The Latest
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Trump administration cuts Medicaid funding for youth gender-affirming care
CMS Administrator Dr. Mehmet Oz argues the rule will protect children from “irreversible harm.” LGBTQ+ advocates say it’s an attack on transgender youth.
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Sponsored by Elevance Health
The next challenge for AI in healthcare isn’t adoption. It’s connection.
Healthcare organizations are moving beyond AI experimentation and focusing on operational value.
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New Cato report excoriates certificate of need laws
The libertarian think tank analyzed almost 130 studies digging into the controversial laws, which require providers to get state approval before building facilities or adding new services. What it found wasn’t good.
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Oracle launches AI-driven patient portal
The company says its patient portal should help translate medical jargon into plain language. It’s Oracle’s latest move to stand out in the competitive EHR market.
Updated 20 hours ago -
Cassidy, Sanders press DOJ on former Steward CEO’s contempt referral
The Senate referred Ralph de la Torre for possible prosecution nearly two years ago after the former Steward Health Care CEO defied a congressional subpoena. Now, two senators are asking for an update.
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Humana taps ex-Johns Hopkins exec as Medicaid leader
James “J.P.” Holland is taking the reins of Humana’s Medicaid business, a key growth area for the company, starting this coming Monday. It’s part of a broader leadership transition announced late last year.
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DentaQuest breach exposes data of 15M people, a record this year
In the aftermath of the breach, the dental and vision benefits administrator said it notified affected individuals and bolstered its security controls.
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Opinion
Is Congress finally ready to stop subsidizing hospital consolidation?
As lawmakers consider whether to enact site-neutral payments into law, one physician argues that reforming the Medicare payments would lower healthcare spending without hurting patient care.
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Trump signs order seeking to upend childhood vaccine schedule
The executive order — which wasn’t accompanied by any new scientific evidence — aims to split the MMR vaccine into three separate shots and revives the administration’s attempt to slim down the immunization schedule.
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CVS pharmacists take step towards strike over staffing, burnout
Unionized CVS pharmacists in three states greenlit a strike sanction last week as they seek better staffing levels and a seat at the table on CVS’ pharmacy decisions.
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Healthcare job growth decelerated in July
The sector added 22,000 jobs in July, well below the past year's monthly average. Still, healthcare buoyed what was otherwise a weaker-than-expected report for the economy overall.
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Tracker
Tracking healthcare data breaches
The data of 15 million people could have been compromised after hackers broke into the network of a benefits administrator this spring. It's the largest breach reported to federal regulators this year to date.
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Insurers want to hike small businesses’ premiums by 14% next year: KFF
It’s becoming harder for small employers to offer insurance coverage, and another year of double-digit premium increases won’t help. Insurers say their hands are tied.
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Experts say healthcare faces cybersecurity crisis: ‘These are patient safety issues’
Regulatory failures, funding constraints and industry consolidation have created serious hacking risks.
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HHS moves to decertify organ procurement group over patient safety failures
The decertification of Network for Hope could disrupt organ donation in Kentucky, Indiana, Ohio and West Virginia.
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Q&A
When does it make sense to build software instead of buy? One health system’s answer.
NYU Langone Health and Dana-Farber Cancer Institute built an oncology decision support tool to guide clinicians through treatment. Now, the institutions are commercializing the product so other health systems can use it too.
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Tufts Medicine CEO, CFO step down amid financial struggles
Chief Executive Mike Dandorph will remain in the position through the end of September, after which he will be replaced by COO Phil Okala.
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Hinge Health expands into gastrointestinal care with $105M acquisition
Hinge is purchasing Cylinder Health in a “logical extension” of the San Francisco-based company’s business, one analyst commented.
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FDA approves Moderna’s mRNA flu vaccine
The clearance paves the way for the first preventive flu shot based on mRNA technology and completes a dramatic regulatory turnaround.
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CVS triples net income thanks to booming health plan profitability
“There’s not much more to say for CVS’ 2Q other than... wow,” one analyst commented. CVS also announced a new GLP-1 deal with Eli Lilly.
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Complete Health to pay $14M to settle Medicare Advantage fraud allegations
The value-based primary care provider submitted false diagnosis codes to the CMS for three years, inflating its reimbursement by millions of dollars, according to the DOJ.
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10 AnMed facilities remain closed a week after cyberattack
AnMed is still operating in a limited capacity as the nonprofit health system recovers from a cyberattack. Prolonged recovery times have become a problem in the industry, one expert said.
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Opinion
The unexpected upsides of vaccines
The COVID-19 pandemic heightened vaccine skepticism. Six years later, CVS’ chief medical officer talks about building trust with patients — and the surprising benefits of many vaccines.
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DeepHealth gets FDA nod for AI tool that reads ultrasounds, creates reports
DeepHealth’s tool automates lesion detection, characterization and reporting from breast ultrasound scans.
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The image by Sichensliu is licensed under CC BY-SA 4.0
Sentara moves to end Anthem contracts in Virginia
Nearly 380,000 patients could go out of network with the health system if the commercial, Medicare and Medicaid contracts lapse.
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Hospitals feel the pinch as more patients lose insurance
Half a year after enhanced Affordable Care Act subsidies expired, hospitals say more patients are going uninsured. That’s starting to drag their finances.