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Managed Care Matters · Aug 12, 2026

Your premiums -> Insurers' profits

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Joe Paduda · Managed Care Matters

(Huge understatement alert)…From 2023 - 2025, the health insurer industry did not fare well.

That changed this year…UnitedHealth Group and CVS saw profits increase near or above 2 billion dollars in Q2 2026 from the Q2 2025. Several other plans also enjoyed huge increases in margin - mostly driven by profits in employer-sponsored insurance.

Why? Simple = higher premiums in 2026 offset MUCH higher medical costs.

From FierceHealthcare’ Paige Minemeyer:

In 2023, 54% of health plans reported an operating loss, and that grew to 70% in 2024. The number of insurers with an operating loss then rose a second time to 73% in 2025

Why?

Higher medical costs.

Graph from HealthScape Advisors.

What does this mean for you?

The more employer healthplan costs increase, the more profit healthplans make.

You good with that?

Read the original on joepaduda.substack.com

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