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This Week

May 10, 2025

Elevated medical costs continued to drag insurers in Q1 2025. Here's a look at how the major payers fared

CMS hints at possible cost-sharing reduction payments for insurers, impacting ACA enrollment

Function Health acquires Ezra to combine lab testing and AI-powered medical imaging for preventive health

CMS will announce states participating in cell and gene therapy model—but health plans still have questions

Shareholders claim UnitedHealth made 'misleading' statements about finances following executive's death - Paige Minemyer

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Elevated medical costs continued to drag insurers in Q1 2025. Here's a look at how the major payers fared

By Paige Minemyer

Each of the six major national insurers turned a profit in the first quarter of 2025, though financial pressures related to government programs—particularly Medicare Advantage—once again reared their ugly heads.

CMS hints at possible cost-sharing reduction payments for insurers, impacting ACA enrollment

By Noah Tong

CMS is notifying insurers Congress may appropriate money toward cost-sharing reduction payments, causing upheaval in the Affordable Care Act market.

Function Health acquires Ezra to combine lab testing and AI-powered medical imaging for preventive health

By Heather Landi

Function Health, a preventive health and longevity startup, acquired Ezra to integrate Function’s lab testing capabilities with the company’s artificial-intelligence-powered full-body scans, combining two emerging health trends into one company.

CMS will announce states participating in cell and gene therapy model—but health plans still have questions

By Noah Tong

Health plans and employers view cell and gene affordability as a significant challenge. Next month, the CMS will announce states participating in a new model to address financial concerns by states and payers.

Shareholders claim UnitedHealth made 'misleading' statements about finances following executive's death

By Paige Minemyer

A new shareholder lawsuit claims that UnitedHealth Group made misleading statements about its financial outlook following the murder of a prominent company executive.

ATA Nexus: How health systems are evolving their telemedicine leadership structures since COVID-19

By Emma Beavins

NEW ORLEANS—Since the pandemic, leading health systems have re-organized their leadership and organizational structures to streamline telehealth programs. OSF Healthcare, UPMC and WVU Medicine share their experiences.

Consumer Financial Protection Bureau asks court to toss its rule barring medical debt from credit reports

By Dave Muoio

The besieged federal consumer watchdog has officially switched sides on a lawsuit seeking to abolish a Biden-era restriction on including medical debt in credit reports.

Hims & Hers' Q1 revenue doubles to $586M, boosted by growth in weight loss business

By Heather Landi

That controversial Super Bowl ad appears to have paid off for Hims & Hers as the company's first-quarter revenue doubled year-over-year to reach $586 million.

Oscar Health hits $275M profit, decries proposed shortened enrollment window

By Noah Tong

Oscar Health's stock increased by 30% after its first quarter earnings, but company executives weighed in on the potential adverse consequences of cost-sharing reductions, ACA enhanced subsidy expirations and a shortened enrollment window.

Trump nominates MAHA influencer as surgeon general after prior pick pulled

By Dave Muoio

Casey Means, M.D., was named in a Wednesday social media post. The prior nomination, Janette Nesheiwat, M.D., had come under fire from multiple camps over her professional credentials and prior support for COVID-19 vaccination.

Fierce podcasts

Don’t miss an episode

The rise of AI scribes: What’s the real-world impact?

AI scribes are booming in healthcare, but are they living up to the hype? In this episode of "Podnosis," Fierce’s Emma Beavins talks with Caroline Pearson of the Peterson Health Technology Institute about one of the first independent reports measuring their real-world impact.

Human-centered design in healthcare

Managing diabetes with cultural foods

Resources

Whitepaper

Social Care Data: Leveraging Standards for CBO Reimbursement

Discover how standardized social care data from CBO partners streamlines reimbursement processes and supports value-based care. Understand the coding frameworks that enable payment for essential social care services and how Findhelp facilitates effective CBO integration.

Cut Costs. Boost Care. Get Smart with Benefits.

Healthcare costs are soaring — but leading employers aren’t just watching. They're using data to take control. Discover how advanced analytics can unify your benefits, reveal savings, and drive better care in our latest report.