An article from

Samantha Liss

Senior Reporter

[email protected]

516 articles by Samantha Liss

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Sutter launches 'sweeping review' of finances after $321M operating loss
March 5, 2021
Georgia health systems discard merger plans, averting FTC challenge
March 4, 2021
Optum expands Massachusetts footprint with latest physician buy-up
March 3, 2021
4 healthcare antitrust issues to watch
March 1, 2021
FTC abandons challenge to Jefferson Health-Einstein merger, allowing deal to proceed
March 1, 2021
Lifespan, Care New England ink deal to create academic medical system with Brown University
Feb. 24, 2021
Visits to rheumatologists, primary care topped pre-pandemic levels in December
Feb. 23, 2021
Hospital admissions not linked to COVID-19 fell dramatically in fall, especially in Midwest
Feb. 18, 2021
Biden admin begins plan to rescind Medicaid work mandates in win for providers
Feb. 16, 2021
Health system execs: national approach needed to stem vaccine disarray
Feb. 11, 2021
Molina expects utilization to remain depressed in 2021
Feb. 11, 2021
Tenet swings to profit, but execs guarded on a post-pandemic recovery
Feb. 10, 2021
Centene to ax 3,000 jobs as run of profitable quarters ends
Feb. 9, 2021
COVID-19 puts squeeze on Kaiser Permanente's 2020 financials
Feb. 8, 2021
Humana posts Q4 loss after uptick in COVID-19 care, tests
Feb. 3, 2021
Anthem to acquire largest Medicare Advantage plan in Puerto Rico
Feb. 2, 2021
Payers welcome reopening of ACA marketplaces
Jan. 28, 2021
Hospitals face reckoning over health disparities
Jan. 25, 2021
4 key trends for payers and providers in 2021
Jan. 22, 2021
Biden's most ambitious health policy: a public option plan
Jan. 20, 2021
Hospital buy-ups of physician practices under fresh FTC scrutiny
Jan. 15, 2021
Pandemic propels health systems to mull insurer acquisitions, partnerships: JPM21
Jan. 13, 2021
CMS audits small slice of hospitals for price transparency, probes complaints
Jan. 11, 2021
CommonSpirit's CHI Franciscan finalizes tie-up with Virginia Mason
Jan. 8, 2021
Promedica appeals after judge blocks canceled insurance contracts with rival McLaren
Jan. 6, 2021
UnitedHealth's Optum to buy Change Healthcare in $13B deal
Jan. 6, 2021
Envision cut from UnitedHealthcare's network
Jan. 5, 2021
Centene's $2.2B deal for Magellan adds focus on behavioral health
Jan. 4, 2021
Hospitals lose another attempt to stave off price transparency
Dec. 29, 2020
AHA seeks emergency relief to block enforcement of price transparency rule
Dec. 23, 2020
Oscar quietly readies for IPO
Dec. 22, 2020
After decades as a hospital operator, Tenet shifts its focus to surgery centers
Dec. 22, 2020
CMS greenlights direct contracting model for Medicaid MCOs, dual eligibles
Dec. 18, 2020
Tenet inks deal to sell urgent care business as it doubles down on surgery centers
Dec. 18, 2020
Illinois health regulators block Mercy hospital closure
Dec. 16, 2020
Hospitals start COVID-19 vaccinations in historic effort
Dec. 14, 2020
Supreme Court rejects PBMs' bid to block state rate regulation
Dec. 11, 2020
CMS looks to crack down on prior authorization
Dec. 11, 2020
Tenet boosts surgery center footprint with $1.1B deal
Dec. 10, 2020
FTC loses bid to stop Philadelphia hospital merger
Dec. 9, 2020
Hospitals prepare to reveal prices online come Jan. 1
Dec. 8, 2020
MedPAC mulls cautious approach to bumping hospital pay amid pandemic
Dec. 7, 2020
Supreme Court to hear arguments on Medicaid work requirements
Dec. 7, 2020
FTC moves to block New Jersey hospital acquisition
Dec. 4, 2020
Trump admin rips up inpatient only surgery list, cuts 340B pay
Dec. 3, 2020
COVID-19 weighs on Cleveland Clinic's financial performance year to date
Nov. 25, 2020
Fewer, but sicker, patients visit Ascension hospitals in its latest fiscal quarter
Nov. 24, 2020
FTC signals nurses' wages will become important measure in antitrust enforcement
Nov. 19, 2020
Is Amazon's pharmacy foray disruptive? Experts disagree.
Nov. 18, 2020
Amazon finally jumps into pharmacy business, Prime members set to get steeper discounts
Nov. 17, 2020
FTC sues to block Tenet's Memphis hospital deal with Methodist Le Bonheur
Nov. 13, 2020
No leg to stand on? Supreme Court justices harp on key legal concept in ACA case
Nov. 13, 2020
McLaren sues ProMedica over alleged retaliation following St. Luke's buy
Nov. 12, 2020
5 issues hospitals want Biden to tackle in his first 100 days
Nov. 10, 2020
Kavanaugh, Roberts signal support for ACA without mandate in pivotal case
Nov. 10, 2020
The Affordable Care Act before the US Supreme Court
Nov. 10, 2020
Healthcare helped Democrats usher in 2018's blue wave. This year it hasn't delivered a decisive win.
Nov. 6, 2020
Cigna sees medical utilization bounce back in Q3
Nov. 5, 2020
As pivotal ACA case heads to Supreme Court, potential outcomes are many
Nov. 4, 2020
Humana warns of Q4 loss amid increased COVID-19 costs, rebounding utilization
Nov. 3, 2020
CMS set to bump MA rates for 2022 in win for payers
Nov. 2, 2020
Despite worsening pandemic, UHS Q3 profit more than doubles
Oct. 30, 2020
Molina saw members return to care in Q3, braces for curtailment as cases spike again
Oct. 29, 2020
From El Paso to St. Louis, dire warnings from hospitals on rationing, capacity as COVID-19 surges again
Oct. 28, 2020
Centene Q3 profit skyrockets on WellCare close, ACA settlement
Oct. 27, 2020
Intermountain, Sanford Health ink merger deal
Oct. 26, 2020
HHS walks back CARES fund reporting requirement hospitals feared
Oct. 22, 2020
Envision, Cigna avert out-of-network status in Florida
Oct. 22, 2020
CMS approves controversial Medicaid waiver in Nebraska, creating 2-tiered system
Oct. 21, 2020
How Banner Health is using AI to keep electives going
Oct. 19, 2020
Baffled judges press AHA: Why is an X-ray price 'unknowable?'
Oct. 16, 2020
UnitedHealth says Q3 volume rebounds, net income down on consumer price breaks
Oct. 14, 2020
Hospitals warn of 'devastating' impact from CARES funds reporting change
Oct. 14, 2020
Pediatric hospitals face 'double whammy,' not spared from COVID-19 effects
Oct. 12, 2020
Medicare Advantage enrollees in 4-star or higher plans to drop in 2021
Oct. 8, 2020
More than 14M may have lost health coverage after historic job losses, study finds
Oct. 7, 2020
MedPAC commissioners urge condensing, revamping advanced alternative payment models
Oct. 5, 2020
4M added to Medicaid rolls due to coronavirus pandemic
Oct. 1, 2020
Provider finance execs bracing for unfavorable shift in payer mix, survey finds
Sept. 30, 2020
What Trump's SCOTUS pick could mean for the ACA challenge
Sept. 28, 2020
Experts seek answers on why few Medicaid providers sought COVID-19 relief
Sept. 25, 2020
CMS touts dip in Medicare Advantage premiums for 2021
Sept. 25, 2020
Payers, other stakeholders urge Congress to blunt COVID-19-spurred insurance losses
Sept. 23, 2020
Centene sues drugmaker Indivior over 'profit protection scheme'
Sept. 23, 2020
'People should worry:' ACA in limbo after Ruth Bader Ginsburg's passing
Sept. 19, 2020
Ascension posts $1B net loss for 2020
Sept. 18, 2020
Trump admin unveils final mandatory kidney care payment model
Sept. 18, 2020
FTC urges Texas regulators to block merger under COPA
Sept. 15, 2020
3 key takeaways from HCA, Tenet's latest public comments
Sept. 11, 2020
Centene adds ACA offerings in 400 new counties, 2 new states for 2021
Sept. 11, 2020
A quarter of adults in employer plans are underinsured, Commonwealth Fund says
Sept. 9, 2020
MedPAC commissioners hint at telehealth policies that may stick post-COVID-19
Sept. 8, 2020
Despite turbulence in H1, no avalanche of health system downgrades
Sept. 2, 2020
Neither Anthem nor Cigna win damages in 'corporate soap opera' merger fight
Sept. 1, 2020
Aetna faces $500,000 fine over denying ER claims after repeated violations in California
Aug. 27, 2020
Aetna turns to WellBe Senior Medical to deliver at-home care to high-risk seniors
Aug. 26, 2020
Hospital operating margins nearly eliminated through July, Kaufman Hall says
Aug. 24, 2020
Sutter posts $857M loss in H1 on investment, operational declines
Aug. 21, 2020
Jury rules Centene underpaid TeamHealth physicians in Arkansas, awards $9.4M
Aug. 21, 2020
Supreme Court to hear ACA arguments after November election
Aug. 19, 2020
Beaumont slows Advocate Aurora tie-up amid doctor pushback
Aug. 18, 2020
Providence $538M loss shows pandemic woes trump bailout funds in H1
Aug. 18, 2020
Cigna sued over COVID-19 treatment, testing payment
Aug. 14, 2020
As Congress eyes an inquiry into insurer profits, experts caution they may not last
Aug. 12, 2020
Buoyed by bailout funds, all major for-profit hospital chains reported increased profits in Q2
Aug. 10, 2020
Kaiser Permanente reports $4.5B in net income, joining other operators in large Q2 increases
Aug. 10, 2020
Fresh off Medicaid win in Missouri, Fairness Project calls for health industry to step up
Aug. 6, 2020
DOJ moves to block Geisinger Health's tie-up with Evangelical Community Hospital
Aug. 6, 2020
Missouri voters usher in Medicaid expansion
Aug. 5, 2020
Humana joins peers in reporting depressed usage, larger income in Q2
Aug. 5, 2020
Tenet's profit more than triples in Q2 thanks to COVID-19 relief funds, cost cuts
Aug. 4, 2020
Molina Q2 profit surges 40% as provider volumes wane
July 31, 2020
Medicaid managed care rates on state chopping blocks, with Centene and Molina at risk
July 31, 2020
Lifespan pays $1M to settle potential HIPAA violations over stolen laptop breach
July 28, 2020
Centene more than doubles Q2 profit amid pandemic
July 28, 2020
6 months in: Following the flow of CARES hospital funding
July 27, 2020
HCA volumes plunge as Q2 captures full effects of coronavirus
July 22, 2020
California, 22 other AGs sue Trump admin over rolling back transgender protections
July 20, 2020
As Congress weighs next COVID-19 relief bill, 4 healthcare sticking points
July 20, 2020
Molina acquires Kentucky's second-largest Medicaid plan for $20M
July 20, 2020
CommonSpirit's CHI Franciscan inks deal to explore combination with Virginia Mason
July 17, 2020
HHS to send $10B to hospitals in coronavirus hot spots as surge continues
July 17, 2020
To stay independent, Boulder Community Health inks deal with Optum
July 16, 2020
Express Scripts faces lawsuit alleging it overcharged Ohio public pension fund
July 15, 2020
Supreme Court unlikely to hear GOP case to kill ACA before 2020 election
July 14, 2020
HHS to funnel additional $4B in coronavirus aid to safety net, suburban providers
July 10, 2020
Fitch: Repaying Medicare loans unlikely to place significant burden on for-profit operators
July 9, 2020
Democrats urge Trump administration to force full payer COVID-19 test coverage
July 8, 2020
CMS proposes add-on provider payment for at-home dialysis treatment
July 7, 2020
Hospital traffic stalls as COVID-19 cases surge, analysts say
July 6, 2020
Coronavirus didn't dramatically dampen healthcare M&A in Q2, Kaufman Hall says
July 2, 2020
Molina buys small New York Medicaid plan, executing on its strategy
July 1, 2020
Trinity Health expects $2B revenue plunge as it cuts, furloughs more staff
June 29, 2020
AHA urges CMS to keep relaxed regulations beyond crisis
June 29, 2020
Trump admin asks Supreme Court to kill ACA as COVID-19 surges in West, South
June 26, 2020
As Americans lose job-based coverage, ACA marketplace sets record with near 500K signups
June 26, 2020
Outpatient visits rebound, but some specialties like pediatrics lag behind
June 25, 2020
AHA appeals price transparency case after judge sides with HHS
June 23, 2020
AMA calls out insurer 'inaction' on prior authorization reform, wants legislative fix
June 23, 2020
Nonprofit health systems — despite huge cash reserves — get billions in CARES funding
June 23, 2020
COVID-19 fuels major unknowns as insurers tackle 2021 rate setting
June 11, 2020
After criticism, HHS directs $25B in CARES funding to Medicaid providers, safety net hospitals
June 9, 2020
After fallout with UnitedHealthcare came COVID-19. Now Mednax is rethinking its strategy.
June 9, 2020
Centene to acquire NextLevel members after closure
June 8, 2020
Providers call CARES funds a lifeline — but some say headaches not worth risks
June 4, 2020
COVID-19 helps reignite merger talks between Lifespan, Care New England
June 4, 2020
Hospitals push for release of $50B more in COVID-19 funds
June 2, 2020
Molina, Centene big winners in Kentucky Medicaid award
June 1, 2020
BCBS plans sue CVS alleging overcharging generic prescriptions
May 28, 2020
Cancer, spine doc leaders among top recipients of drug, device industry funds, study finds
May 28, 2020
Chicago hospitals blame 11th-hour legislation shakeup for ending $1B South Side project
May 27, 2020
Here's how much for-profit hospitals have received in COVID-19 bailout funding so far
May 26, 2020
Trinity Health joins other operators battered by pandemic, details CARES funding
May 22, 2020
COVID-19 sinks Advocate Aurora's operating income in Q1
May 21, 2020
COVID-19 pushes Mayo Clinic's operating income into free fall
May 19, 2020
For-profit, higher-margin hospitals at advantage when it comes to CARES funding
May 14, 2020
UnitedHealthcare adds new state to ACA exchange footprint
May 13, 2020
Despite the pandemic, insurers seem cautiously optimistic about 2020. Here's why.
May 7, 2020
Tenet Q1 volumes plunge, though execs eye May as 'beginning of the recovery'
May 5, 2020
Judge dismisses New York nurses lawsuit over COVID-19 concerns, but urges resolution
May 4, 2020
Molina readies for 'significant' Medicaid member bump as more lose jobs
May 1, 2020
Cigna tops Q1 expectations, reaffirms earnings targets despite pandemic
April 30, 2020
Humana Q1 largely unscathed by COVID-19, expects headwinds for small group segment
April 29, 2020
UHS Q1 results hit by COVID-19 as operating income falls 30%
April 28, 2020
Centene warns of 'choppy' performance as it navigates pandemic
April 28, 2020
Mayo Clinic details COVID-19 impact, discloses CARES funding allotment
April 27, 2020
Amid steep losses, Henry Ford Health System furloughs 9% of workforce
April 24, 2020
2nd round of hospital CARES funding tied to patient revenue
April 22, 2020
Beaumont-Summa merger plans end as COVID-19 batters hospitals
April 22, 2020
After largely exiting ACA exchanges, UnitedHealthcare mulls jumping back in
April 16, 2020
UnitedHealth marks uptick in members struggling to pay premiums
April 15, 2020
Molina-NextLevel acquisition falls through
April 14, 2020
Aimed to halt a 'Cold War' of hospital spending, CON laws could see renewed scrutiny after pandemic
April 9, 2020
CMS gives 1.66% rate boost to MA, Part D plans for 2021
April 7, 2020
How insurers are covering COVID-19
April 2, 2020
Cleveland Clinic mum on COVID-19 hit, reports jump in 2019 operating income
March 31, 2020
How hospital capacity varies dramatically across the country
March 30, 2020
DOJ sues Anthem for millions in overpayments related to MA plan members
March 27, 2020
Trump signs $2T stimulus package, clearing $100B for struggling hospitals
March 26, 2020
COVID-19 threatens to overwhelm hospitals. They're weighing how best to ration care.
March 23, 2020
Hospital leaders plead for financial help, warn of closures, missing payroll
March 21, 2020
Trump admin weighs mobile hospital units as worry grows over capacity
March 18, 2020
Dire warnings sound over hospital capacity as novel coronavirus spreads
March 13, 2020
Trump declares national emergency, opening up billions for coronavirus
March 13, 2020
As US officials shift tone, Trump stops short of 1 provider ask
March 12, 2020
UnitedHealth likely to keep squeezing physician staffing firms
March 11, 2020
BCBS operator sues feds over ACA risk corridor payments
March 10, 2020
Insurer lobby urges coronavirus test coverage, but can't mandate changes
March 5, 2020
HIMSS20 has been canceled. Here are 5 panels we're sad to miss
March 5, 2020
ACA spurred 'widespread improvements' in protecting patients against financial risk
March 3, 2020
Supreme Court to again decide fate of ACA
March 2, 2020
CMS unveils participants in new ambulance payment model
Feb. 28, 2020
UHS sees slowdown in volume growth in Q4
Feb. 27, 2020
UnitedHealthcare-Mednax fallout set to hit Raleigh area
Feb. 27, 2020
Verma teases ramping up oversight of accrediting bodies
Feb. 26, 2020
Supreme Court mum on ACA case
Feb. 24, 2020
Provider earnings snapshot: A focus on volume growth
Feb. 24, 2020
UnitedHealthcare terminates Mednax from its network over pricing squabble
Feb. 21, 2020
Community Health Systems reports $675M net loss in 2019
Feb. 20, 2020
Frustrated employers buck status quo, leave insurers for riskier arrangements
Feb. 20, 2020
Private equity medical practice takeovers more than doubled from 2013 to 2016
Feb. 19, 2020
Ascension's income from operations falls 9% over 6 months
Feb. 18, 2020
Trump admin's Medicaid work requirements struck down by appeals court
Feb. 14, 2020
Ballad Health reports stable quarter despite rural patient headwinds
Feb. 14, 2020
3 surprise billing proposals compared side by side
Feb. 13, 2020
Payers saw medical cost ratios rise in Q4
Feb. 12, 2020
Tenet to pay $1.4M to settle claims it implanted cardiac monitors unnecessarily
Feb. 12, 2020
Molina posts mixed Q4, says ACA shoppers not switching for savings
Feb. 11, 2020
Kaiser income nearly triples to $7.4B in 2019, driven by investments
Feb. 10, 2020
CMS proposes changes to Part D drug tiers, real-time benefit info for seniors
Feb. 6, 2020
Cigna touts 2019 medical cost trend
Feb. 6, 2020
HHS defends forcing hospitals to reveal negotiated rates
Feb. 5, 2020
Flu dampens Centene's Q4 medical loss ratio
Feb. 4, 2020
Private payers unlikely to take major hit from Medicaid block grant plan
Feb. 3, 2020
Payers, providers urge CMS to scrap rule targeting supplemental Medicaid payments
Feb. 3, 2020
Payers, employers protest price transparency rule as wrong-headed
Jan. 31, 2020
After past Ebola struggles, US hospitals prepping for coronavirus uptick
Jan. 29, 2020
HCA sees jumps in inpatient, ER, surgeries in Q4
Jan. 28, 2020
Patient advocates urge quick release of final interoperability rules
Jan. 27, 2020
Chicago hospitals band together promising new system, $1B investment in city's South Side
Jan. 24, 2020
The Supreme Court isn't done with the ACA case yet. Here are the next steps.
Jan. 22, 2020
Supreme Court declines to quickly hear ACA case
Jan. 21, 2020
Key 2020 trends for payers and providers
Jan. 17, 2020
CMS rejects Wyoming's bid to expand Medicaid to regulate air ambulances
Jan. 16, 2020
JPM20: Tenet outlines plans to 'aggressively' scale outpatient surgery unit
Jan. 15, 2020
Hospitals, insurers urge Supreme Court to hear ACA case to avert havoc
Jan. 15, 2020
JPM20: Rivals Molina, Centene pitch investors on organic growth
Jan. 14, 2020
Supreme Court to take on PBM rate regulation
Jan. 13, 2020
Opponents to Supreme Court: No rush to take pivotal ACA case
Jan. 10, 2020
CVS, Mayo, Tenet among healthcare companies to watch at #JPM20
Jan. 10, 2020
HCA takes stake in major private nursing school operator
Jan. 8, 2020
Molina expands Illinois footprint with $50M acquisition
Jan. 8, 2020
Primary care chain One Medical files to go public
Jan. 6, 2020
Beyond the ACA: Healthcare legal fights to watch in 2020
Jan. 6, 2020
Supreme Court says ACA opponents have until Friday to respond to motion to expedite
Jan. 3, 2020
In win for big payers, appeals court sides with HHS in risk adjustment case
Jan. 3, 2020
Focus turns to Supreme Court (again) following ACA ruling
Dec. 23, 2019
UnitedHealth, Anthem, Cigna roped into House surprise billing probe
Dec. 20, 2019
Landmark health law in limbo after appeals court decision
Dec. 19, 2019
At-home hospital care costs less, uses fewer tests, Annals study finds
Dec. 18, 2019
ACA's individual mandate ruled unconstitutional but key question kicked back to lower court
Dec. 18, 2019
Judge refuses to strike down 2020 site-neutral plan — but chides CMS
Dec. 17, 2019
BCBS of Michigan cuts new value payment deal with 7 major systems
Dec. 16, 2019
Hospital group cheers CMS move to pay back outpatient payment cuts
Dec. 13, 2019
Tenet sells Tennessee hospitals, urgent care, physician groups for $350M
Dec. 13, 2019
Centene quietly lobbying Congress to let states partially expand Medicaid
Dec. 12, 2019
Health insurers stable, M&A seen diminishing in 2020: Fitch
Dec. 11, 2019
Health insurance coverage linked to reduced mortality
Dec. 10, 2019
Payer of the Year: Centene
Dec. 9, 2019
Hospitals sue HHS, warning price transparency rule would chill competition, crash computers
Dec. 4, 2019
Anthem, Passport to protest $7B Kentucky Medicaid contract loss
Dec. 3, 2019
Centene sells Illinois plans to CVS in next step for WellCare buy
Dec. 2, 2019
Walgreens, UnitedHealthcare team up to open in-store Medicare centers
Nov. 26, 2019
Nonprofit bad debt climbs again amid steeper deductibles, Moody's says
Nov. 25, 2019
Hundreds of hospitals sue HHS over payment cuts
Nov. 22, 2019
Some of the nation's largest health systems want to care for patients in their homes. Here's why.
Nov. 21, 2019
University of Chicago Medical Center averts Thanksgiving strike
Nov. 21, 2019
AMA ushers in LGBTQ, immigration, other new policies
Nov. 20, 2019
Sutter to pay $45M on DOJ kickback, overbilling claims
Nov. 18, 2019
Hospitals pledge to fight Trump admin price transparency plan in court
Nov. 18, 2019
Hospitals — and now insurers — to reveal secret rates under latest Trump admin pitch
Nov. 15, 2019
Highmark inks joint venture deal to provide at-home care
Nov. 14, 2019
Timeline of the Affordable Care Act — still under siege
Nov. 13, 2019
Sanford, UnityPoint scrap plan to create $11B system
Nov. 13, 2019
Every for-profit hospital chain reported admission upticks: Is it a blip?
Nov. 12, 2019
Industry mourns unexpected passing of Kaiser Permanente CEO Bernard Tyson
Nov. 11, 2019
Behind insurer strategies to snag higher MA star ratings
Nov. 7, 2019
Humana trims costs, workforce as it readies for health insurance fee
Nov. 6, 2019
Tenet posts 3rd consecutive quarter of volume growth
Nov. 5, 2019
Centene, UnitedHealth big winners in $10B Texas Medicaid contracts
Nov. 5, 2019
Price transparency rule on ice in win for providers
Nov. 1, 2019
California AG blocks Adventist, St. Joseph union
Nov. 1, 2019
Cigna ups guidance after Q3 beat, boosted by Express Scripts
Oct. 31, 2019
Molina 'disappointed' by $1B Texas contract loss, weighs protest
Oct. 30, 2019
HCA keeps defying sector headwinds with admission gains, strong surgery growth
Oct. 29, 2019
UHS cuts 2019 guidance, details addiction center woes
Oct. 25, 2019
Trump admin touts dip in ACA exchange plan premiums
Oct. 22, 2019
FTC takes aim at state-shielded rural monopolies
Oct. 22, 2019
Leapfrog finds safety metrics for ASCs, outpatient centers lacking
Oct. 22, 2019
Medicaid boosts Centene Q3, but medical loss ratio up
Oct. 22, 2019
Investment income plays important role for nonprofit hospitals, Fitch says
Oct. 17, 2019
Oscar files appeal in battle with Florida Blue over exclusive broker policies
Oct. 15, 2019
From 'dating sites' to AI-powered symptom checkers: How hospitals are competing for volume
Oct. 14, 2019
As Medicaid work requirements cost taxpayers $408M, government watchdog calls for more oversight
Oct. 11, 2019
Appeals court judges skeptical of Medicaid work rule aims
Oct. 11, 2019
Providers mostly cheer anti-kickback revamp but some still wary
Oct. 10, 2019
Frustrated patients ready to switch providers over poor digital experience, report finds
Oct. 9, 2019
Mayo Clinic's legal tussle over $11.5M tax refund drags on
Oct. 8, 2019
PPO? Co-pay? Cigna tries to explain health coverage to new members
Oct. 8, 2019
CommonSpirit Health posts $600M operating loss in 2019
Oct. 7, 2019
Trump signs executive order bolstering MA in pushback on 'Medicare for All'
Oct. 3, 2019
Ramping up rhetoric against 'Medicare for All,' Trump looks to bolster popular MA program
Oct. 3, 2019
After much fanfare, Civica Rx delivers its 1st drugs
Oct. 2, 2019
Providers mostly applaud CMS over fee schedule, but some specialists fear cuts
Oct. 1, 2019
Critics blast Trump admin's push for wellness initiative in ACA exchanges
Oct. 1, 2019
Idaho latest to attempt work requirement for Medicaid expansion
Sept. 30, 2019
While doubtful, some hospital execs prepping for price transparency rule
Sept. 27, 2019
Anthem scoops up Centene-WellCare divestitures
Sept. 26, 2019
Verma touts MA premium drop, chastises payers for complacency
Sept. 25, 2019
Air Methods in talks to contract directly with large employers
Sept. 25, 2019
Pelosi lieutenant to payers: Help us defeat Big Pharma
Sept. 24, 2019
Tenet nurses hit the picket line in 3 states
Sept. 20, 2019
Tennessee unveils plan to change Medicaid funding to block grant program
Sept. 18, 2019
Regulatory barriers limit state alternative Rx payment models
Sept. 18, 2019
Congress probes private equity firms financing surprise billing fight
Sept. 17, 2019
Health system president calls out BCBS of Massachusetts amid reimbursement squabble
Sept. 17, 2019
Treatment centers sue UnitedHealth unit for $5M in denied claims
Sept. 16, 2019
Air ambulance advisory panel on surprise billing takes shape
Sept. 13, 2019
Without much choice on ACA exchanges, will star ratings matter?
Sept. 11, 2019
Insurers to deliver whopping $1.3B in ACA consumer rebates
Sept. 11, 2019
Latest Civica Rx pact aims to alleviate shortage of emergency medicine
Sept. 10, 2019
Hospital lobby contends M&A cuts costs. Many disagree.
Sept. 5, 2019
Judge finally blesses CVS-Aetna merger settlement
Sept. 4, 2019
Mortality rises when ERs close, forcing patients to drive further
Sept. 3, 2019
Comeback or blip? Nonprofit hospital margins show gains in 2018
Sept. 3, 2019
DOJ investigating Providence St. Joseph's Swedish Health Services
Aug. 30, 2019
Kaiser Permanente workers are set to strike. Does it mark a new trend?
Aug. 29, 2019
2 rural hospitals shutter doors, more than 1K soon out of work
Aug. 29, 2019
After airing complaints, Kansas Hospital Association optimistic Aetna can fix Medicaid woes
Aug. 28, 2019
Trump admin: Immigrant sponsors' income a factor in Medicaid eligibility
Aug. 26, 2019
HHS proposes to nix 'onerous' patient record rule
Aug. 23, 2019
Wyoming seeks to regulate air ambulances like a public utility
Aug. 21, 2019
Centene, Aetna protest after losing lucrative Louisiana Medicaid contracts
Aug. 21, 2019
Obamacare exchange consumers stick around longer. Does that mean they're sicker?
Aug. 20, 2019
Kidney transplants jump under Medicaid expansion
Aug. 20, 2019
Medicare Advantage is booming but not producing savings, report finds
Aug. 19, 2019
CMS brings controversial star ratings system to ACA plans
Aug. 16, 2019
Ranking groups that rank hospitals — U.S. News comes out on top
Aug. 15, 2019
Centene expands ACA offerings in 10 states
Aug. 14, 2019
Average marketplace premiums for 2020 show smallest increase ever
Aug. 13, 2019
ACA market continues to lose those who don't qualify for financial help
Aug. 13, 2019
Kaiser Permanente net income soars to $2B
Aug. 12, 2019
CMS wants to force hospitals to reveal negotiated rates. Can it do that?
Aug. 5, 2019
Anthem again irks docs with latest changes to reimbursement
Aug. 2, 2019
Cigna Q2 boosted by Express Scripts rebound
Aug. 1, 2019
Humana sees biggest MA growth in a decade, steels for 2020 tax impact
July 31, 2019
CMS proposes forcing hospitals to reveal negotiated rates
July 30, 2019
UHS to pay $127M in DOJ settlement, says criminal probe closed
July 26, 2019
Private equity gobbles up dermatology practices, raising questions about outcomes, costs
July 24, 2019
Anthem blames Medicaid for medical cost bump in Q2
July 24, 2019
Even $10 increase in Medicaid payments helps erase disparities in care access, study says
July 23, 2019
As ACA exchange members stay longer, Centene sees medical cost bump in Q2
July 23, 2019
Anthem launches app allowing patients to text with docs
July 22, 2019
ACA premiums for unsubsidized consumers hit new highs
July 17, 2019
Surprise billing legislation saves $7.6B, trims premiums, budget watchdog says
July 17, 2019
UnitedHealth to jumpstart Q2 results with eyes on volume, 'Medicare for All'
July 16, 2019
Plaintiffs in ACA lawsuit may not have exchange plans. Could that derail the entire challenge?
July 12, 2019
ACA's legal jeopardy: 4 questions
July 11, 2019
Appeals court judge on ACA: 'Congress can fix this'
July 10, 2019
Air ambulance industry on defense as surprise billing debate heats up
July 10, 2019
Hospital margins improved in May on increased patient volumes
July 2, 2019
Air ambulance charges soar over most other providers
July 1, 2019
ACA insurers remain profitable despite policy changes
July 1, 2019
UnitedHealth acquires online patient sharing network
June 27, 2019
Majority of patients faced out-of-pocket expense of $500 or more last year
June 26, 2019
Shareholders overwhelmingly approve Centene-WellCare union
June 25, 2019
AHIP19: Insurers acknowledge heightened cost pressures
June 24, 2019
Social determinants of health the buzzword at AHIP19
June 21, 2019
AHIP19: Cigna CEO says 'society demands more' from industry
June 19, 2019
Trump admin opens door to fundamental changes in healthcare benefits
June 17, 2019
MedPAC urges MA data, primary care reforms
June 14, 2019
Hospitals saved $11.8M thanks to 340B, survey finds
June 13, 2019
Boosting outpatient No. 1 hospital exec priority in poll
June 13, 2019
Influential panel urges HIV prevention drug, forcing payer hands
June 12, 2019
CVS Caremark service aims to help employers manage nontraditional benefit options
June 11, 2019
Are teaching hospitals more expensive? A new JAMA study may surprise some
June 10, 2019
Price transparency proposals raise thorny questions
June 7, 2019
CMS calls for ideas to cut red tape
June 7, 2019
Americans want their doctors to ask about social needs
June 5, 2019
Enrollment in standalone Medicare Part D plans drops slightly
June 5, 2019
Cleveland Clinic operating income falls 24% in Q1
June 3, 2019
Humana says it won't bid on Centene
June 3, 2019
UHS partners with Vera on primary care
May 31, 2019
Centene doubles down on commitment to WellCare deal
May 29, 2019
Seniors' out-of-pocket spending on cancer drugs continues to climb
May 29, 2019
Does an echocardiogram cost $210 or $1,830? UnitedHealth calls out price variation.
May 24, 2019
Centene-WellCare shareholder votes set for next month
May 24, 2019
Q&A: Ascension's chief community impact officer on providing care outside the hospital
May 22, 2019
UnitedHealth named most valuable healthcare brand
May 22, 2019
5 state AGs push judge to approve CVS-Aetna merger agreement
May 20, 2019
Healthcare spending accelerated in Q1, Altarum finds
May 20, 2019
CMS pulls back on key Part D proposals
May 17, 2019
Small PBMs urge Congress: Don't kill rebates
May 16, 2019
About 1/3 of hospitals earn A grade on safety, Leapfrog says
May 16, 2019
CMS targets PBM spread pricing
May 16, 2019
DOJ loses fight to limit CVS-Aetna testimony
May 14, 2019
Kaiser Permanente's net income soars to $3.2B in Q1
May 14, 2019
DOJ moves to block certain witness testimony in CVS-Aetna merger review
May 13, 2019
Private insurers pay hospitals more than double Medicare rates
May 10, 2019
DOJ backs Oscar in antitrust case against Florida BCBS
May 9, 2019
AMA: Employed physicians now outnumber self-employed doctors
May 7, 2019
Centene 'committed' to WellCare deal amid Humana takeover report
May 7, 2019
Insurers' message on 'Medicare for All': We're part of the answer
May 3, 2019
Cigna beats in Q1, but analysts seek detail on Express Scripts
May 2, 2019
Aetna boosts CVS Q1 beat
May 1, 2019
CMS wants notice of ownership changes at accrediting organizations
April 30, 2019
Once an albatross, Molina boasts 16% ACA margins
April 29, 2019
UPMC case against state AG dismissed
April 26, 2019
Months after buyout, athenahealth to cut 4% of jobs
April 25, 2019
Membership increases drive Anthem's Q1 revenue growth above 9%
April 24, 2019
Centene's membership growth fuels Q1 as CEO updates divestiture plan
April 23, 2019
Private equity deals set record in healthcare sector
April 18, 2019
UnitedHealth CEO's 'Medicare for All' bashing sends payer, provider shares tumbling
April 17, 2019
MA growth helps fuel UnitedHealth's 9% Q1 revenue bump
April 16, 2019
Sutter to pay $30M to settle Medicare Advantage overpayment allegations
April 15, 2019
GM exec calls for more pressure on consolidating healthcare companies
April 12, 2019
PBMs escape Senate hearing largely unscathed
April 10, 2019
CMMI asks for ideas on post-acute care payment model at AHA annual meeting
April 9, 2019
CVS-Aetna judge to hear testimony from critics next month
April 5, 2019
AG to appeal after judge refuses to extend UPMC-Highmark decree
April 4, 2019
Cigna, Express Scripts promise to cap out-of-pocket insulin costs
April 3, 2019
Hospital, doctor lobbies support surprise billing protections — but not bundled payments
April 3, 2019
Uninsured, Medicaid patients more likely to be transferred, JAMA study shows
April 2, 2019
Centene, WellCare union likely to raise antitrust concerns
March 29, 2019
Centene $17B WellCare buy will boost Medicare footprint
March 27, 2019
ACA exchange enrollment dips by 300K
March 26, 2019
Private equity sees ripe opportunity in healthcare this year
March 25, 2019
Nearly 70% of air ambulance transports in 2017 put patients at risk of balance bills, GAO says
March 21, 2019
Ascension's longtime CEO Anthony Tersigni to retire at year's end
March 21, 2019
Blues challenge UPMC, call Highmark contract dispute 'of its own making'
March 13, 2019
How HCA defies industry trends with 19 straight quarters of admission gains
March 13, 2019
Centene and its PBM partner promise disruption, but analysts are skeptical
March 7, 2019
Judge rules against UnitedHealth behavioral unit over claims denials
March 6, 2019
Ascension hires first chief community impact officer
March 4, 2019
With latest Grassley probe, hospitals can expect invitations to talk
Feb. 27, 2019
Tenet's patient volumes face sustained pressure
Feb. 26, 2019
UPMC fires back at state AG, seeks to join BCBS antitrust lawsuit
Feb. 22, 2019
CVS 2019 guidance disappoints amid major headwinds
Feb. 20, 2019
DOJ sticking with CVS-Aetna merger pact despite negative public comments
Feb. 19, 2019
Charitable enough? UPMC case highlights increased scrutiny of nonprofit hospitals
Feb. 15, 2019
Molina saw membership drop in 2018, but net income rose substantially
Feb. 12, 2019
Judge denies Oscar injunction over exclusive broker policies in Florida
Feb. 7, 2019
Cerner Q4 disappoints but CEO pledges to do better
Feb. 6, 2019
Anthem's PBM will trail nation's largest as it looks to compete sooner
Feb. 5, 2019
Centene's ACA exchange business boosts earnings
Feb. 5, 2019
Amazon's PillPack secures more state licenses, could be eyeing national rollout
Feb. 4, 2019
Insurer costs vary widely in ACA exchange: GAO report
Jan. 30, 2019
Anthem accelerates launch of PBM IngenioRx
Jan. 30, 2019
CVS-Aetna to offer Apple Watch app for members
Jan. 29, 2019
Ascension eliminates exec positions amid restructuring
Jan. 23, 2019
Number of uninsured adults reaches post-ACA high
Jan. 23, 2019
Payer, provider trends to watch in 2019
Jan. 14, 2019
Judge orders DOJ to continue CVS-Aetna review despite government shutdown
Jan. 14, 2019
Government shutdown poses another hiccup for CVS-Aetna
Jan. 10, 2019
High-cost Medicare patients more likely to be younger, low-income
Jan. 9, 2019
JPM19: Molina CEO confronts 'misperceptions'
Jan. 8, 2019
Centene inks deal to buy Arkansas health plan from CHI
Jan. 7, 2019
Uncompensated care costs flat in 2017 despite uptick in uninsured
Jan. 4, 2019
HHS issues voluntary guidelines amid rise of cyberattacks
Jan. 2, 2019
Q&A with Jefferson Health's new chief medical social media officer
Dec. 27, 2018
CMS proposes changes to risk adjustment payments for MA plans
Dec. 21, 2018
Walgreens teams up with Alphabet's Verily on medication adherence pilot
Dec. 20, 2018
ACA ruling could upend Medicaid expansion
Dec. 19, 2018
Cigna-Express Scripts deal complete
Dec. 19, 2018
CMS raises questions over ties between accrediting agencies, healthcare facilities
Dec. 19, 2018
As providers merge, states look to supersede FTC
Dec. 18, 2018
CVS, DOJ defend marriage as judge remains skeptical
Dec. 17, 2018
California, New York OK Cigna-Express Scripts deal with conditions
Dec. 14, 2018
Ardent Health Services files for IPO
Dec. 13, 2018
Allscripts to sell stake in Netsmart for $525M
Dec. 11, 2018
Physician demand grew 7% this year, outpacing 2017, Doximity says
Dec. 5, 2018
Not so fast: Judge delays CVS-Aetna closure, instructs companies to remain separate
Dec. 4, 2018
Payer of the Year: Anthem
Dec. 3, 2018
Disruptor of the Year: Amazon
Dec. 3, 2018
Banner Health income plummets 44% in first 9 months of 2018
Nov. 30, 2018
Beth Israel-Lahey Health merger cleared with conditions, including price cap
Nov. 30, 2018
Advocacy groups push back against CMS protected drugs claims
Nov. 29, 2018
UnitedHealth Group expects revenues to top $240B next year
Nov. 28, 2018
Amazon software can analyze patient medical records: WSJ
Nov. 28, 2018
CMS aims to tackle drug costs by giving payers more bargaining power
Nov. 27, 2018
California imposes conditions on CHI-Dignity Health merger
Nov. 26, 2018
U.S. News & World Report to tweak best hospital rankings #USNHoT
Nov. 21, 2018
Walgreens, Humana in talks to deepen partnership, WSJ reports
Nov. 21, 2018
Ascension sees greater shift toward outpatient care in Q1
Nov. 20, 2018
Tailoring master plans for the uncertainties of tomorrow #USNHoT
Nov. 20, 2018
Oscar calls foul over BCBS' exclusive broker policy in Florida
Nov. 14, 2018
It's final: Amazon pegs NYC, Virginia for HQ2 (with nod to Nashville)
Nov. 13, 2018
Post midterm win, Medicaid backers eye expansion in more red states
Nov. 12, 2018
CMS to scrutinize premium subsidy eligibility, expands contraception exemptions
Nov. 8, 2018
ACA, hospitals win as health focus helps Dems flip House
Nov. 7, 2018
Tenet Q3 results 'mixed at best' with lower admissions, net loss
Nov. 6, 2018
Shareholder sues over 'doomed' Anthem-Cigna transaction
Nov. 5, 2018
Hospitals slammed with $380M in CMS cuts, industry cries foul
Nov. 2, 2018
9 state healthcare battles to watch Tuesday
Nov. 2, 2018
A timeline of Anthem's bold payment policies (and the fallout)
Oct. 31, 2018
Anthem grows Medicare business as overall membership dips
Oct. 31, 2018
HCA net income soars 78% despite hurricanes
Oct. 30, 2018
Look out device makers — Amazon to sell glucose monitors, blood pressure cuffs
Oct. 29, 2018
Universal Health Services Q3 income spikes 22%
Oct. 26, 2018
Status quo or blue wave? How the midterms could hit healthcare companies
Oct. 25, 2018
Loss of pre-existing condition protections would hit 100M, Avalere says
Oct. 24, 2018
CEO Matt Eyles on why AHIP will probably have to change its name
Oct. 23, 2018
Centene Q3 income down significantly, membership up
Oct. 23, 2018
#AHIPMMD: Optum touts social determinants, Medicaid popularity up
Oct. 19, 2018
#AHIPMMD speakers mull role of government regulation in healthcare
Oct. 17, 2018
#AHIPMMD: Verma touts MA growth, blasts Medicare for all
Oct. 17, 2018
'Nowhere to hide' for rivals after blockbuster CVS-Aetna deal
Oct. 11, 2018
Texas fines Humana for lack of in-network anesthesiologists
Oct. 10, 2018
DOJ clears CVS-Aetna union
Oct. 10, 2018
Trinity Health's financial results weighed down by EHR costs
Oct. 9, 2018
Dignity Health reports FY18 income boost
Oct. 8, 2018
Hospitals give patients conflicting information on obtaining records, study finds
Oct. 5, 2018
CVS, Aetna defend merger potential to Connecticut regulators
Oct. 5, 2018
NYC Health + Hospitals looks to turn around declining outpatient operations
Oct. 4, 2018
Intermountain's Liljenquist on price transparency, insulin and having 3 brothers with diabetes
Oct. 3, 2018
Top Texas health systems agree to merge
Oct. 1, 2018
Aetna sells Medicare Part D business to WellCare subsidiary
Sept. 27, 2018
New York regulator warns CVS-Aetna merger could raise prices, reduce consumer choice
Sept. 26, 2018
CVS execs promote proposed Aetna merger as cost saver
Sept. 25, 2018
Oklahoma hospital turns to go GoFundMe to stay afloat
Sept. 20, 2018
Why payers are gobbling up PBMs
Sept. 18, 2018
Cigna-Express Scripts merger cleared by DOJ
Sept. 17, 2018
Newly merged Advocate-Aurora sees 20% drop in operating income
Sept. 12, 2018
Ascension exits Northwest with sale of Washington hospital
Sept. 6, 2018
Premiums rise when hospitals buy doctor practices, study finds
Sept. 6, 2018
Bon Secours, Mercy Health finalize merger
Sept. 6, 2018

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