Articles and Blogs

NATIONAL ‘Big Three’ PBMs seek appeal in legal spat with Federal Trade Commission DOJ launches probe into UnitedHealth’s Medicare billing practices after investigative reports Health systems zero in on home care Judge Extends Block on N.I.H. Medical Research Cuts Patient portal messages increase, yet billing remains rare: Survey PBMs appeal FTC case over insulin... READ MORE

NATIONAL FTC inundated with premerger notification filings HHS is losing thousands of workers under Trump administration probationary job cuts Lawsuit Against UnitedHealth Over AI-Based Denials of Post-Acute Care Moves Ahead Nearly half of rural hospitals in the red, 432 vulnerable to closure, report finds Physicians sound the alarm on ‘dangerous’ payer behavior Private equity... READ MORE

NATIONAL 3 states sue Trump administration over gender-affirming care order 22 states sue Trump administration over $4 billion cuts to biomedical research FTC merger filing regulation takes effect HHS, CMS improper payments: $88.5B in 2024 Hims & Hers sees 650% spike in traffic following Super Bowl ad as clash over compounded GLP-1s heats up... READ MORE

NATIONAL 4 healthcare tech trends to watch in 2025 AI, cybersecurity dominate rural healthcare leaders’ 2025 agenda Bill introduced to reverse 2.83% physician Medicare cuts DOGE Aides Search Medicare Agency Payment Systems for Fraud How systems fund billions of dollars in ambulatory projects Kroger Health reunites with Express Scripts Nearly all rural providers optimistic... READ MORE

NATIONAL 5 key health topics to watch at RFK Jr.’s Senate confirmation hearings 6 more states sharpening PE regulation Change breach hit more than half of Americans, UnitedHealth says Epic hits back at Particle Health counterargument as it pushes to get antitrust case dismissed Health systems embark on culture makeovers Healthcare finance trends for... READ MORE

NATIONAL 2025 ushers new era in physician unions CMS faces renewed legal pressure on drug price negotiation program DOJ sues Walgreens for ‘knowingly’ filling millions of prescriptions that lacked legit medical purposes Employer cost-cutting pushes tech companies to merge Expect more hospital mergers in 2025, with deals driven by distress and opportunity Health system... READ MORE

NATIONAL 340B contractor boosts profits while driving up patient costs: Report A vital hospital revenue stream under threat Aetna suit against private-equity radiologists tests No Surprises Act Americans want action on consolidation, private equity in healthcare, federal report finds Anti-Kickback Statute grows in scope: 5 things to know AWS and General Catalyst partner to... READ MORE

NATIONAL 5 issues shaping anesthesia in 2025 4 new healthcare laws in 2025 Agency nurses linked to lower CMS ratings: 2 notes ASC leaders ‘divided’ on noncompetes ASCs to capitalize on growth in 2025 Biden signs law to include optometrists in physician pay scale CMS selects states for Medicaid maternal health model Cut swing-bed... READ MORE

NATIONAL 16 cardiology practices to pay $17.7M in Medicare fraud settlement 10 behavioral health policy changes taking effect in 2025 An uncertain era for Stark law: 12 updates in 2024 CMS launches campaign to support nursing home staffing rule CMS taps 4 states for behavioral innovation model: 5 things to know Epic files to... READ MORE

NATIONAL 5 PE moves ASC leaders are eyeing Academic health systems benefitting from for-profit selling spree Amazon’s top 10 healthcare moves in ’24 Amazon One Medical faces lawsuit over telehealth patient death Bipartisan bills in Congress would force insurance companies, PBMs to sell pharmacies CMS rolls out 5-year plan to ‘optimize’ care delivery CMS... READ MORE