Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems, and Quality Reporting Programs, etc.
Published . Updated .
Key takeaways
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This report is about health insurers and care costs and pharma and health.
Directly affected
- No company is named in this report.
Indirectly affected
- XLV Health Care Select Sector SPDR
Health Care Select Sector SPDR: it holds health insurers and care providers. Linked by “medicare” (health insurers and care costs) in this story.
- IHF iShares U.S. Healthcare Providers ETF+5.8% 30d
iShares U.S. Healthcare Providers ETF: it holds health insurers and care providers. Linked by “medicare” (health insurers and care costs) in this story.
- UNH UnitedHealth Group+8.8% 30d
UnitedHealth Group (hospital and medical service plans): health insurers' costs move with medical prices and policy. Linked by “medicare” (health insurers and care costs) in this story.
- LLY Eli Lilly and+22.4% 30d
Eli Lilly and (pharmaceutical preparations): drugmakers move with drug pricing, approvals and health policy. Linked by “hospital” (pharma and health) in this story.
- ELV Elevance Health-0.1% 30d
Elevance Health (hospital and medical service plans): health insurers' costs move with medical prices and policy. Linked by “medicare” (health insurers and care costs) in this story.
- JNJ Johnson & Johnson-1.7% 30d
Johnson & Johnson (pharmaceutical preparations): drugmakers move with drug pricing, approvals and health policy. Linked by “hospital” (pharma and health) in this story.
- CI The Cigna Group+5.3% 30d
The Cigna Group (hospital and medical service plans): health insurers' costs move with medical prices and policy. Linked by “medicare” (health insurers and care costs) in this story.
- PFE Pfizer+5.5% 30d
Pfizer (pharmaceutical preparations): drugmakers move with drug pricing, approvals and health policy. Linked by “hospital” (pharma and health) in this story.
Price reaction, T-5 to T+3
| Ticker | T-5 | T-3 | T-1 | T0 | T+1 | T+2 | T+3 |
|---|---|---|---|---|---|---|---|
| XLVNo price data for this ticker | — | — | — | — | — | — | — |
| IHFNo price data for this ticker | — | — | — | — | — | — | — |
| UNHNo price data for this ticker | — | — | — | — | — | — | — |
| LLYNo price data for this ticker | — | — | — | — | — | — | — |
| ELVNo price data for this ticker | — | — | — | — | — | — | — |
| JNJNo price data for this ticker | — | — | — | — | — | — | — |
| CINo price data for this ticker | — | — | — | — | — | — | — |
| PFENo price data for this ticker | — | — | — | — | — | — | — |
Closing-price change versus T-1, the last close before the story. T0 to T+3 fill in after each market close. Prices: Alpaca IEX.
Medicare Program:
Trades by members of Congress and officials in the stocks in this story
- Rep. Maria Elvira Salazar sold Unitedhealth Group (UNH), worth $1,001 - $15,000 on 24 Sep 2026. That is 41 days before publication. Filed 7 Oct 2026. View the filing.
- Rep. Kevin Hern sold Unitedhealth Group (UNH) (jointly held), worth $15,001 - $50,000 on 23 Sep 2026. That is 42 days before publication. Filed 13 Oct 2026. View the filing.
- Rep. Kevin Hern sold Unitedhealth Group (UNH) (jointly held), worth $15,001 - $50,000 on 10 Sep 2026. That is 55 days before publication. Filed 25 Sep 2026. View the filing.
- Rep. Rohit Khanna bought Eli Lilly (LLY) (held by a spouse), worth $1,001 - $15,000 on 4 Sep 2026. That is 61 days before publication. Filed 7 Oct 2026. View the filing.
- Rep. Thomas H. Kean Jr sold Johnson & Johnson (JNJ), worth $1,001 - $15,000 on 30 Sep 2026. That is 35 days before publication. Filed 30 Oct 2026. View the filing.
- Rep. Rohit Khanna bought Johnson & Johnson (JNJ) (held by a spouse), worth $1,001 - $15,000 on 25 Sep 2026. That is 40 days before publication. Filed 7 Oct 2026. View the filing.
- Rep. Lloyd Doggett bought Johnson & Johnson (JNJ), worth $1,001 - $15,000 on 8 Sep 2026. That is 57 days before publication. Filed 5 Oct 2026. View the filing.
- Rep. Rohit Khanna sold Cigna Group (CI) (held by a spouse), worth $1,001 - $15,000 on 25 Sep 2026. That is 40 days before publication. Filed 7 Oct 2026. View the filing.
- Rep. Rohit Khanna bought Cigna Group (CI) (held by a dependent child), worth $1,001 - $15,000 on 11 Sep 2026. That is 54 days before publication. Filed 7 Oct 2026. View the filing.
- Rep. Rohit Khanna bought Cigna Group (CI) (held by a spouse), worth $1,001 - $15,000 on 4 Sep 2026. That is 61 days before publication. Filed 7 Oct 2026. View the filing.
- Rep. Rohit Khanna sold Pfizer (PFE) (held by a spouse), worth $1,001 - $15,000 on 4 Sep 2026. That is 61 days before publication. Filed 7 Oct 2026. View the filing.
- Donald J Trump, an executive branch official, bought Pfizer (PFE), worth $100,001 - $250,000 on 21 Aug 2026. That is 75 days before publication. Filed 8 Oct 2026. View the filing.
Public disclosure filings, not a recommendation. The filing link is the source document. News use of these reports still sits under 5 U.S.C. § 13107(c).
Who gains and who loses around Select Sector Spdr Tr (XLV)
Companies carried with this story
- XLV Select Sector Spdr Tr
Select Sector Spdr Tr (XLV) is linked, with no stored direction, medium confidence in the 4 Nov 2026 story “Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems, and Quality Reporting Programs, etc..” Reason on file: Health Care Select Sector SPDR: it holds health insurers and care providers. Linked by “medicare” (health insurers and care costs) in this story
- IHF Ishares U.S. Healthcare Providers Etf
In “Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems, and Quality Reporting Programs, etc.,” Ishares U.S. Healthcare Providers Etf (IHF) is linked, with no stored direction, medium confidence. Reason on file: iShares U.S. Healthcare Providers ETF: it holds health insurers and care providers. Linked by “medicare” (health insurers and care costs) in this story
- UNH Unitedhealth Group
Unitedhealth Group (UNH) is linked, with no stored direction, medium confidence in the 4 Nov 2026 story “Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems, and Quality Reporting Programs, etc..” Reason on file: UnitedHealth Group (hospital and medical service plans): health insurers' costs move with medical prices and policy. Linked by “medicare” (health insurers and care costs) in this story
- ELV Elevance Health
For “Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems, and Quality Reporting Programs, etc.,” Elevance Health (ELV) is linked, with no stored direction, medium confidence. Reason on file: Elevance Health (hospital and medical service plans): health insurers' costs move with medical prices and policy. Linked by “medicare” (health insurers and care costs) in this story
- CI Cigna Group
For “Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems, and Quality Reporting Programs, etc.,” Cigna Group (CI) is linked, with no stored direction, medium confidence. Reason on file: The Cigna Group (hospital and medical service plans): health insurers' costs move with medical prices and policy. Linked by “medicare” (health insurers and care costs) in this story
- HUM Humana
For “Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems, and Quality Reporting Programs, etc.,” Humana (HUM) is linked, with no stored direction, medium confidence. Reason on file: Humana (hospital and medical service plans): health insurers' costs move with medical prices and policy. Linked by “medicare” (health insurers and care costs) in this story
- LLY Eli Lilly
Eli Lilly (LLY) is linked, with no stored direction, medium confidence in the 4 Nov 2026 story “Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems, and Quality Reporting Programs, etc..” Reason on file: Eli Lilly and (pharmaceutical preparations): drugmakers move with drug pricing, approvals and health policy. Linked by “hospital” (pharma and health) in this story
- JNJ Johnson & Johnson
In “Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems, and Quality Reporting Programs, etc.,” Johnson & Johnson (JNJ) is linked, with no stored direction, medium confidence. Reason on file: Johnson & Johnson (pharmaceutical preparations): drugmakers move with drug pricing, approvals and health policy. Linked by “hospital” (pharma and health) in this story
Select Sector Spdr Tr (XLV)
Select Sector Spdr Tr (XLV) is the company in “Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems, and Quality Reporting Programs, etc.,” the 4 Nov 2026 this story story.
The link for Select Sector Spdr Tr (XLV) is this: Health Care Select Sector SPDR: it holds health insurers and care providers. Linked by “medicare” (health insurers and care costs) in this story
Ishares U.S. Healthcare Providers Etf (IHF) is here too. Its reason reads: iShares U.S. Healthcare Providers ETF: it holds health insurers and care providers. Linked by “medicare” (health insurers and care costs) in this story
Price levels for Select Sector Spdr Tr (XLV)
IHF traded between 54.17 and 60.46 across 20 sessions. The latest close on file is 59.98. UNH traded between 368.61 and 426.47 across 20 sessions. The latest close on file is 403.91.
How strong the case is around Select Sector Spdr Tr (XLV)
46 out of 100
“Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems, and Quality Reporting Programs, etc.” scores 46 out of 100. The score uses 1 sources, and 8 linked companies.