Government


  • 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. 

    By Jan. 30, 2023
  • 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.

    By Jan. 30, 2023
  • Trendline

    Labor

    Amid a surge in COVID-19 cases, hospitals need nurses so desparetly they're offering massive sign-on bonuses and staffing firms say open positions for both temporary and permanent nursing roles are at all-time highs

    By Healthcare Dive staff
  • 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.

    By Jan. 25, 2023
  • Two emergency room nurses wheel a patient on a gurney through a hospital hallway.
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    Brandon Bell via Getty Images

    More states propose nurse staffing, ratio laws

    Lawmakers in three states are considering legislation around healthcare worker staffing and nurse-to-patient ratios after the pandemic caused the industry to suffer major workforce challenges.

    By Jan. 24, 2023
  • Federal Trade Commission
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    Carol Highsmith. (2005). "The Apex Building" [Photo]. Retrieved from Wikimedia Commons.

    US to jack up fees for big mergers

    Filing fees are expected to soar this year and companies, including those in healthcare, will need to prepare for increased regulatory scrutiny of M&A deals.

    By Alexei Alexis • Jan. 23, 2023
  • Doctors operate on a patient.
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    South_agency via Getty Images

    Nonprofit hospitals may evade noncompete ban enforcement, experts say

    Ambiguity remains over whether the ban would apply to nonprofit systems, which make up about half of all U.S hospitals.

    By Jan. 20, 2023
  • Ambulance driving in Las Vegas, Nevada, on March 30, 2020.
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    Ethan Miller / Staff via Getty Images

    More than quarter of ground ambulance transports could result in surprise bill

    Ground ambulances were left out of federal legislation banning surprise billing, but the sector may be ripe for similar regulation given the prevalence of out-of-network rides, according to research in Health Affairs.

    By Jan. 19, 2023
  • 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

    Major government ACOs to cover 13.2M people this year

    Accountable care organizations and value-based care advocates cheered the news, with the National Association of ACOs calling 2023 a “turning point” for growth.

    By Jan. 18, 2023
  • Cropped view of patient at table with insurance claim form giving credit card to doctor.
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    LightFieldStudios via envatoelements

    Uninsured rate fell for those historically lacking coverage

    Researchers in an HHS report said policies like Medicaid continuous coverage and premium tax credits were key to the reduction.

    By Jan. 17, 2023
  • Concept image of insulin aspart with fake labeling
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    Samara Heisz via Getty Images

    California files suit against PBMs over insulin prices

    The state filed suit Thursday against pharmacy benefit managers CVS Caremark, Express Scripts and OptumRx, alleging they worked with drugmakers to drive up the price of insulin.

    By Jan. 13, 2023
  • Extended subsidies boost ACA marketplace enrollment

    Nearly 16 million people have signed up for health coverage through the Affordable Care Act marketplace since open enrollment began Nov. 1

    By Jan. 11, 2023
  • The front of the department of health and human services building with a sign in front of the exterior building
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    Mark Wilson via Getty Images

    Hospitals disappointed with court ruling placing HHS in charge of 340B repayment

    The court’s ruling on Tuesday is the latest update in a yearslong legal dispute between safety net hospitals and the government over payment rates.

    By Jan. 11, 2023
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    Michael Ciaglo/Getty Images via Getty Images
    Opinion

    COVID-19 vaccine prices are going up. It shouldn’t be our focus.

    Vaccinating as many people as possible to reduce the spread of respiratory illness that can be especially life-threatening for the youngest and oldest Americans is key, argues vaccine law professor Richard Hughes IV.

    By Richard Hughes IV • Jan. 10, 2023
  • An up-close and above the shoulder picture of Senator Bernie Sanders wearing a medical face mask
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    Chip Somodevilla/Getty Images via Getty Images

    Sen. Bernie Sanders to target high healthcare costs as leader of influential committee

    The longtime Congressman and “Medicare for All” proponent will soon assume leadership of the Senate HELP committee, giving him sway in one of the nation’s most broadly influential health policy forums.

    By Jan. 9, 2023
  • A sign for the Food and Drug Administration is seen on July 20, 2020 in Maryland.
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    Sarah Silbiger via Getty Images

    FDA approves Alzheimer’s drug from Eisai, Biogen in closely watched decision

    The agency’s approval comes months after a large clinical trial showed the drug, called Leqembi, could slow the disease’s progression. Yet experts have raised concerns about its safety.

    By Jacob Bell • Jan. 6, 2023
  • California revises Medicaid contract awards, adding 2 insurers

    Five insurers will now receive lucrative contracts to provide managed care services, starting in 2024, in the country’s largest Medicaid market.

    By Susan Kelly • Jan. 4, 2023
  • Two emergency room nurses wheel a patient on a gurney through a hospital hallway.
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    Brandon Bell via Getty Images

    The portal to resolve surprise bills has been inundated with disputes — SCP Health tops the list

    Federal agencies received more disputes in a five-month window than they expected to receive in a full year.

    By Updated Jan. 9, 2023
  • An illustration of a hospital and a medical corporate building pieced together like a puzzle.
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    Illustration: Xavier Lalanne-Tauzia for Industry Dive

    Deep Dive

    The Advocate-Atrium merger closed without an antitrust challenge. What does that mean for competition in 2023?

    Health systems have morphed into multi-regional players through acquisitions, but have evaded federal antitrust enforcement, raising questions about the future of policing merger deals.

    By Dec. 22, 2022
  • Downtown Los Angeles aerial view.
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    Stein Photo via Getty Images

    Stakes are high in California’s Medicaid market shakeup

    Four insurers that lost out on lucrative contracts in the state’s first-ever competitive process are challenging the state's picks.

    By Susan Kelly • Dec. 21, 2022
  • An image of a gavel and stethoscope.
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    AndreyPopov via Getty Images

    Judge questions surprise billing ban implementation during court hearing

    A federal judge on Tuesday tested the government’s defense concerning a rule designed to help third parties resolve payment disputes between providers and insurers.

    By Dec. 21, 2022
  • The United States Capitol surrounded by trees
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    Megan Quinn/Healthcare Dive

    ‘Bravo Congress’: Telehealth groups cheer omnibus extension of COVID-19 flexibilities

    Still, the American Telemedicine Association and other virtual care lobbies said there was more to do to enshrine telehealth access into American law.

    By Dec. 21, 2022
  • The front opening to Advocate Aurora Healthcare's Two Rivers, Wisconsin, hospital.
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    Asher Heimermann. Retrieved from Wikimedia Commons.

    HHS releases ownership data on nation’s hospitals

    “We are pulling back the curtain and letting the sunshine in on hospital and nursing home ownership because it is what the public deserves,” HHS Secretary Xavier Becerra said Tuesday in a statement.

    By Dec. 21, 2022
  • A picture of the US Capitol building
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    Sarah Silbiger/Getty Images via Getty Images

    Omnibus bill restarts Medicaid checks, lowers Medicare physician pay cuts

    President Joe Biden signed the the $1.7 trillion omnibus spending package into law on Dec. 29.

    By Updated Jan. 3, 2023
  • Medicare enrollment form and money.
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    iStock via Getty Images

    Government watchdog warns of Medicare fraud after relaxing provider requirements

    The Government Accountability Office is urging the CMS to resume certain eligibility checks on providers whom they consider at high risk of fraud to the Medicare program. 

    By Dec. 20, 2022
  • A female doctor and senior patient discuss medical records.
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    SDI Productions via Getty Images

    CMS rule aimed at improving Medicare Advantage draws praise

    Proposed changes target prior authorization holdups and misleading advertising while aiming to expand access to behavioral health care and affordable prescriptions.

    By Susan Kelly • Dec. 19, 2022