HUM News & Events

The U.S. Justice Department's Antitrust Division, together with the U.S. Attorney's Office for the Southern District of New York, filed a civil antitrust lawsuit challenging The New York and Presbyterian Hospital's anticompetitive contract restrictions that deny New Yorkers the choice of lower cost healthcare options. The complaint, filed in the U.S. District Court for the Southern District of New York, charges New York-Presbyterian with violating Section 1 of the Sherman Act. New York-Presbyterian is the largest and most powerful hospital system in New York City. It owns and operates eight hospitals and many outpatient facilities in the New York City area. The suit seeks to enjoin New York-Presbyterian from imposing contractual restrictions that preclude insurers and employers from offering New Yorkers budget-conscious health insurance plans. This is the second case the Division has brought this year to ensure that Americans can access healthcare markets with robust competition and receive high quality, affordable care. "Millions of New Yorkers pay more for healthcare because of these anticompetitive practices," said Attorney General Pamela Bondi. "At the direction of President Trump, this Justice Department will fight relentlessly to ensure that Americans get the healthcare they need without facing exorbitant costs." Publicly traded companies in the health insurance space include CVS Health (CVS), Centene (CNC), Cigna (CI), Elevance Health (ELV), Humana (HUM), Molina Healthcare (MOH) and UnitedHealth (UNH).

Humana announced new partnerships to improve heart health for eligible Medicare Advantage members through value-based care. Building on Humana's existing cardiac care partnership with CVAUSA's Novocardia Care Solutions division, new agreements with Karoo Health, US Heart and Vascular and Chamber Cardio further expand the company's comprehensive cardiac care program. "Managing a heart condition can feel overwhelming. Our members need integrated, coordinated, evidence-based care that meets them where they are," said Caraline Coats, Senior Vice President Clinical Strategy at Humana. "As a leader in value-based care, Humana is committed to expanding access to high-quality, whole-person care that supports better health outcomes."