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    FTC drops Biden-era noncompete ban but promises continued enforcement

    Industries “plagued by thickets of noncompete agreements” will soon see warning letters from the agency, its chairman said Friday.

    By Ryan Golden • Sept. 8, 2025
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    House Republicans probe CVS for alleged HIPAA violation

    In June, CVS sent a mass text to pharmacy customers in Louisiana urging them to contact their representatives to oppose a PBM reform bill. That may have been illegal, two Republican congressmen say.

    By • Sept. 8, 2025
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    Trendline

    Surprise Billing

    Federal legislation banning surprise bills has hit a barrage of roadblocks, complicating efforts to protect consumers from unexpected out-of-network charges.

    By Healthcare Dive staff
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    States unprepared to implement Medicaid work requirements: report

    Implementing work requirements should be a “multi-year project,” researchers said, but states have just until next year to prepare.

    By Susanna Vogel • Sept. 8, 2025
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    At Senate hearing, lawmakers express dissatisfaction with RFK Jr.’s vaccine moves

    Robert F. Kennedy Jr. faced criticism Thursday even from Republican lawmakers over changes to federal vaccine policy as well as a leadership crisis at the CDC.

    By , Jonathan Gardner • Sept. 4, 2025
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    HHS expands access to catastrophic plans ahead of premium pain on ACA exchanges

    The move will give more Americans a coverage alternative with low monthly premiums come November’s open enrollment, but could come at the expense of people who remain in standard Affordable Care Act plans.

    By • Sept. 4, 2025
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    Renal denervation gets strong backing from cardiologists ahead of Medicare coverage decision

    Doctors told the CMS that more patients need access to the procedure, with one calling it the start of a new era in hypertension management.

    By Susan Kelly • Sept. 4, 2025
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    CMS tweaks AHEAD all-payer model for states

    The model will now run for one additional year and require providers to assume more downside risk.

    By • Sept. 4, 2025
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    HHS threatens crackdown on information blocking

    The HHS says it will commit new resources to targeting and punishing providers, health IT companies and other groups found information blocking, though the pledge is scarce on details.

    By • Sept. 4, 2025
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    Megan Quinn/Healthcare Dive
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    Lawmakers scrutinize AI’s role in prior authorization, mental healthcare in House hearing

    Witnesses said that more oversight is needed to help the industry overcome a “foundational trust deficit” currently blocking uptake of artificial intelligence in healthcare.

    By Susanna Vogel • Sept. 4, 2025
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    UnitedHealthcare, Humana are gaming Medicare Advantage risk adjustment, analysis finds

    The research from the Alliance for Community Health Plans adds to existing evidence that major insurers are unfairly profiting from MA’s risk adjustment system, driving billions of dollars in unnecessary costs.

    By • Sept. 3, 2025
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    DOJ sues ProMedica Health for ‘non-existent, grossly substandard’ care at nursing homes

    The government alleges executives at ProMedica pressured four facilities to increase admissions and cut staffing, even while patient care deteriorated.

    By Susanna Vogel • Sept. 3, 2025
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    Medicare saved record $2.4B from largest accountable care program last year

    ACOs are also improving in quality, according to the CMS data. Still, the Medicare Shared Savings Program has struggled with waning provider buy-in.

    By • Sept. 3, 2025
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    Over 1,000 HHS workers call for RFK Jr. to step down

    The letter cites turmoil at the CDC, which is reeling from the firing of Director Susan Monarez and the departure of at least four high-level leaders last week.

    By • Sept. 3, 2025
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    AI devices with no clinical validation tied to more recalls, study finds

    Public companies, which accounted for about half of AI-enabled devices on the market, had a higher rate of recalls and a lower rate of clinical evidence, according to a JAMA study.

    By Elise Reuter • Sept. 2, 2025
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    CVS agrees to pay Massachusetts $12M to settle Medicaid overbilling claims

    The retail pharmacy giant has also agreed to annually review its practices to ensure the state’s Medicaid program is getting the lowest possible prices for prescription drugs.

    By • Sept. 2, 2025
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    CDC panel to discuss COVID, hepatitis B shots in September meeting

    A federal register notice confirmed dates for the anticipated advisory meeting, which will follow an FDA decision to narrow COVID boosters' approval and comes as CDC leadership is in turmoil.

    By • Aug. 28, 2025
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    Top healthcare legislation to watch so far this year

    Federal lawmakers have proposed dozens of bills targeting core healthcare issues, including 340B, Medicaid, AI and site-neutral payments.

    By Healthcare Dive staff • Aug. 28, 2025
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    Deep Dive

    A $50B rural health fund was negotiated with hospitals in mind. Experts are split on whether it will help them at all.

    The fund was created to help Republicans secure critical votes for their reconciliation bill. But experts aren't quite sure how it'll work, creating a $50 billion dollar question with major ramifications for rural hospitals.

    By Susanna Vogel • Aug. 26, 2025
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    Walter Bibikow
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    Supreme Court allows NIH to axe millions of research funds related to DEI

    The Thursday ruling allows the National Institutes of Health to cut nearly $800 million of research funds for studies like HIV prevention.

    By Susanna Vogel • Aug. 25, 2025
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    Judge stays provisions of Trump administration rule overhauling ACA

    A Maryland district judge has paused heightened standards for people verifying their eligibility for subsidies and other key elements of a controversial final rule from July.

    By • Aug. 25, 2025
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    Prior authorization reform: Turning regulatory pressure into a competitive edge

    PA reform: four steps that separate health plan leaders from survivors.

    By Dan Howell • Aug. 25, 2025
  • HHS Secretary Robert F. Kennedy Jr. and CMS Administrator Dr. Mehmet Oz confer before an event on health technology in the East Room of the White House on July 30, 2025, in Washington, DC.
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    Deep Dive

    White House data sharing plan boasts big ambitions, but has scant details

    Improving health data exchange is a worthy goal, but the initiative has to overcome challenges like data security, under-resourced providers and slow technology uptake, experts say.

    By Emily Olsen • Aug. 21, 2025
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    AdvaMed urges Dr. Oz to speed Medicare coverage of breakthrough devices

    The trade group wants the CMS to take “bold action” to cut the lag between FDA authorization of devices and Medicare coverage.

    By Nick Paul Taylor • Aug. 21, 2025
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    CVS Caremark fined $290M for Medicare fraud

    CVS tried and failed to convince the judge to decrease the penalty. The company plans to appeal the ruling.

    By • Aug. 20, 2025
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    Elevance loses Medicare Advantage star ratings suit

    The Texas judge’s decision — which picked apart Elevance’s argument on mathematical grounds — is expected to cost Elevance $375 million, though the insurer could still appeal.

    By • Aug. 20, 2025