payment model, and a woman receives a genetically modified pig kidney transplant.

Congress scrambles for a new funding deal, a report details the financial impacts of a mandatory bundled payment model, and a woman receives a genetically modified pig kidney transplant.