Medical Groups

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    Optum taps its second CFO in 6 months

    It’s the latest management shakeup at UnitedHealth as the company attempts to shore up investor confidence.

    By • Oct. 24, 2025
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    HLTH25

    Optum launches AI system to speed medical claims

    Optum Real allows providers to receive information about patients’ health benefits in real time, the company said.

    By • Oct. 22, 2025
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    Trendline

    Payer/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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    Q&A // HLTH25

    ANA President Jennifer Mensik Kennedy talks nursing shortage, vaccine misinformation

    Federal divestment in nursing education and stress due to medical misinformation could add to the the nation's nursing shortage, according to the American Nurse Association leader.

    By • Oct. 22, 2025
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    Healthcare AI investment focused on profit margins, ROI: report

    As providers and payers navigate an increasingly challenging financial environment, executives are targeting AI tools that show a clear return on investment, according to a report by Klas Research and Bain & Company.

    By • Oct. 15, 2025
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    CVS closes deal for 63 Rite Aid stores

    The drugstore retailer will also bring on more than 3,500 employees from the rival chain and make “targeted investments” in its own stores.

    By Cara Salpini • Oct. 15, 2025
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    Sponsored by Express Healthcare Staffing

    Beyond the resume: Why cultural fit matters in healthcare organizations

    Why cultural fit matters as much as credentials in healthcare staffing.

    By Express Healthcare Staffing, Julie Neal • Oct. 13, 2025
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    Courtesy of Amazon
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    Amazon Pharmacy to launch prescription kiosks at One Medical clinics

    The kiosks will dispense common medications like blood pressure drugs or inhalers at five Los Angeles area clinics starting in December. Amazon will begin expanding them to other locations next year.

    By • Oct. 9, 2025
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    Unnecessary back surgeries cost Medicare $1.9B: Lown

    More than 200,000 “low-value” back surgeries for older adults were billed to Medicare from 2020 to 2023 — totaling one unnecessary procedure every eight minutes, according to a new analysis from the Lown Institute.

    By • Oct. 9, 2025
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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
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    Deep Dive

    AI could transform healthcare. Can safety-net providers keep up?

    Implementing artificial intelligence requires significant human labor and technical expertise, threatening to create a digital divide between highly resourced health systems and safety-net providers.

    By • Oct. 2, 2025
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    Top healthcare conferences to attend in 2026

    These are the events healthcare leaders should plan for next year, covering topics like digital health, rural care and financial management.

    By Healthcare Dive staff • Oct. 1, 2025
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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.

    By • 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 • Sept. 25, 2025
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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 • 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 • Sept. 24, 2025
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    Deep Dive

    Disparity 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 • 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 • 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 • 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 • Sept. 16, 2025
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    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 • 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 • 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 • 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 • Sept. 10, 2025
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    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 • Sept. 4, 2025