Government: Page 2

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    Bipartisan lawmakers urge CMS to crack down on Medicare Advantage overpayments

    Senators praised a recent CMS proposal aimed at reducing payments in MA, but urged the agency to work with Congress and go further.

    By • April 1, 2026
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    Alamy
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    Elevance sidesteps Medicare Advantage sanctions for now

    The insurer had until the end of March to correct faulty data submissions or be hit with severe sanctions from the CMS. But regulators agreed to give Elevance more time to comply.

    By • April 1, 2026
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    Over 130 hospitals sue HHS over DSH payments

    Hospitals in 16 states have sued the department, arguing a 2023 final rule underpays hospitals that treat a disproportionate number of low-income patients.

    By • April 1, 2026
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    Photo illustration: Mark Harris 

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    Deep Dive

    One 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.

    By , , • April 1, 2026
  • A stylized collage shows Mehmet Oz in grayscale repeated across the background, overlaid with bold red geometric shapes and faint newspaper-style text reading “One Big Beautiful Bill Act.”
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    Photo illustration: Mark Harris 

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    Deep Dive

    CMS tackles big policy changes with diminished workforce

    The agency is embarking on major initiatives — including helping states implement Medicaid work requirements — with fewer workers in the wake of the federal government’s restructuring, experts say.

    By , • April 1, 2026
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    HHS reverses Biden-era tech reorganization, returns ONC name

    The Trump administration said the revamp, which reverses the HHS’ 2024 restructuring of its technology functions, will better coordinate AI, data and cybersecurity policy across the department.

    By • March 31, 2026
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    Tech nonprofit sues CMS over Medicare AI prior authorization pilot

    The Electronic Frontier Foundation is seeking more information on the government’s agreements with participating vendors, along with records related to any evaluations on accuracy, bias or hallucinations in their technology.

    By • March 30, 2026
  • A concrete sign outside of a building reads "Department of Health & Human Services" wrapped around the HHS logo.
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    ACA premium spike funnels more consumers into high-deductible plans: CMS

    Average premiums for ACA plans increased 58% this year after more generous financial assistance expired, while enrollment in low-premium, high-deductible bronze plans jumped, according to new federal data.

    By • March 30, 2026
  • The exterior facade of NewYork–Presbyterian hospital.
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    Justice Department sues NewYork-Presbyterian in second hospital antitrust case this year

    Federal regulators accused the health system of using its market power to force insurers into “all-or-nothing” contracts. The Justice Department filed a similar lawsuit against OhioHealth in February.

    By • March 27, 2026
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    10M could lose Medicaid due to work requirements, more frequent eligibility checks: study

    Between 5 million and 10 million people could be disenrolled due to cuts to the safety-net insurance program, depending on states’ mitigation strategies, according to the analysis.

    By • March 27, 2026
  • A close-up of Ranking Member Frank Pallone in front of a blurred American flag.
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    House Democrats accuse CMS official of misleading Congress under oath

    CMS Deputy Administrator Kimberly Brandt told Congress that the CMS couldn’t meet with Minnesota before cutting off Medicaid funding because of litigation. Democrats say her testimony made no sense.

    By • March 26, 2026
  • A view from below of the CVS sign on the center of a building, with a vertical blue HealthHub sign to its right.
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    CVS, FTC reach proposed settlement in insulin pricing case

    A settlement between CVS' pharmacy benefit manager and antitrust regulators would leave UnitedHealth as the sole holdout in high-profile suit.

    By • March 24, 2026
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    CMS sets standards for electronic transfer of claims documentation

    The rule standardizes the electronic exchange of medical records and other documents requested by payers to support claims. It should cut out outdated methods like faxes and snail mail, the CMS said.

    By • March 23, 2026
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    FTC creates healthcare task force

    The task force will share resources and coordinate enforcement across the Federal Trade Commission’s disparate bureaus to better address consumer protection and competition issues in healthcare.

    By • March 23, 2026
  • Witnesses testify during a House E&C Health subcommittee hearing.
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    Rebecca Pifer Parduhn/Healthcare Dive
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    Provider consolidation slammed in latest House affordability hearing

    The head of the American Hospital Association attempted to defend consolidation. Members of a House Energy and Commerce subcommittee were unmoved.

    By • March 19, 2026
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    CISA urges organizations to harden endpoint security following Stryker attack

    The Cybersecurity and Infrastructure Security Agency is coordinating with the FBI and other agencies amid concerns about additional threat activity involving Microsoft Intune.

    By David Jones • March 19, 2026
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    Federal court blocks RFK Jr.’s moves to upend US vaccine policy

    The ruling, related to a lawsuit from several major medical organizations, said that the HHS ignored established protocols when altering the childhood immunization schedule and overhauling a key CDC panel.

    By • March 17, 2026
  • Attendees on the show floor at HIMSS 2026.
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    Emily Olsen/Healthcare Dive
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    Deep Dive // HIMSS26

    Balancing AI innovation and risk: 5 takeaways from HIMSS26

    The healthcare sector will increasingly adopt autonomous agents this year, but it’ll have to consider how to adapt governance structures and manage cybersecurity risks as AI evolves, experts said in Las Vegas last week.

    By Emily Olsen and Jill Hughes • March 16, 2026
  • Dr. Mehmet Oz arrives for his confirmation hearing with the Senate Finance Committee in the Dirksen Senate Office Building on March 14, 2025 in Washington, D.C.
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    HIMSS26

    CMS wants seniors to use AI for care navigation

    The agency plans to introduce AI agents to help Medicare beneficiaries find doctors and health plans, a challenge given many enrollees don’t yet trust the tools, CMS Administrator Dr. Mehmet Oz said during the HIMSS conference.

    By • March 13, 2026
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    Genetic tests come under scrutiny in Trump administration’s fraud crackdown

    As the CMS calls for public feedback on how to stop lab test fraud, experts say a tailored regulatory strategy will be key to avoid stifling innovation.

    By Susan Kelly • March 12, 2026
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    FDA to unify agency’s ‘fragmented’ safety surveillance system

    Combining the disparate databases used to detect potential issues with drugs, vaccines and other products into a single dashboard will enhance their utility and cut costs, the agency said.

    By Kristin Jensen • March 12, 2026
  • Dr. Thomas Keane, assistant secretary for technology policy and national coordinator for health information technology
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    Emily Olsen/Healthcare Dive
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    HIMSS26

    Developers stand to lose IT certification if found information blocking

    Customers of IT developers who lose their certification would also forfeit some financial incentives, ASTP/ONC head Dr. Thomas Keane said at the HIMSS conference.

    By • March 12, 2026
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    HIMSS26

    Safety-net providers tackle AI adoption as Medicaid cuts loom

    Artificial intelligence tools could help safety-net organizations close gaps created by massive cuts to Medicaid signed into law last year, experts said at the HIMSS conference.

    By • March 12, 2026
  • Aetna headquarters building with the Aetna logo on its facade.
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    CVS to pay $118M to settle Medicare Advantage fraud allegations

    The settlement announced by the Department of Justice on Wednesday comes after federal regulators accused Aetna of submitting inaccurate data to the CMS.

    By • March 11, 2026
  • A sign for the Food And Drug Administration is seen outside of the headquarters on July 20, 2020 in White Oak, Maryland.
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    FDA clears repurposed GSK drug for ultra-rare brain disease instead of autism

    Months after promising help for “hundreds of thousands of kids,” the FDA approved the decades-old medicine for a disease documented in less than 50 people.

    By Kristin Jensen • March 11, 2026