Medical Groups
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5th Circuit strikes down No Surprises billing benchmark in win for providers
The court ruled Tuesday that insurers can’t include ghost rates or exclude bonus payments in calculating a metric used to determine reimbursement for out-of-network bills. That’s set to further inflate payouts to providers.
By Rebecca Pifer Parduhn • Aug. 13, 2026 -
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OpinionIs Congress finally ready to stop subsidizing hospital consolidation?
As lawmakers consider whether to enact site-neutral payments into law, one physician argues that reforming the Medicare payments would lower healthcare spending without hurting patient care.
By Dr. Josh Umbehr • Aug. 11, 2026 -
Explore the Trendline➔
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TrendlineSurprise 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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HCA nabs 40 urgent care clinics in Texas acquisition
The hospital juggernaut is adding Texas MedClinic’s locations to its nationwide portfolio of urgent care clinics amid rising consumer demand for fast and convenient medical attention.
By Rebecca Pifer Parduhn • Aug. 4, 2026 -
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OpinionThe unexpected upsides of vaccines
The COVID-19 pandemic heightened vaccine skepticism. Six years later, CVS’ chief medical officer talks about building trust with patients — and the surprising benefits of many vaccines.
By Dr. Amy Compton-Phillips • Aug. 3, 2026 -
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Trump administration tries again to institute rebates in 340B
The Trump administration is again pushing to include rebates in the drug discount program after a failed attempt earlier this year. Hospitals railed against the announcement, saying it would burden already strapped providers.
By Sydney Halleman • July 31, 2026 -
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Intermountain acquires 2 Idaho hospitals from Surgery Partners
The regional nonprofit and the surgical facility operator have co-owned the facilities since 2023. But Surgery Partners, which expects to net almost $800 million from the deal, is looking to reorient its portfolio towards outpatient care.
By Rebecca Pifer Parduhn • July 27, 2026 -
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Cardinal inks 2 acquisitions in bid to expand at-home services
The company agreed to buy a diabetes health business and medical supplier Strive Medical to boost its growing in-home solutions unit.
By Sydney Halleman • July 21, 2026 -
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Clinic and physician practice bankruptcies spike in 2026 so far
The bankruptcies come as the healthcare sector faces looming financial pressures, including cuts to Medicaid, according to the report by Gibbins Advisors.
By Emily Olsen • July 20, 2026 -
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Doc pay, price transparency on Congress’ healthcare agenda
Lawmakers introduced or advanced a raft of health legislation last week in advance of the midterm elections.
By Emily Olsen • July 17, 2026 -
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340B spending ballooned to $100B in 2025, federal data shows
It's the latest evidence of rising spending in the drug discount program as regulators attempt to tamp down on growth in 340B.
By Sydney Halleman • July 16, 2026 -
Courtesy of UnitedHealth Group
UnitedHealth raises 2026 guidance again as cost controls pay off in Q2
UnitedHealth’s profit spiked to $5.5 billion in the second quarter thanks to notable earnings recovery in its insurance and value-based care delivery businesses. The healthcare juggernaut delivered for investors, analysts said.
By Rebecca Pifer Parduhn • July 16, 2026 -
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Doctor pay to drop in 2027 under proposed Medicare pay rule
Physician groups said the sweeping rule is a double-edged sword, given it includes an unwelcome fee cut but positive changes to Medicare’s value-based and quality payment programs.
By Emily Olsen • July 15, 2026 -
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Strikes boil at Mass General Brigham, Mount Nittany
About 4,500 workers at Mass General Brigham are striking this week, while employees at Mount Nittany Medical Center in Pennsylvania said they would take to the picket line later this month.
By Sydney Halleman • July 10, 2026 -
Courtesy of UnitedHealth Group
External audit of UnitedHealth senior home visits finds most diagnoses supported by medical data
Almost 97% of diagnoses found in HouseCalls visits were backed up by patients’ medical records, vindicating the program’s integrity, UnitedHealth said.
By Rebecca Pifer Parduhn • July 7, 2026 -
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Private equity may skirt oversight with nonprofit healthcare joint ventures
The investment firms are leaning on joint ventures with nonprofits to expand in the healthcare sector, according to a new report from the Private Equity Stakeholder Project.
By Sydney Halleman • July 7, 2026 -
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Medicare slashes 340B payments, broadens site-neutral policies in proposed 2027 payment rule
The rule, released Thursday, builds on Trump administration’s priorities, including cutting Medicare reimbursement for drugs in the controversial 340B program and equalizing payment between sites of care.
By Sydney Halleman • July 2, 2026 -
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Deep DiveUHS deal exposes pitfalls of physician group acquisitions
Despite major financial struggles, some providers at a physician group in Washington, D.C. say their new — and much larger — parent is not offering the lifeline they want.
By Sydney Halleman • June 11, 2026 -
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AMA swears in new president
Dr. Willie Underwood III said he would focus on uniting physicians across specialties and advancing equity in medicine as president.
By Sydney Halleman • June 10, 2026 -
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Trump’s $100K fee for H-1B visas struck down
A federal judge ruled that the fee amounted to an unlawful tax on the visa program for highly skilled workers. Medical groups cheered the decision.
By Natalie Schwartz • June 8, 2026 -
Alamy
FTC requires Ascension divestitures in $3.9B AmSurg deal
Ascension needs to sell seven surgery centers if it wants the deal to close, regulators said. Ascension, which is pursuing the AmSurg acquisition as part of a larger financial turnaround, said it was pleased with the compromise.
By Rebecca Pifer Parduhn • June 2, 2026 -
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Eli Lilly issues data sharing ultimatum to 340B hospitals
Select hospitals have refused to share data to prove they’re not double-dipping drug discounts, Lilly said. Hospitals, which have until Monday to comply, are urging the government to intervene.
By Rebecca Pifer Parduhn • June 2, 2026 -
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‘A missed opportunity’: Payers lash out against surprise billing final rule
A highly anticipated rule finalized Thursday meaningfully improves how insurers and providers settle disputes over out-of-network bills. But payers say it doesn’t go far enough to curb alleged provider abuse.
By Rebecca Pifer Parduhn • May 29, 2026 -
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Judge dismisses BCBS Texas’ surprise billing lawsuit against HaloMD
It’s the fourth federal court in six weeks to reject insurer attempts to relitigate No Surprises determinations, HaloMD said. The dismissals have thrown cold water on insurers’ efforts to contest alleged profiteering.
By Rebecca Pifer Parduhn • May 28, 2026 -
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Surprise BillingTrump administration reforms surprise billing dispute resolution
The industry has been waiting for regulators to finalize the rule amid snowballing concerns about how insurers and providers settle out-of-network claims. The regulation is aimed at making that process more efficient.
By Rebecca Pifer Parduhn • May 28, 2026 -
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UHS, George Washington University ink deal to stabilize struggling physician group
UHS will establish a new nonprofit to absorb financial responsibility of GW University’s debt-ridden physician practice group. Executives said the deal should help maintain clinical operations in the D.C. region.
By Sydney Halleman • May 28, 2026
