UnitedHealthcare loses lawsuit to TeamHealth — again — in ongoing battle over billing

A three-judge arbitration panel in Florida has awarded $10.8 million to TeamHealth after finding UnitedHealthcare underpaid the physician group’s clinicians from 2017 to 2020.

By Rebecca Pifer • Dec. 2, 2022

Will healthcare look different in 2023?

 How is healthcare changing for providers as we enter 2023, and what can we do to prepare?

By Auren Weinberg MD MBA • Nov. 28, 2022

Explore the Trendline➔

Payer/Provider relationships

As M&A intensifies and companies are more likely to embrace more holistic and value-based care models, partnerships have become more closely intertwined.

By Healthcare Dive staff

Health tech companies weigh options to stem cash burn as IPO market sags

Healthcare technology companies are delaying initial share sales as public market stocks and valuations plunge across the sector. Where will they turn in the meantime?

By Sydney Halleman • Nov. 21, 2022

Morgan Health nabs Walmart executive to accelerate strategy around population health

Cheryl Pegus is leaving Walmart’s health division to work as a managing director for JPMorgan’s venture attempting to lower employer health costs.

By Rebecca Pifer • Nov. 21, 2022

One Medical’s innovation chief on Amazon, Medicaid and more

Rushika Fernandopulle discussed how remote work trends are affecting the business, One Medical’s ongoing shift toward risk and its interest in Medicaid.

By Rebecca Pifer • Nov. 18, 2022

Oak Street has no interest in a takeover, bullish on Walmart partnership and more from CMO Ali Khan

In a wide-ranging discussion, Khan shared his thoughts on the Medicare direct contracting program, Oak Street's relationship with Walmart and its positioning in an increasingly competitive market.

By Rebecca Pifer • Nov. 17, 2022

Primary care physicians are burned out, though faring better in US than other countries

Physicians under the age of 55 were more likely to feel stress, emotional distress or burnout compared to older physicians in all countries, according to a report from the Commonwealth Fund.

By Hailey Mensik • Nov. 17, 2022

Sanford Health inks merger deal after failed Intermountain bid

The deal, which is expected to close next year, will create a system with annual revenue of about $14 billion.

By Shannon Muchmore • Nov. 15, 2022

Maven raises $90M, fueling push into Medicaid, CMO says

Roadblocks for the startup include shifting requirements state-by-state and historically low margins in Medicaid.

By Rebecca Pifer • Nov. 15, 2022

Fitch downgrades TeamHealth as ER volumes, pricing face pressure

TeamHealth staffs healthcare facilities nationwide and is among the bigger players in the sector. ER staffing represents the majority of TeamHealth’s revenue from contracted physician services, according to Fitch.

By Samantha Liss • Nov. 15, 2022

Medical group asks Congress to offset Medicare payment cuts

The Medical Group Management Association wants Congress to take action to help physician practices by the end of the year.

By Susan Kelly • Nov. 15, 2022

HHS cybersecurity center warns of new ransomware threat

The ransomware has attacked targets worldwide, including at least one U.S. health group, since it was first identified in mid-August.

By Susan Kelly • Nov. 14, 2022

What’s in it for Evernorth? Cigna’s health services arm invests $2.5B in VillageMD-Summit

The deal could have major ramifications for Evernorth’s push to value-based care in the commercial sector, according to Cigna executives and analysts.

By Rebecca Pifer • Nov. 9, 2022

Oak Street Health brings in record revenue in Q3

The value-based primary care chain’s capitated revenue, which makes up the large majority of its topline, would have been slightly higher, but included a small hit from matters related to the Medicare direct contracting program.

By Rebecca Pifer • Nov. 8, 2022

Walgreens-backed VillageMD buys Summit Health for $9B

Cigna’s health services division Evernorth is also taking a stake in the deal, and will become a minority owner in VillageMD.

By Rebecca Pifer • Nov. 7, 2022

Capitated revenue now makes up outsized share of One Medical’s net revenue

One year after its Iora acquisition, revenue from capitated contracts represents half of One Medical’s net revenue even though the provider’s at-risk members comprise just 5% of total membership.

By Rebecca Pifer • Nov. 3, 2022

CMS to ease Medicare ACOs into risk models in bid to boost participation

Beginning in January 2024, ACOs that don’t have experience with performance-based risk will be able to stay in a one-sided risk arrangement for up to seven years before transitioning to two-sided risk.

By Shannon Muchmore • Nov. 2, 2022

U.S. seeing loss of physicians providing contraceptive services, study suggests

The study highlights how the reproductive care workforce has changed over the pandemic, which is likely to have important ripple effects for patients seeking out abortion and contraception services after the fall of Roe v. Wade.

By Rebecca Pifer • Nov. 1, 2022

8 ways hospitals can prevent a cyberattack

After the ransomware attack at CommonSpirit, cybersecurity experts share the top ways health systems can protect valuable patient data.

By Susan Kelly • Nov. 1, 2022

Walgreens-backed VillageMD in talks to merge with Summit, Bloomberg reports

The report, citing unnamed sources, said a deal could emerge in the coming weeks.

By Rebecca Pifer • Oct. 31, 2022

Walmart adds new health clinics in Florida

The 16 new locations will open by next fall, the retail giant announced Wednesday.

By Rebecca Pifer • Oct. 26, 2022

Over 200,000 healthcare workers quit jobs last year

Internal medicine, family practice, clinical psychology, chiropractic and psychology were among the specialties facing the highest turnover in 2021, according to a report from Definitive Healthcare.

By Hailey Mensik • Oct. 26, 2022

The American healthcare system is broken — here’s what we can do to fix it

Value-based care is key to transforming health outcomes and empowering doctors and patients, Texas physician Kevin Spencer argues.

By Kevin Spencer • Oct. 26, 2022

DOJ requests more info on CVS, Signify deal

The second request, which CVS and Signify received on Wednesday, gives regulators another 30 days to review the proposed transaction.

By Rebecca Pifer • Oct. 21, 2022

Crossover Health in talks with multiple major insurers to offer capitated primary care

Crossover has been working on extending its business model to payer clients for several years now, and will have more news to share by the end of the year.

By Rebecca Pifer • Oct. 21, 2022