The Latest
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Judge dismisses Aetna’s No Surprises fraud suit against Radiology Partners
The insurer accused the radiology group of gaming the No Surprises Act to reap higher reimbursement. A judge tossed the case last week, saying Aetna needed to raise its complaints during the dispute resolution process.
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Counsel Health via Google Gemini
Sponsored by Counsel Health3 questions every payer should ask about medical AI
As medical AI scales, how are payers ensuring safe and compliant care?
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Anna Moneymaker via Getty Images
Stakeholders urge Labor Department to finalize PBM transparency rule
Employers, lawmakers and more said regulators should hustle to get disclosure mandates for the controversial drug middlemen across the finish line, while PBMs slammed the rule as illegal, unnecessary and anticompetitive.
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Permission granted by GE Healthcare
GE HealthCare, RadNet expand AI mammography collaboration
The partnership adds access to a workflow for second reads of complex cases and other software features made by RadNet subsidiary DeepHealth.
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CMS proposes repeal of add-on payment path for breakthrough devices
The agency said it developed concerns about the limited evaluation process for the devices after gaining experience with the alternative pathway.
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ACA exchanges will continue to shrink as fewer enrollees pay premiums, analysis suggests
About 14% of ACA enrollees didn’t pay premiums in January, a higher rate than usual and one that suggests ACA enrollment will continue to decline, according to Wakely.
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Erica Schwartz, ex-deputy surgeon general, picked to be next CDC director
If confirmed by the Senate, Schwartz could finally fill a void for an agency that’s cycled through multiple leaders over the last year.
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Abridge partners with medical journals to expand AI clinical decision support
The AI scribe company said information from the New England Journal of Medicine and the JAMA Network will allow providers to more easily access the latest medical research.
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More employers considering medical, pharmacy vendor switch amid rising healthcare costs, survey finds
Healthcare affordability continues to keep employers up at night. More businesses are shopping for new healthcare vendors as a result, according to the Purchaser Business Group on Health.
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Walmart expands digital health platform’s weight loss offerings, including GLP-1 prescribing
Customers can now connect to third-party providers for weight management services through Walmart’s digital health platform, then turn around and fill GLP-1 prescriptions at its retail pharmacy.
Updated April 17, 2026 -
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FDA moves toward easing restrictions on certain peptides
The agency’s decision to hold an advisory committee meeting on the topic comes after HHS Secretary Robert F. Kennedy Jr. told podcaster Joe Rogan he’s a “big fan” of peptides.
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Alamy
Surprise BillingCalifornia judge tosses Elevance’s surprise billing suit in win for providers
It’s a major victory for controversial billing intermediary HaloMD, which cheered the court’s decision. Elevance said it plans to appeal.
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Courtesy of ChristianaCare
ChristianaCare names successor after CEO retires
Dr. Janice Nevin will step down in September after more than 12 years in the health system’s top role. ChristianaCare’s former chief legal counsel will take her place.
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More insurance claims denials are being overturned upon appeal, study finds
Study authors, who reviewed data from New York, said rising rates of overturned claims suggest that insurers’ claims review processes might not be working as intended, and policymakers should consider getting involved.
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VA deploys Oracle EHR at four Michigan medical centers
The rollout marks the first deployment of the records system at a VA medical center in years after technical problems plagued the project. In total, 13 medical centers are scheduled to receive the Oracle EHR in 2026.
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Alamy
With health costs ballooning, workers turn to wellness and the internet, ADP finds
When workers delay care because of cost, it could hurt employers more in the long run, other research suggests.
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CMS accepts more than 150 providers, digital health firms for ACCESS model
Participants will receive set reimbursement for managing Medicare beneficiaries’ chronic conditions, like diabetes, chronic kidney disease and hypertension.
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Alamy
Tenet CIO to retire at year end
Paola Arbour will stay at Tenet on a part-time basis to provide transition and support services through early 2028.
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Kayla Bartkowski via Getty Images
CMS proposes new deadlines for prior authorizations for drugs
Drugs were left out of a 2024 rule streamlining prior authorizations by making decisions electronic and requiring payers to turn them around more quickly. The Trump administration is looking to address that gap.
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Medicare proposes 2.4% pay bump for inpatient hospitals in 2027, floats mandatory model
Regulators are proposing to send $1.4 billion more to acute care hospitals and debut the first nationwide, mandatory payment model to lower the cost of joint replacements. Hospitals pushed back.
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Illustration: Xavier Lalanne-Tauzia for Industry Dive
Hospital M&A rebounds after 2025 lull
Mergers and acquisitions in the first quarter hit multi-year highs after providers pumped the brakes last year, according to a new study from Kaufman Hall.
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CMS unveils first wave of health tech tools as it pushes data sharing initiative
The agency showcased dozens of tools Thursday, about 8 months after the CMS first announced the initiative that aims to ease health data sharing and improve access to digital health and AI products.
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Women have awaited a revolution in menopause. It hasn’t arrived.
Persistent barriers are still hindering drug development for a host of menopause symptoms.
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Kayla Bartkowski via Getty Images
Judge allows states’ lawsuit over HHS restructuring to move forward
A group of 19 states and Washington, D.C., sued over the department’s sweeping layoffs and reorganization last year. A federal judge on Tuesday struck down the HHS’ bid to dismiss the lawsuit.
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Most health AI users don’t rate chatbots as highly accurate: poll
About 2 in 10 said they at least sometimes use AI chatbots to get health information, but only 18% considered their responses highly accurate, according to the survey published by the Pew Research Center.
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Photo illustration: Mark Harris
Deep DiveOne year after HHS layoffs, a department in disarray
Thousands of employees of the Department of Health and Human Services were fired last spring. Their colleagues are still picking up the pieces.
