The Latest

  • Woman presents in front of charts
    Image attribution tooltip
    Permission granted by Event photos by Riccardo Savi
    Image attribution tooltip

    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.

  • Employees, computer and night for finance, stock market and graphs on screen for data analytics. Business people, collaboration and teamwork or support, training and statistics on investment revenue
    Image attribution tooltip

    PeopleImages/Shutterstock.com

    Image attribution tooltip
    Sponsored by R1

    Why AI-driven payer intelligence is a revenue cycle imperative

    How AI-powered payer intelligence prevents denials before they happen — and why you need it now.

  • A row of people sit in chairs viewing a conference event
    Image attribution tooltip
    Getty Images
    Image attribution tooltip

    Top healthcare conferences to attend in 2027

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

  • Illustrated man with fishing hook stealing key
    Image attribution tooltip
    Getty Images
    Image attribution tooltip

    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.
    Image attribution tooltip
    Courtesy of Rush University System for Health
    Image attribution tooltip

    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.

  • Closeup shot of two unrecognisable businesspeople shaking hands in an office
    Image attribution tooltip
    Getty Images
    Image attribution tooltip

    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
    Image attribution tooltip
    MF3d via Getty Images
    Image attribution tooltip

    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.
    Image attribution tooltip
    Joe Raedle via Getty Images
    Image attribution tooltip

    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.
    Image attribution tooltip
    Getty Images
    Image attribution tooltip

    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
    Image attribution tooltip
    Joe Raedle via Getty Images
    Image attribution tooltip

    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.
    Image attribution tooltip
    Alamy
    Image attribution tooltip

    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.
    Image attribution tooltip

    Illustration: Xavier Lalanne-Tauzia for Industry Dive

    Image attribution tooltip

    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
    Image attribution tooltip
    Courtesy of UnitedHealth Group
    Image attribution tooltip

    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.
    Image attribution tooltip
    Courtesy of Humana
    Image attribution tooltip

    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.
    Image attribution tooltip
    Getty Images
    Image attribution tooltip

    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.
    Image attribution tooltip
    Getty Images
    Image attribution tooltip

    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.
    Image attribution tooltip
    Getty Images
    Image attribution tooltip

    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.
    Image attribution tooltip
    Jemal Countess via Getty Images
    Image attribution tooltip

    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
    Image attribution tooltip
    Getty Images
    Image attribution tooltip

    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.
    Image attribution tooltip
    Getty Images
    Image attribution tooltip

    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.
    Image attribution tooltip
    Kayla Bartkowski via Getty Images
    Image attribution tooltip

    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
    Image attribution tooltip
    Getty Images
    Image attribution tooltip

    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.

  • Texas Attorney General Ken Paxton speaks
    Image attribution tooltip
    Brandon Bell/Getty Images via Getty Images
    Image attribution tooltip

    Texas attorney general investigates UnitedHealth over care denials

    Ken Paxton is on the hunt for evidence that UnitedHealth is breaking the Deceptive Trade Practices Act and other Texas laws, citing “alarming reports” of denied care.

  • A calculator and stethoscope rest on a medical bill.
    Image attribution tooltip
    Getty Images
    Image attribution tooltip

    A health insurance agency’s journey from pilot to full-time voice AI agent

    After struggling with high call volume — especially during Medicare open enrollment — eHealth turned to voice AI agents for help.

  • Medical staff walking and talking in hospital corridor
    Image attribution tooltip
    Getty Images
    Image attribution tooltip

    Outpatient shift accelerates as hospital margins rebound

    Patient demand and payer pressures have been nudging procedures out of expensive inpatient settings, according to a new report.

  • The outside of Highmark Western New York's office building
    Image attribution tooltip
    JHVEPhoto via Getty Images
    Image attribution tooltip

    Highmark Health taps Karen Hanlon as CEO

    Hanlon, who has worked in a variety of leadership roles at Highmark during nearly three decades with the company, will be the organization’s first-ever woman CEO.