The Latest
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Courtesy of ChristianaCare
ChristianaCare names successor after CEO retires
Dr. Janice Nevin will step down in September after more than 12 years in the health system’s top role. ChristianaCare’s former chief legal counsel will take her place.
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Sponsored by PointClickCareFrom afterthought to advantage: How health plans are rethinking post-acute care
From reactive to proactive, how plans are transforming post-acute care management.
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More insurance claims denials are being overturned upon appeal, study finds
Study authors, who reviewed data from New York, said rising rates of overturned claims suggest that insurers’ claims review processes might not be working as intended, and policymakers should consider getting involved.
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VA deploys Oracle EHR at four Michigan medical centers
The rollout marks the first deployment of the records system at a VA medical center in years after technical problems plagued the project. In total, 13 medical centers are scheduled to receive the Oracle EHR in 2026.
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With health costs ballooning, workers turn to wellness and the internet, ADP finds
When workers delay care because of cost, it could hurt employers more in the long run, other research suggests.
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CMS accepts more than 150 providers, digital health firms for ACCESS model
Participants will receive set reimbursement for managing Medicare beneficiaries’ chronic conditions, like diabetes, chronic kidney disease and hypertension.
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Tenet CIO to retire at year end
Paola Arbour will stay at Tenet on a part-time basis to provide transition and support services through early 2028.
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CMS proposes new deadlines for prior authorizations for drugs
Drugs were left out of a 2024 rule streamlining prior authorizations by making decisions electronic and requiring payers to turn them around more quickly. The Trump administration is looking to address that gap.
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Medicare proposes 2.4% pay bump for inpatient hospitals in 2027, floats mandatory model
Regulators are proposing to send $1.4 billion more to acute care hospitals and debut the first nationwide, mandatory payment model to lower the cost of joint replacements. Hospitals pushed back.
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Illustration: Xavier Lalanne-Tauzia for Industry Dive
Hospital M&A rebounds after 2025 lull
Mergers and acquisitions in the first quarter hit multi-year highs after providers pumped the brakes last year, according to a new study from Kaufman Hall.
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CMS unveils first wave of health tech tools as it pushes data sharing initiative
The agency showcased dozens of tools Thursday, about 8 months after the CMS first announced the initiative that aims to ease health data sharing and improve access to digital health and AI products.
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Women have awaited a revolution in menopause. It hasn’t arrived.
Persistent barriers are still hindering drug development for a host of menopause symptoms.
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Judge allows states’ lawsuit over HHS restructuring to move forward
A group of 19 states and Washington, D.C., sued over the department’s sweeping layoffs and reorganization last year. A federal judge on Tuesday struck down the HHS’ bid to dismiss the lawsuit.
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Most health AI users don’t rate chatbots as highly accurate: poll
About 2 in 10 said they at least sometimes use AI chatbots to get health information, but only 18% considered their responses highly accurate, according to the survey published by the Pew Research Center.
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Photo illustration: Mark Harris
Deep DiveOne year after HHS layoffs, a department in disarray
Thousands of employees of the Department of Health and Human Services were fired last spring. Their colleagues are still picking up the pieces.
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Illustration: Xavier Lalanne-Tauzia for Industry Dive
Orlando Health agrees to acquire Alabama-based RMC Health System
The deal, which the health systems expect to close in the fall, will further expand Orlando Health’s presence in the state after it acquired Birmingham-based Baptist Health in 2024.
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Jefferson Health sues Aetna over Medicare Advantage ‘downcoding’ policy
The health system claims the policy, which reduces reimbursement for some inpatient hospital stays, violates federal law and its reimbursement contract with Aetna. The insurer disagreed with Jefferson’s allegations.
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Deep DiveOne year in: How medtech companies are coping with tariff challenges
A resilient medtech industry navigating the fallout from President Donald Trump’s trade wars is taking proactive steps to manage tariff costs as the administration’s policies continue to evolve.
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ICHRAs, a growth opportunity for insurers, face uphill battle
Employers are turning to Individual Coverage Health Reimbursement Arrangements to cut costs, but rising premiums and instability on the individual market pose challenges.
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Photo illustration: Mark Harris
Deep DiveCMS tackles big policy changes with diminished workforce
The agency is embarking on major initiatives — including helping states implement Medicaid work requirements — with fewer workers in the wake of the federal government’s restructuring, experts say.
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Digital health funding concentrates in fewer startups: report
Companies raised $4 billion in the first quarter, an increase of $1 billion over the prior year, according to Rock Health. But nearly 60% of the capital deployed came from 12 large deals.
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CMS finalizes higher Medicare Advantage rates for 2027 in gift to insurers
Regulators locked in a 2.48% rate hike for next year, much higher than the 0.09% that was proposed. Analysts said the Trump administration was likely spooked about coverage disruptions for seniors before the midterm elections.
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Insurers committed to cutting prior authorizations have eliminated 11% so far
Last summer, major payers committed to pare back onerous prior authorization policies, to the skepticism of providers. Now, AHIP and the Blue Cross Blue Shield Association are providing an update on insurers’ progress.
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Veradigm names CFO as it works to get current on financial filings
Christian Greyenbuhl will replace Lee Westerfield, who has been interim CFO since 2023. The health IT company has worked to get up to date on its financial reporting requirements after it was delisted from the Nasdaq in 2024.
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Courtesy of Hims & Hers
Hims & Hers says limited data stolen in social engineering attack
The telehealth provider said hackers gained access to a third-party customer service platform, but medical records remained secure.
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Centene creates two new executive leadership roles
It’s the latest in a flurry of executive appointments from health insurers looking to strengthen their leadership teams amid regulatory headwinds and elevated medical costs.
