The Latest
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Deep DiveThe hospital hiding in a strip mall
Mon Marion Neighborhood Hospital in West Virginia is part of a burgeoning trend of micro-hospitals, diminutive facilities with less than 50 beds. The hospitals are stemming rural care gaps across the country.
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Sponsored by Eide BaillyHow rural healthcare organizations are turning AI investments into measurable performance improvements
Better data, stronger governance and targeted use cases are driving results in rural healthcare.
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New CMS rule ties Medicare billing privileges to owner conduct
Regulators have expanded powers to revoke providers’ Medicare certification, including for parent companies that violate federal rules.
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Mayo Clinic Platform launches AI tool to streamline clinical decision-making
Clinicians can now query an AI chatbot built on Mayo Clinic's medical knowledge base to help with diagnosis and care decisions across more than 35 specialties.
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Cigna boosts 2026 outlook as insurance, specialty pharmacy profits climb
Executives touted the quarter as evidence that Cigna is well positioned for another year of profitable growth in 2027. Though, its pharmacy benefits manager Express Scripts is a drag.
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Medicare finalizes physician pay cut for 2027
Regulators trimmed doctors’ Medicare payments and hammered out other policies to reduce duplicative reimbursement. Providers slammed the cuts, saying they would further destabilize the sector.
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Medicare will cut billions from 340B, expand site-neutral payments in 2027
Regulators finalized a rule Wednesday that would slash payments for drugs in the controversial 340B program and equalize some payments between care sites. Hospitals railed against the rule.
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CVS to split into two companies in stunning strategic about-face
The breakup, which will separate Aetna and Caremark from CVS’ retail pharmacies, is an indictment of the dogma that bigger is always better in the healthcare industry.
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Patients want a human in the loop for AI healthcare tools
Patients are open to doctors using AI for more administrative tasks, but they’re less enthusiastic about using it for diagnosing or claims adjudication, according to a new survey.
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Medicare spends more on hospices owned by private equity firms, study finds
Medicare is footing a bigger bill for hospices bought by private equity firms, spending nearly $1,000 more per stay. Researchers said PE firms may be boosting inappropriate admissions to maximize reimbursement.
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MultiCare, Samaritan complete merger
The nonprofit health systems officially combined on Sunday following approval from state regulators. Tacoma, Washington-based MultiCare will invest $700 million over the next decade in Samaritan’s facilities and technology.
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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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How should the FDA regulate generative AI in medtech? Here are 5 takes
Patients, providers and medtech firms submitted hundreds of comments to the Food and Drug Administration on how the agency should approach generative AI in medical devices.
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Medicare Part D premiums are spiking 50% on average next year, KFF finds
The health policy think tank urged seniors to shop carefully for prescription drug coverage during Medicare open enrollment, given skyrocketing premiums and wide variance in costs between plans.
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AI vendors, health systems join physicians in liability for clinical AI: AMA
The AMA's new issue brief assigns distinct responsibilities to physicians, developers and healthcare organizations, arguing that protecting patients requires accountability from all stakeholders.
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Judge strikes down CMS ‘medical frailty’ policy for Medicaid work requirements
It’s a victory for more than two dozen states that had sued to block the definition, along with providers, consumer advocates and other critics that had opposed it. The CMS could still appeal the decision.
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Illustration: Xavier Lalanne-Tauzia for Industry Dive
CHS lowers 2026 earnings forecast on uninsured volumes, surgery snags
The hospital chain slid into red during the third quarter as more uninsured patients previously on Affordable Care Act plans sought out care and others deferred elective surgeries.
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US launches program to deliver free cybersecurity help to rural hospitals
Small and rural healthcare organizations are among the most vulnerable critical infrastructure organizations in the nation.
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Yale New Haven Hospital can’t ditch lawsuit over age-biased physician test
The discrimination lawsuit, which alleged YNH physicians over 70 years old were subjected to competency tests, was cleared for trial on Friday.
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Labor Department finalizes sweeping PBM disclosure rule
Starting in 2027, the controversial drug middlemen will have to share a broad swath of fee and compensation data with self-funded employer clients. Employers cheered the rule, while PBMs slammed it as government overreach.
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High-acuity strategy helped Tenet weather surgery, uninsured headwinds in Q3
The health system's push into high-acuity procedures like joint replacements and spinal fusions helped offset declining surgical volumes and payer mix pressures tied to the ACA exchanges.
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Illustration: Xavier Lalanne-Tauzia for Industry Dive
Softer surgery volumes, hospital woes dampened UHS’ Q3 earnings
An increasing shift toward outpatient surgeries and slower-than-expected ramps to profitability at some of its hospitals dinged Universal Health Services’ earnings in the third quarter.
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Popular AI models get medication doses wrong, some dangerously: Doximity
Research released by the clinical AI company shows that its dose verification tool outperformed general use AI models, which it says are rife with errors. It’s Doximity’s latest play to stand out as major AI companies forge into healthcare.
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CVS sues to prevent $2B Medicare Advantage star ratings hit
It’s at least the fifth insurer to turn to the courts in a bid to hike its ratings for next year. The lawsuits make near-identical legal arguments. But CVS’ is more dramatic in its scope and alleged financial harm.
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TrackerTracking healthcare data breaches
The data of more than 8 million people was potentially exposed after a cybercriminal used social engineering to gain access to iRhythm’s third-party business applications.
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Insurers, employers urge CMS to pause No Surprises arbiter recertifications
The Coalition Against Surprise Medical Billing and the ERISA Industry Committee are asking the CMS to stop approving arbiters until it implements more rigorous standards.
