Medical Groups
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Hospitals, doctors could lose $32B in revenue next year if ACA subsidies expire: report
It’s the latest warning about the impact to the healthcare system if the subsidies are allowed to lapse, an issue at the center of the government funding fight taking place on Capitol Hill.
By Rebecca Pifer • Sept. 26, 2025 -
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Changes to H-1B visa program threaten to worsen healthcare labor shortages
Experts worry healthcare providers won’t be able to pay the new $100,000 H-1B application fee. “These are often nonprofit organizations. They don’t have that kind of money lying around,” one lawyer said.
By Susanna Vogel • Sept. 25, 2025 -
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Yujin Kim/Healthcare Dive
TrendlinePayer/provider relationships
As M&A intensifies and companies embrace more holistic and value-based care models, partnerships have become more closely intertwined.
By Healthcare Dive staff -
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Physician practice acquisitions on the rise: GAO
Consolidation with health systems can lead to higher prices, alongside a decrease or no change in care quality, according to a review from the Government Accountability Office.
By Emily Olsen • Sept. 24, 2025 -
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Privia acquires Evolent’s value-based primary care unit for $100M
It’s an opportunity for Privia to further increase its shared savings in Medicare’s largest value-based program, while enticing Evolent Care Partners’ affiliated physicians onto its technology and services platform.
By Rebecca Pifer • Sept. 24, 2025 -
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Deep DiveDisparity in vaccine access between states roils patients, providers
Recent changes to federal guidance on COVID-19 vaccinations have providers worried about what’s to come. “We have opened a door to not using science to guide care,” one physician said.
By Susanna Vogel • Sept. 23, 2025 -
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Optum Rx hikes payment floor on brand name drugs for independent pharmacies
The move builds on the major PBM’s pivot to cost-based pricing for pharmacies announced earlier this year.
By Rebecca Pifer • Sept. 17, 2025 -
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More than half of healthcare workers are considering taking new jobs next year: survey
Workers say they’re burnt out and feel unappreciated at work, according to a new survey from the Harris Poll.
By Susanna Vogel • Sept. 16, 2025 -
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Doctors slam specialty cuts in 2026 Medicare pay proposal
Major physician groups and specialists commented in droves that regulators missed the mark on the Medicare physician fee schedule for next year.
By Rebecca Pifer • Sept. 16, 2025 -
Bill Oxford via Getty Images
Medicare prior authorization pilot raises concerns among providers
The additional red tape could save money, but may harm patient access and quality of care. Stakeholders are urging the CMS to increase transparency and hold participants accountable.
By Michael Brady • Sept. 16, 2025 -
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CMS opens applications for Rural Health Transformation Fund
States have been anticipating more details about the program since July. Now, they will have until Nov. 5 to submit applications for a piece of the $50 billion pie.
By Susanna Vogel • Sept. 16, 2025 -
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CVS changes healthcare delivery leadership
Jon Thiboutot, most recently the vice president of operations of CVS' MinuteClinic subsidiary, has been named the healthcare giant's president of retail health.
By Emily Olsen • Sept. 12, 2025 -
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AMA releases 2026 medical codes
The American Medical Association unveiled new CPT codes on Thursday amid signs that the Trump administration may reduce the lobby’s influence over the medical billing system.
By Rebecca Pifer • Sept. 12, 2025 -
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Pacs Group CFO resigns amid allegations of improper conduct
The board of directors called for Derick Apt to resign amid allegations he improperly accepted a “series of high value” gifts.
By Susanna Vogel • Sept. 10, 2025 -
Alex Wong via Getty Images
CMS tweaks AHEAD all-payer model for states
The model will now run for one additional year and require providers to assume more downside risk.
By Rebecca Pifer • Sept. 4, 2025 -
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Medicare saved record $2.4B from largest accountable care program last year
ACOs are also improving in quality, according to the CMS data. Still, the Medicare Shared Savings Program has struggled with waning provider buy-in.
By Rebecca Pifer • Sept. 3, 2025 -
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Top healthcare legislation to watch so far this year
Federal lawmakers have proposed dozens of bills targeting core healthcare issues, including 340B, Medicaid, AI and site-neutral payments.
By Healthcare Dive staff • Aug. 28, 2025 -
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Sycamore Partners closes Walgreens acquisition, splits retailer into 5 companies
The deal’s closure also comes with a raft of leadership changes. Mike Motz, the former CEO of Staples U.S. Retail, has been appointed as Walgreens CEO effective immediately.
By Susanna Vogel • Aug. 28, 2025 -
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Physicians say fewer qualified doctors apply for jobs: report
In a new report from Medscape, physicians say a lack of qualified applicants is hampering efforts to fill open positions. Many worry the situation could get worse over the next decade.
By Susanna Vogel • Aug. 27, 2025 -
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Surprise BillingNo Surprises dispute resolution is creating billions of dollars in extra costs, could raise premiums: analysis
Providers are turning to the law’s arbitration process in droves to settle out-of-network claims, one factor fueling spending that could cost consumers down the line.
By Rebecca Pifer • Aug. 27, 2025 -
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Deep DiveA $50B rural health fund was negotiated with hospitals in mind. Experts are split on whether it will help them at all.
The fund was created to help Republicans secure critical votes for their reconciliation bill. But experts aren't quite sure how it'll work, creating a $50 billion dollar question with major ramifications for rural hospitals.
By Susanna Vogel • Aug. 26, 2025 -
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Johns Hopkins, UnitedHealthcare end contract negotiations after failing to reach agreement
The Baltimore-based system and the major insurer called off contract negotiations, keeping some 60,000 patients out of network.
By Rebecca Pifer • Updated Sept. 18, 2025 -
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Judge approves $2.8B Blues settlement with providers
The final settlement wraps up 12 years of litigation over Blue Cross and Blue Shield plans’ alleged collusion to lower reimbursement to U.S. providers.
By Rebecca Pifer • Aug. 22, 2025 -
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Option Care Health taps new CFO
Meenal Sethna will replace Michael Shapiro as the infusion therapy provider’s chief financial executive in October.
By Sydney Halleman • Aug. 21, 2025 -
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CHAI, health center group partner to boost safety-net AI adoption
The organizations will collaborate on guidance for community health centers and other safety-net providers, which face increased barriers to implementing AI.
By Emily Olsen • Aug. 14, 2025 -
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Physicians are working more but reimbursement isn’t keeping pace, report finds
Physicians are working harder now than in past years, but they’re getting less for that work, according to new research from Kaufman Hall. The situation could worsen as more Americans lose health insurance.
By Rebecca Pifer • Aug. 12, 2025
