Government


  • The exterior of the U.S. Capitol on Jan. 3, 2024.
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    Colin Campbell/Healthcare Dive
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    Senators show bipartisan support for reforming 340B during HELP hearing

    Lawmakers called for more transparency about how hospitals are using 340B revenue, including audits of participating facilities. 

    By Oct. 24, 2025
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    CMS calls back furloughed employees to help with Medicare, ACA enrollment periods

    Roughly 3,000 employees are coming back to work on Monday, funded by user fees as the shutdown drags into its fourth week.

    By Oct. 24, 2025
  • Trendline

    Labor

    Hospitals are navigating persistent labor shortages with the need to cut costs — a source of contention that could leave patients caught in the middle.

    By Healthcare Dive staff
  • Calley Means speaks at HLTH 2025
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    Courtesy of HLTH 2025
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    HLTH25

    Top RFK aide lashes out against healthcare industry for profiting off of illness

    Calley Means stopped short of accusing hospitals, insurers and drug companies from actively working to keep Americans sick, but said it was an "economic fact" that the companies benefit financially when people are ill.

    By Oct. 22, 2025
  • A U.S. flag flies in front of shipping containers and cranes at the Port of Los Angeles on Sept. 26, 2025.
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    Mario Tama via Getty Images
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    AHA urges tariff exceptions for certain PPE, medical devices

    The American Hospital Association warned future tariffs arising from the Trump administration’s Section 232 investigation could disrupt access to an array of tools and personal protective equipment.

    By Susan Kelly • Oct. 21, 2025
  • Mark Cuban at HLTH
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    Susanna Vogel/Healthcare Dive
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    HLTH25

    Mark Cuban says Cost Plus Drugs will partner with TrumpRx

    Cost Plus Drugs is sharing pricing data with TrumpRx, the administration’s new direct-to-consumer prescription drug website set to launch next year.

    By Oct. 20, 2025
  • The HHS in DC
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    HHS says it can still fire workers despite judge’s order pausing shutdown layoffs

    The 982 HHS employees who received reduction-in-force notices are not represented by the unions that are plaintiffs in the case, the department’s head of personnel argued in a court filing.

    By Oct. 20, 2025
  • A sign for the U.S. Department of Health and Human Services stands outside of a concrete building.
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    Ned Pagliarulo/Healthcare Dive
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    CMS slows technical support for rural health fund despite looming deadline

    States have just weeks to submit their applications for the new Rural Health Transformation Program, but the CMS says its ability to provide support may be delayed due to the government shutdown.

    By Oct. 17, 2025
  • CMS Administrator Dr. Mehmet Oz speaks at a Better Medicare Alliance event.
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    Rebecca Pifer/Healthcare Dive
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    Oz reiterates need to improve Medicare Advantage payment accuracy

    The CMS administrator’s comments at an industry event in D.C. reflect the difficult tightrope regulators in the Trump administration walk as they pursue MA reform.

    By Oct. 15, 2025
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    California passes laws targeting PBMs, private equity

    Gov. Gavin Newsom signed an array of healthcare bills into law last week that crack down on pharmacy benefit managers and beef up the review process for deals involving private equity firms.

    By Oct. 15, 2025
  • 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 Finance Committee probes Medicaid contractors over faulty systems

    Top Democrats are airing related concerns that the IT chassis underpinning states’ Medicaid operations may not be robust enough to withstand the added pressure from looming work requirements.

    By Oct. 15, 2025
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    Humana loses Medicare Advantage stars lawsuit for a second time

    A federal judge ruled in favor of the CMS on Tuesday, one day before the start of Medicare open enrollment. A spokesperson for Humana said the insurer is considering “all available legal options.”

    By Oct. 14, 2025
  • Ranking Member Sen. Richard Blumenthal (D-CT) speaks during a Senate Homeland Security and Government Affairs Subcommittee hearing on Capitol Hill on September 9, 2025 in Washington, DC.
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    Andrew Harnik / Staff via Getty Images
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    Top Democrat questions Medicare Advantage insurers on AI claims denials

    The letter from Sen. Richard Blumenthal comes one year after a Senate investigation criticized major MA payers for using predictive technology to deny post-acute care.

    By Oct. 14, 2025
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    Trump administration moves to fire HHS employees amid shutdown

    Upwards of 1,000 HHS employees were affected. However, the department has rolled back some of the layoffs at the CDC, where the brunt of the terminations were concentrated.

    By Updated Oct. 14, 2025
  • A piece of paper with the word "Medicare" emblazoned on a blue background
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    Winners and losers from 2026 Medicare Advantage star ratings

    The CMS quietly released anticipated star ratings data Thursday night. Humana and Aetna saw enrollment in highly rated plans fall, while Elevance’s and Centene’s stars improved and UnitedHealthcare’s stayed stable.

    By Oct. 10, 2025
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    California is the latest state to enact tougher restrictions on private equity in healthcare

    The new law prohibits financial firms from having a hand in medical decisions, including determining how many patients clinicians see per hour or what diagnostic tests are appropriate.

    By Oct. 10, 2025
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    Getty Images
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    Pharmacy groups defend Iowa PBM law amid legal challenge

    The state passed the law in June in a bid to protect independent pharmacies from certain harmful pharmacy benefit manager practices, but it was quickly tied up in litigation.

    By Oct. 9, 2025
  • CMS Administrator Dr. Mehmet Oz speaks at an Aspen Institute event.
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    Permission granted by Aspen Institute
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    Oz speaks out about shutdown, Medicaid cuts, Medicare Advantage audits and more

    Six takeaways from the CMS administrator’s appearance at a D.C. think tank — including why he supports a clean funding bill to reopen the government.

    By Oct. 7, 2025
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    Supreme Court hears challenge to Colorado’s ban on conversion therapy

    The plaintiffs argue that speech in certain healthcare settings ought to be protected by the First Amendment. Critics say that sets a dangerous precedent, where providers can offer debunked or harmful medical advice with impunity.

    By Oct. 7, 2025
  • Longworth Congressional Building
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    Win McNamee via Getty Images
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    No Surprises dispute resolution remains operational despite shutdown

    However, a prolonged lapse in funding could affect other activities underpinning implementation of the law that holds consumers blameless for unexpected out-of-network bills.

    By Oct. 6, 2025
  • A picture of a form that says 'Medicaid eligibility'
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    Medicaid enrollees at risk of disenrollment report multiple chronic conditions: study

    About 41% of beneficiaries who could lose coverage due to federal work requirements signed into law this summer have three or more chronic conditions, according to new JAMA research.

    By Oct. 6, 2025
  • Torn bills revealing Fraud words. Ideas for Election and voting rights in United States, Money and Taxes
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    shutterstock.com/Cinemato

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    Sponsored by ECHO

    Payment fraud in healthcare is getting harder to detect. Here’s how to fight back.

    Fraudsters are raising the stakes. Explore why they’re harder to catch and how to strengthen your defenses across every claim payment.

    By Brian Young • Oct. 6, 2025
  • A piece of paper with the word "Medicare" emblazoned on a blue background
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    Humana’s Medicare Advantage star ratings slip for 2026

    Humana is giving investors an early look at stars data after a CMS slip-up led some information to be inadvertantly shared online. The results are in line with expectations but still unsatisfactory, Humana said.

    By Oct. 2, 2025
  • Two people are seen inside a Medicare Services office.
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    Spencer Platt via Getty Images
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    UnitedHealthcare, Humana, Aetna scale back Medicare Advantage plans for 2026

    The coverage landscape for the privatized Medicare plans will look significantly different next year, giving smaller players a chance to snap up market share but likely creating confusion for seniors.

    By Updated Oct. 3, 2025
  • A modern architectural design building featuring a red-brick façade with large glass windows displays a prominent sign of the Food and Drug Administration.
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    Alamy
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    FDA seeks feedback on monitoring real-world performance of AI devices

    The agency is looking for ways to detect, assess and mitigate changes to the performance of AI-enabled devices over time.

    By Nick Paul Taylor • Oct. 1, 2025
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    ACA premiums could rise 114% if enhanced subsidies lapse: KFF

    Extending the more generous financial assistance is at the center of a funding fight between Democrats and Republicans on Capitol Hill that shut down the federal government this month.

    By Oct. 1, 2025