The Latest

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    Permission granted by GoodRx

    FTC orders GoodRx to stop sharing users’ health data with advertisers, issues $1.5M fine

    Officials said they’re putting the market on watch with the enforcement against the company, which allegedly collected and shared user data without consent. GoodRx denied all wrongdoing, and said it agreed to the fine to avoid litigation.

    Updated Feb. 1, 2023
  • physicians exmaine an xray on a monitor
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    Vladimir Vladimirov/Getty Images via Getty Images

    Texas Medical Association files fourth suit challenging surprise billing ban

    The latest lawsuit focuses on boosted fees that both parties must pay for arbitration to solve billing disputes between providers and payers.

  • An illustration of a large dollar coin with medical supplies flying in the foreground is positioned on an analysis tracking chart background.
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    Illustration: Xavier Lalanne-Tauzia for Industry Dive

    Humana expects 14% hike in 2023 MA enrollment as it taps new leaders

    The payer said it expects to pick up 625,000 individual Medicare Advantage members in 2023.

  • An illustration of a stethoscope in the shape of a dollar sign.
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    dventtr via Getty Images

    CMS to crack down on Medicare Advantage audits, poised to claw back billions of dollars from insurers

    Federal regulators have raised concerns about alleged payment abuses in the MA program for years, specifically for those tied to risk adjustments. 

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    Cliff Hawkins via Getty Images

    Ascension names new president

    Eduardo Conrado will assume the role from Joseph Impicciche, Ascension’s current chief executive officer.

  • Consolidated systems charge more for ‘marginally’ better care, study finds

    Care delivered by physicians in health systems costs between 12% and 26% higher than care delivered by independent physicians, according to a study published in JAMA Network.

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    marchmeena29 via Getty Images

    Insurance lobby blasts Medicare Advantage audit rule

    The America’s Health Insurance Plans lobby said the rule seeking to claw back billions of dollars from health insurers is unlawful and fatally flawed. 

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    Tom Brenner / Stringer via Getty Images

    COVID-19 public health emergency slated to end in May

    The Biden administration warned that hospitals are at risk of revenue losses and care delays if the public health emergency ends abruptly.

  • A prescription bottle with white pills and a wooden gavel sit atop a $100 bill showing Benjamin Franklin's face.
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    Bill Oxford via Getty Images

    Court rules for drugmakers over HHS in 340B fight over contract pharmacies

    The decision is a win for drug manufacturers Sanofi, Novo Nordisk and AstraZeneca. The companies sued the HHS after regulators ordered them to stop restricting sales of 340B drugs to contract pharmacies.

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    Karen Ducey via Getty Images

    Persistent, heightened labor expenses pummeled hospitals last year, Kaufman Hall reports

    Negative margins and heightened labor expenses continued for hospitals in 2022, causing them to suffer their worst financial year since the pandemic began, according to the report.

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    TriggerPhoto via Getty Images

    Biden admin moves to undo moral opt-out to ACA contraceptive mandate

    The rule also would create an option allowing people enrolled in health coverage or plans provided by “objecting entities” to obtain contraceptive coverage.

    Updated Jan. 30, 2023
  • Two nurses work in a hospital hallway
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    Brandon Bell via Getty Images

    Healthcare labor trends in 2023: increased burnout, executive stress

    A rise in union activity could also persist as the sector continues recovering from the COVID-19 pandemic.

  • A gavel and a stethoscope sit on a blue background.
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    DNY59 via Getty Images

    Cigna sues CVS, former pharmacy head Bricker over exec’s departure

    In a lawsuit filed Thursday, Cigna alleged that Amy Bricker’s appointment to chief product officer of CVS’s consumer segment places the payer’s trade secrets at risk and violates her noncompete agreement.

  • An image of an Express Scripts prescription bottle.
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    Courtesy of Express Scripts

    Louisiana sends cease-and-desist order to Express Scripts over delayed insurance claims

    State officials began investigating Express Scripts in April after receiving multiple complaints from an independent pharmacy association over the Cigna-owned PBM’s handling of claims.

    Updated Jan. 31, 2023
  • Minnesota Attorney General Keith Ellison at a press conference on June 3, 2020.
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    Scott Olson / Staff via Getty Images

    Minnesota attorney general asks Sanford-Fairview to delay merger

    “It’s more important to do this right than to do it fast,” Minnesota’s Chief Deputy Attorney General John Keller said regarding the deal. 

  • An illustration of a large dollar coin with medical supplies flying in the foreground is positioned on an analysis tracking chart background.
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    Illustration: Xavier Lalanne-Tauzia for Industry Dive

    HCA shares slide after company forecasts drop in 2023 profit

    The operator cited widespread inflation and continued effects from the COVID-19 pandemic as potential drags on its guidance this year.

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    Fotolia

    More hospitals are electronically sharing health information

    However, discrepancies among providers hint at ongoing challenges, ONC researchers said.

  • An image of Federal Bureau of Investigation Director Christopher Wray at a press conference.
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    Kevin Dietsch/Getty Images via Getty Images

    FBI takes down hacker group that targeted hospitals

    The notorious ransomware group, known as the Hive, has impacted some of the nation’s most critical industries. 

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    Illustration: Xavier Lalanne-Tauzia for Industry Dive

    Will Elevance’s Louisiana acquisition kick off BCBS consolidation wave?

    The proposed purchase reminds some industry experts of a period beginning in the 1990s, when nonprofit BCBS plans were acquired by for-profit groups.

  • A calculator and stethoscope rest on a medical bill.
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    erdikocak via Getty Images

    Employers ‘disappointed’ in health plan performance, study finds

    Health plans earned a lower average rating in the Leapfrog Group’s latest rankings than in previous years.

  • Artificial intelligence could save healthcare industry $360B a year

    Broader adoption of AI in healthcare is likely in the near future, and could come with a slew of benefits beyond financial gains, according to McKinsey and Harvard researchers.

  • An illustration of two large hands in opposing directions, one holds a pill while the other holds a stack of cash.
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    Illustration: Yann Bastard for Industry Dive

    Upcoming Medicaid redeterminations could hamper hospitals, payers

    Medicaid eligibility checks beginning in April will likely curb hospital revenue and enrollment growth for payers, Moody's Investors Service said in a report.

  • An illustration of a large dollar coin with medical supplies flying in the foreground is positioned on an analysis tracking chart background.
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    Illustration: Xavier Lalanne-Tauzia for Industry Dive

    Elevance reports $6B profit in 2022 on higher medical membership

    The results come days after the insurer said it plans to buy Blue Cross and Blue Shield of Louisiana, a deal that would expand its reach to 15 states. 

  • Amazon doubles down on generic drugs with new RxPass subscription

    RxPass will cost Prime customers $5 per month to fill prescriptions from a list of about 50 generic medications.

  • picture of a window inside a room where people sit at tables to enroll in healthcare insurance
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    Joe Raedle/Getty Images via Getty Images

    Record-breaking 16.3M people signed up for ACA coverage

    The 2023 enrollment numbers reflect a broader policy push from the Biden administration to increase insurance coverage, especially during the pandemic.