The Latest

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    iStock via Getty Images
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    Humana invests in Medicare choice tool Healthpilot

    The startup uses AI to recommend Medicare Advantage, Medicare supplement and prescription drug plans based on enrollees’ healthcare preferences and needs.

  • Elevance headquarters is a large white and brown building surrounding a grassy quad.
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    Permission granted by Elevance Health
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    Elevance hits $2.3B in profit but trims long-term guidance

    Elevance beat Wall Street expectations in second-quarter results posted Wednesday, despite steep Medicaid membership losses that are affecting revenue forecasts.

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    GussWilder via Getty Images
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    Tracking Steward's decline

    Steward executives cashed in prior to bankruptcy filing

    Fourteen executives received over $1 million in total compensation the year before Steward entered Chapter 11 restructuring, bankruptcy documents show.

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    yavdat via Getty Images
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    Judge dismisses Medicaid fraud suit against Centene’s board

    A Pennsylvania pension fund had argued Centene board members failed in their oversight responsibilities and ignored red flags about a Medicaid overbilling scheme.

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    PeopleImages via Getty Images
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    UHS names new senior VP of human resources

    Maria Zangardi stepped into the role July 15.

  • UnitedHealth Group office
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    Courtesy of UnitedHealth Group
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    UnitedHealth’s cyberattack response costs to surpass $2.3B this year

    The healthcare giant’s new estimate is roughly $1 billion higher than previous forecasts as the cyberattack on subsidiary Change Healthcare continues to hamper its profit outlook.

  • Sen. Jacky Rosen
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    Jemal Countess/Getty Images for JDRF via Getty Images
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    Senators introduce bipartisan healthcare cybersecurity legislation

    The bill would create a special liaison within the Cybersecurity and Infrastructure Security Agency to help coordinate the government’s response during cyber incidents.

  • Carney Hospital
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    Getty Images North America via Getty Images
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    Steward further extends asset sale timeline. More delays could follow.

    Steward has again delayed the sale timeline for several of its assets, including its physician group Stewardship Health.

    Updated July 16, 2024
  • A sign at Lurie Children's Hospital
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    Jeff Schear/Getty Images for Ann and Robert H. Lurie Hospital of Chicago via Getty Images
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    Chicago children’s hospital faces class action suits after cyberattack

    Multiple lawsuits were filed last week after Lurie Children’s Hospital reported a cyberattack earlier this year may have exposed data of more than 775,000 people.

  • Surprise Billing

    CMS’ first No Surprises audit targets Aetna, finds some noncompliance

    The findings are a “big deal,” according to one expert, as CVS’ health insurer didn’t follow some “major requirements that are essential to ensuring that the IDR process runs smoothly.”

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    erdikocak via Getty Images
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    Private equity-backed providers represent less than 4% of US market: PitchBook

    Despite the swell of political and media attention to private equity’s role in healthcare, PitchBook reports investment growth in providers has slowed.

  • The exterior of the U.S. Capitol building in Washington, D.C.
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    Jemal Countess via Getty Images
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    House committee tells FDA to suspend lab developed test rule

    Lawmakers said the final rule carries “the risk of greatly altering the United States’ laboratory testing infrastructure.”

  • Carney Hospital
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    Getty Images North America via Getty Images
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    Tracking Steward's decline

    Steward Health Care under federal investigation for fraud and corruption

    The Department of Justice investigation follows a multi-year international probe into Steward's deal to improve three hospitals in Malta.

  • Loper decision ending Chevron deference doctrine
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    Anna Moneymaker / Staff via Getty Images
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    Deep Dive

    FDA’s lab developed test rule could be first check on agency’s power post-Chevron

    The Supreme Court’s decision to overturn the Chevron doctrine would make it easier to challenge agency regulations, such as the LDT final rule.

  • Patients wait to check-in at a line of kiosks to get vaccinated.
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    Sergio Flores/Getty Images via Getty Images
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    Tracker

    Tracking healthcare data breaches

    A cyberattack at Chicago-based Lurie Children’s Hospital may have exposed data from more than 775,000 people.

    Updated July 12, 2024
  • A picture of the exterior of the US Department of Health and Human Services. In front of the building is a black sign designating the building's name.
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    Alex Wong via Getty Images
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    CMS proposes 2.9% cut to physician pay for 2025

    Regulators said Medicare’s budget neutrality requirement is to blame for the reduction, which was quickly decried by provider groups. However, it’s likely Congress will step in to mitigate the drop.

  • ONC head Micky Tripathi stands behind a podium.
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    Courtesy of HHS
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    ONC proposed rule targets interoperability for public health, payers

    The sweeping rule includes provisions to improve public health data sharing — a serious pain point during the COVID-19 pandemic —  as well as to boost security in health records and speed prior authorization.

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    Illustration: Xavier Lalanne-Tauzia for Industry Dive

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    Sanford Health and Marshfield Clinic in talks to merge

    The Midwestern health systems are not strangers to the bargaining table, having both pursued mergers in the past year. However, this time they hope to get a deal done.

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    Alex Wong via Getty Images
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    Judge pauses CMS rule capping compensation for Medicare Advantage brokers

    Texas Judge Reed O’Connor’s decision suggests he could overturn at least part of the rule, which is meant to curb predatory plan marketing to seniors.

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    Samara Heisz via Getty Images
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    Federal Trade Commission to sue three largest PBMs: WSJ

    Antitrust regulators are poised to file suit against CVS Caremark, Express Scripts and Optum Rx over how they negotiate discounts for drugs, including insulin, according to the report.

  • A rendering of Geisinger's expansion project
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    Courtesy of Geisinger
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    Geisinger to spend $880M on medical center expansion

    The project is the latest of several expansions for the Pennsylvania-based health system.

  • The HHS in DC
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    Alex Wong / Staff via Getty Images
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    Medicare proposes 2.6% bump to hospital outpatient pay next year

    The sweeping payment rule also solidifies continuous eligibility requirements for children in Medicaid and CHIP, and holds hospitals to higher obstetric care delivery standards in a bid to improve maternal mortality.

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    Alex Wong via Getty Images
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    CMS revised Medicare Advantage star ratings. Here’s which payers benefited.

    More than 60 Medicare Advantage health plans from 40 insurers have received a higher star rating for 2024, according to a Healthcare Dive analysis.

  • A stethoscope rests on a pile of $100 bills.
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    Foremniakowski via Getty Images
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    Digital health funding shows improvement in 2024: Rock Health

    U.S. digital health startups have raised $5.7 billion across 266 deals so far this year, putting the sector on track to possibly exceed recent full-year funding totals.

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    stock via Getty Images
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    FTC slams pharmacy benefit managers in first report from ongoing investigation

    On Tuesday, regulators updated the public on their almost three-year-old inquiry into PBMs’ anticompetitive business practices. The report is not positive for the drug middlemen, which immediately criticized it as one-sided.