Accounting & Financial Management

Three rating agencies collectively downgraded 95 facilities and upgraded 37 in 2024, compared to 116 and 33, respectively, in 2023.

The improvements are the result of performing advanced analytics on 200 data elements from each patient.

UnitedHealth had won its case over a secret shopper phone call that lowered its MA star rating from 5 to 4 stars.

Revenue is up year-over-year, hitting $45 billion in 2024, up from $42.5 billion the prior year.

"Health systems have reason to worry," says consultant Michael Abrams of Numerof.

CEO Andrew Witty promises to pass through 100% of drug rebates to consumers and wants see other companies do the same.

The "Big 3" PBMs also separately generated an estimated $1.4 billion of income from spread pricing, FTC finds.

The company cited lower retail sales and higher costs, though pharmacy sales did increase slightly year-over-year.

Health systems need to know the ROI before they purchase technology, as CIOs and CFOs are looking at costs at a new level, says David Kirshner, managing partner at LogicSource and former CFO of Boston Children's Hospital.

PE ownership had negative consequences, including lower quality of care, decreased staffing and higher prices, report says.