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In a case brought by the Texas Medical Association (“the TMA”) and medical providers, the Fifth Circuit has determined that certain rules governing how the Qualifying Payment Amount (“the QPA”) should be calculated under the No Surprises Act (“the Act”) are contrary to the Act, and therefore should be vacated. The Court also found that

Health insurers have continued to report strong revenues and profits for the second quarter of 2026, beating analysts’ expectations.  UnitedHealth Group  UnitedHealth Group reported profits of $5.5 billion for the second quarter, up sharply from $3.4 billion in profits in the prior year quarter, and revenues of $112 billion. UnitedHealth Group’s performance was driven in

In a case challenging Aetna’s “level of severity” policy, under which Aetna pays less than its contracts require for certain inpatient admissions, the U.S. District Court for the Eastern District of Pennsylvania allowed the American Hospital Association (AHA) and the Hospital and Healthsystem Association of Pennsylvania (HAP) to file an amicus brief explaining why disputes

Delegates attending the American Medical Association’s Annual Meeting in Chicago have elected Sandra Adamson Fryhofer, MD, a staunch vaccine advocate, as President-Elect. Dr Fryhofer previously served as the AMA’s liaison to the Centers for Disease Contral and Prevention’s Advisory Committee on Immunization Practices, the Committee that was significantly overhauled by HHS Secretary Robert F. Kennedy,

The United States District Court for the Northern District of Alabama issued a preliminary injunction preventing the State of Alabama from using congressional districts the court held to violate Section 2 of the Voting Rights Act and the Fourteenth Amendment to the Constitution. Those districts, which the Alabama Legislature enacted in 2023, had been held

Elevance Health, Inc. (formerly known as Anthem) reported strong first quarter 2026 profits of $1.8 billion and strong first quarter revenues of $50.2 billion, with both profits and revenues beating analysts’ expectations. Elevance also reported a medical cost ratio of 86.8% for the first quarter, which was less than analysts had expected. A health insurer’s

UnitedHealth Group (“United”) reported strong profits of $6.28 billion for the first quarter of 2026 on revenues of $111.7 billion. United’s strong profits and revenues beat analysts’ expectations and prompted United to boost its earnings forecast for the year to more than $18.25 per share. UnitedHealthcare’s revenues were $86.3 billion in the first quarter, up

A recent study of denials by health insurance companies in New York has found that the percentage of denials overturned on external review increased from 38% in 2019 to 52.5% in 2025. The study also found that the percentage of denials varied by service, with nearly 80% of denials of home health services and 61%

Twelve Democratic Senators have issued a letter laying out policy proposals they believe would deliver health insurance coverage that would work for everyone. The letter begins by stating: America’s for-profit health insurance system is fundamentally broken… At a time when over one-third of adults with health insurance report delaying or skipping care altogether due to

The American Hospital Association has issued its 2026 Cost of Caring Report, which shows that hospital expenses are going twice as fast as hospital prices. One of the key drivers of those cost increases is the amount hospitals must spend to attempt to collect payments owed by health insurers for medical care that the hospitals