Medical Groups
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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 Rebecca Pifer • Sept. 4, 2025 -
Foremniakowski via Getty Images
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 Rebecca Pifer • Sept. 3, 2025 -
Explore the Trendline➔
Yujin Kim/Healthcare Dive
TrendlinePayer/provider relationships
As M&A intensifies and companies embrace more holistic and value-based care models, partnerships have become more closely intertwined.
By Healthcare Dive staff -
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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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Sycamore Partners closes Walgreens acquisition, splits retailer into 5 companies
The deal’s closure also comes with a raft of leadership changes. Mike Motz, the former CEO of Staples U.S. Retail, has been appointed as Walgreens CEO effective immediately.
By Susanna Vogel • Aug. 28, 2025 -
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Physicians say fewer qualified doctors apply for jobs: report
In a new report from Medscape, physicians say a lack of qualified applicants is hampering efforts to fill open positions. Many worry the situation could get worse over the next decade.
By Susanna Vogel • Aug. 27, 2025 -
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Surprise BillingNo Surprises dispute resolution is creating billions of dollars in extra costs, could raise premiums: analysis
Providers are turning to the law’s arbitration process in droves to settle out-of-network claims, one factor fueling spending that could cost consumers down the line.
By Rebecca Pifer • Aug. 27, 2025 -
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Deep DiveA $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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Johns Hopkins goes out of network with UnitedHealthcare after failed contract negotiations
The Baltimore-based system and the major insurer failed to resolve their contract spat by Monday’s deadline, sending some 60,000 patients out of network. Both pledged to continue negotiations.
By Rebecca Pifer • Aug. 26, 2025 -
Valerii Evlakhov via Getty Images
Judge approves $2.8B Blues settlement with providers
The final settlement wraps up 12 years of litigation over Blue Cross and Blue Shield plans’ alleged collusion to lower reimbursement to U.S. providers.
By Rebecca Pifer • Aug. 22, 2025 -
Amornrat Phuchom via Getty Images
Option Care Health taps new CFO
Meenal Sethna will replace Michael Shapiro as the infusion therapy provider’s chief financial executive in October.
By Sydney Halleman • Aug. 21, 2025 -
John Moore via Getty Images
CHAI, health center group partner to boost safety-net AI adoption
The organizations will collaborate on guidance for community health centers and other safety-net providers, which face increased barriers to implementing AI.
By Emily Olsen • Aug. 14, 2025 -
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Physicians are working more but reimbursement isn’t keeping pace, report finds
Physicians are working harder now than in past years, but they’re getting less for that work, according to new research from Kaufman Hall. The situation could worsen as more Americans lose health insurance.
By Rebecca Pifer • Aug. 12, 2025 -
Mario Tama / Staff via Getty Images
Hospitals prepare for $149B cut to Medicaid state-directed payments
New limits to the program could force hospitals to slash capital spending while bracing for millions of newly uninsured patients.
By Michael Brady • Aug. 12, 2025 -
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Healthcare bankruptcies dipped to 3-year low in the second quarter
Although fewer companies are expected to file for Chapter 11 protections in 2025 relative to last year, significant headwinds remain on the horizon, according to a new report from Gibbins Advisors.
By Susanna Vogel • Aug. 7, 2025 -
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Physicians saw a 3.7% bump in pay last year — but it wasn’t distributed equally
Women and pediatricians were likely to receive lower compensation relative to their peers, according to Doximity's 2025 physician compensation report.
By Susanna Vogel • Aug. 4, 2025 -
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PBM markets lack competition, new paper finds
The American Medical Association’s research, which found that local PBM markets are highly concentrated, is more fuel for critics of the powerful drug middlemen.
By Rebecca Pifer • July 31, 2025 -
Courtesy of UnitedHealth Group
UnitedHealth expects lower profits in 2025 amid medical cost spike
The beleaguered company plans to focus on business fundamentals, cut Medicare Advantage plans, raise prices and forge a new relationship with regulators as it slogs its way back to favored status with Wall Street.
By Rebecca Pifer • July 29, 2025 -
Leigh Vogel via Getty Images
Medicaid cuts could have ‘far-reaching’ healthcare, economic impacts: study
Coverage losses linked to the massive tax and policy law could drive up excess deaths and preventable hospitalizations by 2034, according to the study in JAMA Health Forum.
By Emily Olsen • July 16, 2025 -
Alex Wong via Getty Images
CMS proposes rule aligning Medicare physician payment with ‘Big Beautiful Bill,’ MACRA
The sweeping regulation proposes notable changes to how Medicare pays physicians, but overall results in a modest bump to reimbursement in 2026.
By Rebecca Pifer • July 15, 2025 -
Daphne Howland/Healthcare Dive
Walgreens shareholders approve $10B Sycamore acquisition
The transaction, expected to close in the third or fourth quarter, will take Walgreens private after nearly 100 years as a public company.
By Howard Ruben • July 14, 2025 -
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Nursing home operator Genesis Healthcare files for bankruptcy
Affiliates of Genesis’ investor ReGen Healthcare, a private equity firm, have entered into a deal to acquire Genesis, according to bankruptcy court documents.
By Sydney Halleman • July 11, 2025 -
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Insurer ownership of U.S. primary care practices is small but growing: study
The first-of-its-kind research suggests vertical consolidation is being driven by plans wanting to direct more Medicare Advantage members to in-house clinics.
By Rebecca Pifer • July 9, 2025 -
Mario Tama via Getty Images
CVS Omnicare ordered to pay $949 million in government fraud case
CVS plans to appeal the judgment, which comes after a jury ruled that its long-term care pharmacy benefits manager illegally charged Medicare, Medicaid and Tricare for prescription drugs for almost a decade.
By Rebecca Pifer • July 9, 2025 -
Foremniakowski via Getty Images
Humana agrees to purchase bankrupt Florida provider The Villages Health for $50M
The insurer’s bid is preliminary and kicks off an auction for the debt-laden provider, which decided to pursue bankruptcy after discovering it owed Medicare hundreds of millions of dollars.
By Rebecca Pifer • July 8, 2025 -
Alamy
UnitedHealth changes leadership at care delivery unit
Patrick Conway, who recently became chief executive of the larger Optum health services division, will replace Dr. Amar Desai as CEO of Optum Health.
By Emily Olsen • June 30, 2025
