Healthcare Spending

UnitedHealth Group lost $1.4B in Q1 2024 following cyberattack

April 18, 2024 - UnitedHealth Group experienced a $1.4 billion net loss in the first quarter of 2024, but revenues increased by almost $8 billion year-over-year. The company said the growth and medical care activity were consistent with expectations and the effects of the Change Healthcare cyberattack. UnitedHealth Group has provided over $6 billion in advance...


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23% of disenrolled Medicaid beneficiaries remain uninsured, KFF finds

by Victoria Bailey

Nearly one in four people who were disenrolled from Medicaid remain uninsured, citing costs as barriers to coverage, according to a KFF poll. Since states resumed conducting Medicaid eligibility...

Health savings accounts have mixed effects on healthcare spending, use

by Victoria Bailey

Health savings account (HSA) plan enrollment did not impact overall healthcare spending but reduced the use of outpatient services, according to data from the Employee Benefit Research Institute...

Medicare spending on GLP-1 drugs reached $5.7 billion in 2022

by Victoria Bailey

Medicare spending on GLP-1 drugs, including Ozempic, surpassed $5 billion in 2022 and is likely to continue growing as coverage expands, according to a KFF analysis. GLP-1 drugs Ozempic, Wegovy, and...

Massachusetts residents delay services due to high healthcare costs

by Victoria Bailey

High healthcare costs are burdening Massachusetts residents, with many delaying care due to prices, according to a survey from Beacon Research commissioned by Blue Cross Blue Shield of Massachusetts...

Healthcare spending is higher in Medicare households, study finds

by Victoria Bailey

Healthcare spending is higher in households where Medicare covers all members, a KFF issue brief found. Around 66 million adults receive health insurance coverage through Medicare, including 59...

2024 Medicare Advantage premiums remain low and stable

by Victoria Bailey

The average Medicare Advantage premium has remained low and stable, with many beneficiaries choosing plans with a zero-dollar monthly premium, according to data from eHealth, Inc. eHealth’s...

MA Payment Reductions May Impact Value of Healthcare for Beneficiaries

by Victoria Bailey

The proposed 2025 Medicare Advantage Advance Notice would impact the value of healthcare for beneficiaries, resulting in higher costs, according to an analysis from the Berkeley Research Group...

7 Out of 10 Americans Struggling With Medical Debt Owe Over $1,000

by Kelsey Waddill

One in twelve adult Americans owe medical debt, largely those who are uninsured, low-income, or disabled, according to a report from the Peterson-KFF Health System Tracker. Research on rampant medical...

What Utilization Management Strategies Do Payers Use to Lower Costs?

by Victoria Bailey

As healthcare spending rises in the United States, stakeholders are constantly working to address the drivers of high costs. The overutilization of healthcare services—including the provision of low- or no-value care—not only...

2024 Employer Sponsored Health Plan Predictions: GLP-1s, Vendors, Data

by Kelsey Waddill

Employers are stuck between a rock and a hard place in 2024, with unsustainable healthcare spending in their employer-sponsored health plans and a reticence to shift any more of the cost to their...

2022 National Healthcare Spending Growth Slowed to Pre-COVID Levels

by Kelsey Waddill

In 2022, national health expenditures hit $4.5 trillion, a 4.1 percent increase, with a couple of key spending areas seeing growth rates return to pre-pandemic levels, CMS announced in a fact...

Payers Embrace Healthcare IT for Cost Optimization, Member Engagement

by Victoria Bailey

Payers are investing in healthcare IT resources to support cost optimization and improve member experience, according to a study from EY-Parthenon and KLAS Research. As payers face operational and...

Understanding Chronic Kidney Disease Coverage, VBC Opportunities

by Kelsey Waddill

Efforts to improve chronic kidney disease coverage have evolved over the last several decades, but the disease remains costly and prevalent. Around 15 percent of the adult population in the US has chronic kidney disease (CKD), according...

Study Finds Geographic Variation in Payer Prices for Office Visits

by Victoria Bailey

Among a single health insurer, prices for office visits varied by geographic location, with the upper-Midwest and Southeast regions seeing higher costs, a study published in JAMA Health Forum...

Finances, Mental Health Concerns Impact Adults’ Wellbeing, Cigna Finds

by Victoria Bailey

Americans are feeling more optimistic about their wellbeing than last year, but financial concerns and mental health challenges are still negatively impacting their health, according to a report from...

Employer Sponsored Health Insurance Premiums Grew by 7% in 2023

by Victoria Bailey

The average annual premium for employer-sponsored health insurance increased by 7 percent in 2023, a KFF survey revealed. The 2023 benchmark KFF Employer Health Benefits Survey included interviews...

3 Ways That Large Employers Influence Health Insurance Costs, Coverage

by Kelsey Waddill

Traditionally, health insurance companies have been the face of the payer industry, for better or for worse. But companies have incredible sway in the health insurance world, particularly large employers. Employers offer and manage...