The Latest
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Yale New Haven to pay Prospect $45M to end hospital acquisition dispute
With the agreement, the health system has officially gotten out of its 2022 deal to acquire Prospect Medical Holdings' three Connecticut-based hospitals.
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Sponsored by Sutherland GlobalLeveraging automation and AI to transform payer operations
How AI and automation can help payers drive revolutionary new efficiencies in provider lifecycle management (PLM), medical management and member outreach and support.
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Medical lobbies urge Trump administration to exempt healthcare from H-1B changes
More than 50 medical groups have signed on to letters calling for healthcare workers to be exempt from new H-1B visa fees, warning the increased costs could cripple vital overseas recruitment.
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UHS subsidiary hit with $4.7M verdict, plus damages in Nevada lawsuit
The health system was accused of improperly luring physicians away from Prime Healthcare-owned Saint Mary’s Health Network.
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Medicare Advantage enrollment projected to fall in 2026: CMS
Nearly 1 million fewer people could sign up for the privatized Medicare plans next year, according to the CMS, marking the first time in years MA enrollment could decline.
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UPMC patients fight to quash DOJ subpoena of gender-affirming care services
Patients are asking the health system not to comply with a subpoena seeking information about minors who received gender-affirming care services.
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Judge vacates Medicare Advantage audit rule in win for industry
On Thursday, Texas Judge Reed O’Connor threw out a Biden-era rule that would have recouped billions of dollars in overpayments to MA plans.
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Hospitals, doctors could lose $32B in revenue next year if ACA subsidies expire: report
It’s the latest warning about the impact to the healthcare system if the subsidies are allowed to lapse, an issue at the center of the government funding fight taking place on Capitol Hill.
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Judge allows Ascension cyberattack class action to move forward
The judge dismissed several claims against the health system over a major ransomware attack last year, but allowed allegations of negligence to continue in court.
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Deep DiveCancer patients are living longer than ever. Pain drugmakers haven’t kept up.
Decades of slow-moving research, along with broader failures of the healthcare system, have left millions of people in daily pain. Doctors fear that’s bound to continue.
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Changes to H-1B visa program threaten to worsen healthcare labor shortages
Experts worry healthcare providers won’t be able to pay the new $100,000 H-1B application fee. “These are often nonprofit organizations. They don’t have that kind of money lying around,” one lawyer said.
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UnitedHealthcare launches direct-to-consumer marketplace for health and wellness programs
The insurance giant is unveiling UHC Store as payers work to shore up eroding consumer trust.
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3 ideas for health systems to consider amid AI deployment
Providers should set clear goals on what they’re trying to achieve with AI tools and lean on project managers as they implement the technology, experts say.
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TrackerTracking healthcare data breaches
A breach at a North Carolina health center in February exposed the data of more than 450,000 people.
Updated Sept. 25, 2025 -
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Privia acquires Evolent’s value-based primary care unit for $100M
It’s an opportunity for Privia to further increase its shared savings in Medicare’s largest value-based program, while enticing Evolent Care Partners’ affiliated physicians onto its technology and services platform.
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Physician practice acquisitions on the rise: GAO
Consolidation with health systems can lead to higher prices, alongside a decrease or no change in care quality, according to a review from the Government Accountability Office.
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Emergency department deaths tick up following private equity acquisition: study
Patients may be more likely to die in private equity-owned emergency departments than other similar facilities, according to a study published Tuesday in the Annals of Internal Medicine.
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Deep DiveDisparity in vaccine access between states roils patients, providers
Recent changes to federal guidance on COVID-19 vaccinations have providers worried about what’s to come. “We have opened a door to not using science to guide care,” one physician said.
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Aetna expands program curbing hospital readmissions for Medicare Advantage members
One hospital has piloted the program for a few months and seen some early successes that have made other operators interested, an Aetna spokesperson said.
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States are ramping up AI regulation. How should healthcare respond?
Industry leaders should engage with state lawmakers on AI bills, given many legislators have limited experience with the technology or in healthcare more broadly, experts said during a HIMSS summit.
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Premier to go private in $2.6B deal with California investment firm
The take-private deal should give Premier more capital to bolster its operations and invest in technology.
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Optum Insight names new CEO
UnitedHealth’s data and analytics arm has tapped its second chief executive officer since May as the company continues to reshuffle its executive bench.
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CVS’ Omnicare division files for bankruptcy
CVS’ pharmacy services subsidiary was hit with a $949 million judgment in July. The Chapter 11 process could delay the government from recouping the funds.
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States should be full steam ahead on Medicaid work requirements, experts say
There’s a lot that states want the CMS to weigh in on. But given the tight rollout timeline for the controversial mandates, they shouldn’t delay implementation, experts said during a MACPAC meeting.
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How to ensure healthcare workers benefit from AI
Trust is key to getting providers on board when health systems look to roll out artificial intelligence, experts said at the HIMSS AI Leadership Strategy Summit in Chicago.
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Medicare Advantage plans to share provider directories under CMS final rule
The policy was originally proposed by the Biden administration in November, but comes amid a larger push for more transparency around payers’ provider networks from health officials in the Trump regime.
