The Latest

  • A worker in white coat and purple gloves scans a Galleri test box.
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    Courtesy of Grail
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    5 doctors weigh in on the promise, limitations of a closely watched multicancer blood test

    As a screening test from Grail moves closer to Food and Drug Administration approval, cancer experts share what encourages and concerns them most about Galleri.

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    Weavy AI

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    Sponsored by Staples Business

    Fixing fragmented spend: 5 ways health systems are regaining control through procurement governance

    Learn about the strategies health systems are implementing to fix fragmented spend.

  • A concrete sign outside of a building reads "Department of Health & Human Services" wrapped around the HHS logo.
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    Kayla Bartkowski via Getty Images
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    CMS proposes rule to clean up MA provider directories, shine light on PBMs

    The proposed changes would implement key healthcare provisions in a government funding package from February. The brunt of the reforms would go into effect in 2028.

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    Fotografia Basica via Getty Images
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    Drugmakers seek to intervene in lawsuit challenging 340B pilot

    Drugmakers want a say in court to defend a rebate pilot in the 340B drug discount program that hospitals are trying to stop.

  • A picture of the exterior of the US Department of Health and Human Services. In front of the building is a black sign designating the building's name.
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    Alex Wong via Getty Images
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    Trade association sues Trump administration over ACA broker, agent freeze

    The National Association of Benefits and Insurance Professionals alleges that the HHS violated the law by not giving the public a chance to comment on the controversial policy.

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    Permission granted by Event photos by Riccardo Savi
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    3 tips to manage soaring health costs

    Speaking at the CFO Leadership Council’s fall conference in Colorado, Marsh McLennan Senior VP Marybeth Gray shared ideas to keep employees healthy and costs down.

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    Top healthcare conferences to attend in 2027

    These are the best industry events for digital health, provider and payer leaders to attend next year.

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    Getty Images
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    Health-ISAC, Microsoft and partners take down popular phishing kit services

    Microsoft and the healthcare industry’s information sharing and analysis center have teamed up to disrupt a prolific China-based phishing ecosystem.

  • A hospital building with "Rush" on the side.
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    Courtesy of Rush University System for Health
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    Rush, Endeavor to merge into Illinois powerhouse

    Joining forces could give the two Chicagoland systems a leg up in the region’s fragmented and competitive hospital market — if regulators approve.

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    Getty Images
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    Zocdoc acquires Sohar Health in latest push to scale tech infrastructure

    It’s Zocdoc’s first acquisition in its nearly 20-year history as the online medical scheduling company works to scale. Sohar already provides insurance eligibility checks within Zocdoc’s appointment scheduling platform.

  • An illustration of agentic AI
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    MF3d via Getty Images
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    AMA releases governance framework for agentic AI in healthcare

    Industry groups have worked to release guidance on artificial intelligence-backed agents in the absence of federal regulation.

  • A flag reading "Obamacare" and with the exchanges' logo waves in front of an insurance agency.
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    Joe Raedle via Getty Images
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    Trump administration boots 189,000 deceased, duplicate enrollees off ACA subsidies

    It comes amid a broader crackdown on the ACA exchanges as the Trump administration continues its efforts to identify “fraud, waste and abuse” in federal programs.

  • A magnifying glass enlarges the U.S. Food and Drug Administration website on a computer screen.
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    Getty Images
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    FDA ‘reset’ continues with new plan for reviewing rare disease drugs

    A revamped regulatory framework may give investors less of a “guessing game” as they weigh chances for drug approvals, one analyst said.

  • CVS
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    Joe Raedle via Getty Images
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    CVS to pay $315M to settle opioid prescribing allegations

    Prosecutors say the company filled unnecessary prescriptions that fueled the opioid epidemic. A spokesperson for CVS said the company admitted to no wrongdoing and strongly disagreed with the case’s claims.

  • A modern office building facade with blue-tinted windows and a curved design. A sign near the roof reads “Centene Corporation” in blue and gray lettering.
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    Alamy
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    Centene joins insurers waiving prior authorizations for top providers

    Centene is the latest insurer to adopt a gold card program as states and the Trump administration push for prior authorization reform.

  • An illustration of a hospital and a medical corporate building pieced together like a puzzle.
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    Illustration: Xavier Lalanne-Tauzia for Industry Dive

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    MultiCare, Samaritan combination to close in November

    The nonprofits will merge on Nov. 1 after securing approval from state regulators, the systems announced this week.

  • UnitedHealth Group office
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    Courtesy of UnitedHealth Group
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    UnitedHealth eyes Medicare Advantage opportunities, bolstered by Q3 profit growth

    UnitedHealth raised its 2026 earnings guidance and outperformed analyst expectations for the third time this year, suggesting its financial turnaround is sustainable.

  • The blue and green Centerwell Senior Primary Care logo is seen on a clinic's facade.
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    Courtesy of Humana
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    Humana enters $2.8B primary care joint venture with BlackRock

    Investment firm BlackRock will acquire a majority stake in nearly 150 senior primary care clinics owned by Humana’s healthcare division, CenterWell, the insurer announced Tuesday.

  • A gavel rests on a pile of money wrapped with a stethoscope.
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    Getty Images
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    Alignment sues CMS over 2027 Medicare Advantage star ratings crash

    The lawsuit isn’t a surprise, after Alignment told investors it would take all available actions to improve its quality scores.

  • A stethoscope rests on a pile of $100 bills.
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    Getty Images
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    Suki raises $90M in Series E round to create AI agents

    The company says it will use the money to develop AI agents and deepen its relationships with its 30 health technology partners.

  • A gavel rests on a pile of money wrapped with a stethoscope.
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    Getty Images
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    Hospitals sue over revamped 340B rebate pilot

    It’s the second time the HHS has tried to kickstart a 340B rebate program — and the second time hospitals have sued to block it, alleging rebates will threaten their financial viability.

  • A close-up of Ranking Member Frank Pallone in front of a blurred American flag.
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    Jemal Countess via Getty Images
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    New bill would overhaul the No Surprises Act’s arbitration process

    Legislation introduced last week by Rep. Frank Pallone, D-N.J., would get rid of the arbitration process set up by the No Surprises Act entirely, the latest sign of growing interest on the Hill to reform the consumer protection law.

  • A piece of paper with the word "Medicare" emblazoned on a blue background
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    Getty Images
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    Humana soars, Alignment plummets in 2027 Medicare Advantage star ratings

    A Healthcare Dive analysis of highly anticipated stars data shows a mixed bag of winners and losers, though — as expected — the quality scores slipped overall. See how major carriers fared for 2027.

  • A person in a blue pinstripe suit looks straight ahead.
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    Getty Images
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    HHS launches new plan to strengthen vaccine injury research, reporting

    Spearheaded by vaccine skeptic Robert F. Kennedy Jr., the initiative will involve a new NIH clinic, an updated monitoring system and reimbursements for doctors who report suspected side effects.

  • A concrete sign outside of a building reads "Department of Health & Human Services" wrapped around the HHS logo.
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    Kayla Bartkowski via Getty Images
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    Medicare penalizes more hospitals for readmissions

    About 80% of hospitals are having their Medicare payments shaved down over high readmission rates this fiscal year, compared with 78% the year prior, according to new CMS data. It continues a worrying trend.

  • purple and blue lines suggesting digital technology
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    Getty Images
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    Healthcare organizations are underprepared for quantum computing threats

    Once scientists are able to develop practical quantum computers, the technology could quickly break the encryption methods protecting patient data. Experts say healthcare leaders should start preparing for that reality today.