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    Scott Olson via Getty Images
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    Employers push health savings plans, nutritional counseling to avoid GLP-1 coverage for weight loss

    Cost remains a major factor for employers as the popular drugs represented 11.4% of corporations’ annual claims in 2025.

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    Permission granted by Walgreens
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    Sponsored by Walgreens Specialty Pharmacy

    The real economics of specialty pharmacy: What your specialty drug trend isn’t telling you

    As specialty drug costs rise, payers with a comprehensive view can better manage them.

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    340B spending ballooned to $100B in 2025, federal data shows

    It's the latest evidence of rising spending in the drug discount program as regulators attempt to tamp down on growth in 340B.

  • Sen. Ron Wyden speaks to reporters following a regular Democratic policy luncheon on April 8, 2025. Wyden is holding up the nomination of Sean Plankey to become director of CISA.
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    Andrew Harnik via Getty Images
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    Senate Republicans kill bid to end Medicare prior authorization pilot

    The Senate voted along party lines Thursday to defeat Democrats’ attempt to end WISeR, which some lawmakers argue is delaying care for seniors.

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    Judge stays Trump administration policies set to shrink ACA marketplaces

    On Thursday, a federal judge pressed pause on the CMS’ expansion of bare-bones catastrophic plans and other changes finalized in a rule this spring, saying they were likely to raise costs and hurt access.

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    Courtesy of UnitedHealth Group
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    UnitedHealth raises 2026 guidance again as cost controls pay off in Q2

    UnitedHealth’s profit spiked to $5.5 billion in the second quarter thanks to notable earnings recovery in its insurance and value-based care delivery businesses. The healthcare juggernaut delivered for investors, analysts said.

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    Large funding rounds help boost digital health investment in H1

    Venture capital funding deals worth $100 million or more made up nearly half of all money invested so far this year, according to Rock Health.

  • A sign reading 'Elevance Health 220 Virginia Ave' in front of a large office complex on a clear day.
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    Alamy
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    Elevance shuts down D.C. Medicaid business, eyes additional exits after passable Q2

    Elevance will leave D.C. this summer and is considering other markets to depart, executives said. The company outperformed Wall Street expectations in the second quarter — but not by much, and its stock fell accordingly.

    Updated July 17, 2026
  • Medtronic's Hugo robotic surgery system is shown in an operating room in Seoul, South Korea, with a surgical team.
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    Courtesy of Medtronic
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    Healthcare sector faces persistent supply-chain security, identity management challenges

    A new report says doctors and nurses should train for cyberattacks the way firefighters train for major blazes — even if they expect them to be rare.

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    Judge tosses another No Surprises lawsuit against HaloMD

    It's the third recent legal victory in No Surprises lawsuits for billings intermediary HaloMD, which has also had suits dismissed in California and Texas.

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    Doctor pay to drop in 2027 under proposed Medicare pay rule

    Physician groups said the sweeping rule is a double-edged sword, given it includes an unwelcome fee cut but positive changes to Medicare’s value-based and quality payment programs.

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    CVS Caremark reaches settlement with FTC over insulin suit

    Terms of the deal announced Tuesday are very similar to those the FTC reached with Express Scripts earlier this year, including requiring the PBM to stop preferring higher cost versions of drugs on standard formularies.

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    The image by Cindy Shebley is licensed under CC BY 2.0
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    Providence names new chief supply chain officer

    Amanda Chawla comes to the Washington-based nonprofit giant from Stanford Medicine. Providence is hoping her appointment will bolster its supply chain capabilities during a time of elevated spend.

  • A patient recovers after a total knee replacement surgery.
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    Whoop tests wearable platform in joint replacement recovery

    The program, a partnership with Kinomatic, will use biometric data and care coordination between visits to support recovery after surgery.

  • Logo of HCA Houston Healthcare on the top of a modern hospital building under a clear blue sky.
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    Alamy
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    HCA cuts 2026 earnings forecast on insurance coverage losses

    Payer mix changes, mostly from people dropping out of Affordable Care Act plans, caused HCA to lose $400 million in the second quarter — much more than the company (or its investors) had expected.

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    Kayla Bartkowski via Getty Images
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    ‘The system is undeniably broken’: More insurers sue CMS over Medicare Advantage stars

    SCAN Health Plan and Alignment Healthcare both filed lawsuits against the CMS last week after regulators refused to recalculate industry-wide MA scores using the same methodology as for Clover Health.

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    HHS watchdog says it’s targeting Medicaid, Medicare Advantage fraud

    The HHS Office of Inspector General removed over 1,200 people and entities from federal programs between October and March as the Trump administration ratchets up oversight into healthcare fraud.

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    Hospital M&A sustains momentum in Q2: report

    Hospitals and health systems recorded 18 transactions in the second quarter after a lull in dealmaking early last year as providers partner up in a bid to bolster their finances.

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    Kayla Bartkowski via Getty Images
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    Soon-to-expire ACO REACH generates more savings for Medicare

    The model, which is set to sunset at the end of this year, generated $988 million in savings for Medicare in 2024, according to new CMS data. That’s up from almost $695 million in savings from the year prior.

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    Retrieved from Memorial Hermann on July 10, 2026
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    Memorial Hermann exits commercial insurance business

    The Houston-based nonprofit is the latest integrated system to throw in the towel on some of its insurance plans amid a tough cost and policy environment.

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    Sergio Flores/Getty Images via Getty Images
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    Tracker

    Tracking healthcare data breaches

    A data breach at a New Jersey lab testing provider may have exposed the information of more than 540,000 people.

    Updated July 13, 2026
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    Permission granted by The Economic Club of Washington, DC/Gary Cameron
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    CVS CEO says Aetna has a handle on medical costs in advance of Q2 earnings

    David Joyner’s assurances, which come about a month before CVS is scheduled to report its second quarter results, will likely be welcomed by investors wary after a difficult few years for insurers.

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    Darren McCollester/Getty Images via Getty Images
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    Strikes boil at Mass General Brigham, Mount Nittany

    About 4,500 workers at Mass General Brigham are striking this week, while employees at Mount Nittany Medical Center in Pennsylvania said they would take to the picket line later this month.

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    Whistleblower lawsuit accuses Alignment of accounting fraud

    A former executive is claiming that the MA insurer recorded millions of dollars as capital expenditures that should have been operating expenses, inflating its value. Alignment strongly denied the allegations.

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    Physicians’ wearable data use hampered by reimbursement, workflow barriers: survey

    “We have all this data that’s available, but it’s actually not actionable because we don’t have a way to get it into clinical workflow,” said American Medical Association CEO Dr. John Whyte.

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    Courtesy of Resmed
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    Resmed to sell software business MatrixCare to private equity firm

    Selling the unit, which provides an EHR for post-acute care, will allow the respiratory device maker to shift more resources to faster-growing parts of its portfolio.