‘A long time in the making’: New ONC rule targets healthcare AI transparency

The sweeping rule requires developers of certified artificial intelligence tools to detail information including how products are maintained and monitored, as well as known risks and inappropriate uses.

By Emily Olsen • Dec. 14, 2023

Supreme Court to rule on abortion pill access

The court's decision on mifepristone, expected by June, could have far-reaching implications for the FDA. 

By Delilah Alvarado • Dec. 13, 2023

Explore the 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

Centene tries to quell concerns of ACA overhaul during investor day

The Affordable Care Act has been under fire from Republican presidential candidates heading into an election year. But “once you giveth you cannot taketh away,” said the head of external affairs for the major marketplace carrier.

By Rebecca Pifer Parduhn • Dec. 13, 2023

Humana used algorithm to deny care to Medicare Advantage patients, lawsuit claims

The insurer is the latest to be hit with a suit over its use of algorithms to appraise claims.

By Susanna Vogel • Dec. 13, 2023

House passes bill targeting price transparency, site-neutral payments, PBMs

Hospitals have lobbied against the site-neutral payment policies included in the bipartisan legislation.

By Sydney Halleman • Dec. 12, 2023

TEFCA goes live in ‘Big Bang’ for health data exchange

Five Qualified Health Information Networks, or QHINs, completed the onboarding process and are ready for data exchange, with more companies in the pipeline.

By Emily Olsen • Dec. 12, 2023

HHS settles first phishing cyberattack investigation with Louisiana medical group

The agency found Lafourche Medical Group failed to conduct a risk analysis or regularly review its information system activity. The 2021 breach may have exposed the data of nearly 35,000 patients.

By Emily Olsen • Dec. 11, 2023

White House wants to set minimum cyber standards for hospitals, healthcare

The sector has faced a wave of ransomware linked to the critical CitrixBleed vulnerability, which has led to major attacks from LockBit and other threat groups.

By David Jones • Dec. 11, 2023

Senators probe private equity’s role in hospital operations

The inquiry comes as the White House this week said it would investigate private equity investment in healthcare as federal scrutiny of firms ramps up.

By Susanna Vogel • Dec. 8, 2023

Hospital lobbies push back on site-neutral provision in House bill

The American Hospital Association and the Federation of American Hospitals sent letters to Congress this week opposing a bill that would equalize payments for drugs administered in outpatient clinics.

By Rebecca Pifer Parduhn • Dec. 8, 2023

Biden administration goes after drug patents in bid to lower prices

The White House is supporting a policy that would allow the U.S. government to sidestep patent protections for drugs developed with federal funding and that have prices deemed “extreme, unjustified, and exploitative.”

By Jonathan Gardner • Dec. 7, 2023

Michigan doubles fines for violence against healthcare workers

The Great Lakes state will issue harsher penalties next year in an attempt to deter workplace assault and harassment.

By Susanna Vogel • Dec. 7, 2023

HHS’ new cyber framework for hospitals includes stricter requirements, potential penalties

The agency’s plans include working with Congress to receive funding to support hospitals’ security infrastructures as the sector faces the growing threat of cyberattacks.

By Emily Olsen • Updated Dec. 7, 2023

Interstate travel for abortion care has doubled since 2020: Guttmacher

The data highlights how convenient access to abortion care has been eliminated in many states after the fall of Roe v. Wade last summer. 

By Rebecca Pifer Parduhn • Dec. 7, 2023

Clover Health exits ACO REACH

The beleaguered insurer will leave the accountable care program at the end of the 2023 performance year following disappointing results in Medicare direct contracting.

By Rebecca Pifer Parduhn • Dec. 6, 2023

Veteran’s lawsuit alleges VA Oracle EHR delayed cancer diagnosis

The suit alleges an army veteran’s diagnosis was held up for months due to errors with the electronic health record.

By Emily Olsen • Dec. 6, 2023

CMS says states could lose funding over Medicaid redeterminations issues

The interim final rule comes as nearly 11.8 million people have been removed from the safety-net insurance.

By Emily Olsen • Dec. 5, 2023

A Cigna-Humana merger could face a long regulatory delay. But it might get approved.

As rumors swirl that the two major health insurers are inching toward a merger, experts say antitrust agencies have grounds to block a deal — but may not be successful.

By Rebecca Pifer Parduhn • Dec. 4, 2023

Government expects to recover more than $3B from healthcare fraud, misspent funds in fiscal year 2023

The HHS’ Office of the Inspector General’s report tallied 707 criminal enforcement actions and 746 civil actions for fraud and misspent funds in programs like Medicare and Medicaid.

By Emily Olsen • Dec. 4, 2023

North Carolina Medicaid expansion kicks in

About 600,000 more people in the state now have access to the safety-net insurance coverage.

By Rebecca Pifer Parduhn • Dec. 1, 2023

Lawmakers stress data privacy in health AI oversight

Members of Congress hammered privacy concerns in a hearing on Wednesday as interest in artificial intelligence — which relies on patient information to train models — heats up.

By Emily Olsen • Nov. 30, 2023

Majority of Medicaid enrollees satisfied with plans, despite flaws, survey finds

Medicaid enrollees are more likely to understand and be satisfied with their plans, despite reporting poorer health outcomes, according to a new report from KFF. 

By Susanna Vogel • Nov. 29, 2023

Democrat senators accuse PE-backed US Anesthesia Partners of anticompetitive business practices

Sens. Elizabeth Warren and Richard Blumenthal sent a letter to USAP on Sunday alleging the company leverages its monopoly power to inflate prices. USAP is currently facing a federal suit over the allegations.

By Rebecca Pifer Parduhn • Nov. 28, 2023

340B drug discount program yields mixed evidence on how hospitals use funds

Researchers reviewed almost 300 pieces of literature on 340B and found some studies suggested hospitals were using savings from the program for purposes “seemingly unrelated” to patient care.

By Rebecca Pifer Parduhn • Nov. 27, 2023

FTC sues to block John Muir Health’s acquisition of Tenet hospital

Regulators allege the $142.5 million deal to buy the remaining stake in San Ramon Regional Medical Center would further reduce competition and drive up prices.

By Emily Olsen • Nov. 20, 2023