The Latest
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Blue Shield of California taps chief pharmacy officer
Hayley Park will oversee BSCA’s prescription drug programs. The insurer has worked to overhaul its pharmacy management model in a bid to lower drug costs.
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Sponsored by PhRMA
Times up: Hospitals and the 340B markup program need reforms
Bipartisan agreement. Lowering costs for patients. Saving money for taxpayers. Fix 340B.
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Retrieved from QuikTrip.
QuikTrip to sell urgent care clinics after 6 years in business
The retailer, which at one point had 14 MedWise sites, is divesting its nine-location network to Saint Francis Health System.
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RFK Jr. defends HHS tenure, 12% proposed budget cut
Republicans largely praised the HHS secretary’s track record during a marathon of House hearings last week, but some GOP lawmakers raised concerns about proposed budget cuts to the National Institutes of Health.
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Physician burnout is improving but some specialties lag, the AMA finds
The influential physician association surveyed thousands of doctors and found that burnout last year was lower than in 2024 or 2023. Still, certain specialties, especially those on the front lines of care, face an elevated risk of burning out.
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Judge dismisses Aetna’s No Surprises fraud suit against Radiology Partners
The insurer accused the radiology group of gaming the No Surprises Act to reap higher reimbursement. A judge tossed the case last week, saying Aetna needed to raise its complaints during the dispute resolution process.
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Stakeholders urge Labor Department to finalize PBM transparency rule
Employers, lawmakers and more said regulators should hustle to get disclosure mandates for the controversial drug middlemen across the finish line, while PBMs slammed the rule as illegal, unnecessary and anticompetitive.
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GE HealthCare, RadNet expand AI mammography collaboration
The partnership adds access to a workflow for second reads of complex cases and other software features made by RadNet subsidiary DeepHealth.
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CMS proposes repeal of add-on payment path for breakthrough devices
The agency said it developed concerns about the limited evaluation process for the devices after gaining experience with the alternative pathway.
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ACA exchanges will continue to shrink as fewer enrollees pay premiums, analysis suggests
About 14% of ACA enrollees didn’t pay premiums in January, a higher rate than usual and one that suggests ACA enrollment will continue to decline, according to Wakely.
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Erica Schwartz, ex-deputy surgeon general, picked to be next CDC director
If confirmed by the Senate, Schwartz could finally fill a void for an agency that’s cycled through multiple leaders over the last year.
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Abridge partners with medical journals to expand AI clinical decision support
The AI scribe company said information from the New England Journal of Medicine and the JAMA Network will allow providers to more easily access the latest medical research.
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More employers considering medical, pharmacy vendor switch amid rising healthcare costs, survey finds
Healthcare affordability continues to keep employers up at night. More businesses are shopping for new healthcare vendors as a result, according to the Purchaser Business Group on Health.
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Walmart expands digital health platform’s weight loss offerings, including GLP-1 prescribing
Customers can now connect to third-party providers for weight management services through Walmart’s digital health platform, then turn around and fill GLP-1 prescriptions at its retail pharmacy.
Updated April 17, 2026 -
FDA moves toward easing restrictions on certain peptides
The agency’s decision to hold an advisory committee meeting on the topic comes after HHS Secretary Robert F. Kennedy Jr. told podcaster Joe Rogan he’s a “big fan” of peptides.
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Surprise Billing
California judge tosses Elevance’s surprise billing suit in win for providers
It’s a major victory for controversial billing intermediary HaloMD, which cheered the court’s decision. Elevance said it plans to appeal.
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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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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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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.