Medical Groups: Page


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    Opinion

    Restoring balance to the No Surprises Act

    In response to an opinion piece from the American Hospital Association, Dr. Catherine Gaffigan, president of health solutions at Elevance, defends the company’s new facility administrative policy.

    By Catherine Gaffigan • March 30, 2026
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    Fotografia Basica via Getty Images
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    Cencora to buy EyeSouth’s retina business for $1.1B

    The proposed acquisition is Cencora’s latest push into retina services as the company looks to expand its specialty support business. Cencora doesn't expect the deal to close before the end of September.

    By March 24, 2026
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    Trendline

    Payer/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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    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 It should cut out outdated methods like faxes and snail mail, the CMS said.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 Emily Olsen • March 23, 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 , March 16, 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 Emily Olsen • March 12, 2026
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    AMA creates new maternity care coding system

    The doctors’ association is blowing up the U.S.’ decades-old coding system for recording pregnancy services and starting fresh next year, bowing to calls from OB-GYNs and other maternity specialists.

    By March 2, 2026
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    Courtesy of United Nurses Associations of California/Union of Health Care Professionals
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    Kaiser Permanente workers end monthlong strike in California, Hawaii

    The workers’ union said “significant movement” at the bargaining table led to the end of the strike. But according to Kaiser, union leadership accepted the wage increase that the health system already offered in October.

    By Emily Olsen • Updated Feb. 24, 2026
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    Private equity firm closes $1.1B take-private deal of home health and hospice provider Enhabit

    Executives at Enhabit said resources from private equity firm Kinderhook would help spur growth and strengthen its clinical capabilities. Enhabit’s stock ceased trading on the New York Stock Exchange on Friday.

    By Updated May 18, 2026
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    Courtesy of Humana
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    Humana’s CenterWell buys primary care provider MaxHealth

    The addition of 82 owned and affiliated clinics in Florida comes as Humana doubles down on its primary care portfolio.

    By Emily Olsen • Feb. 17, 2026
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    Demand for outpatient medical buildings growing: reports

    The average fit-out cost to turn space into a medical office building is $412 per square foot, not counting structural upgrades, according to an analysis.

    By Joe Burns • Feb. 12, 2026
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    CVS holds 2026 guidance steady as turnaround plan bears fruit

    The healthcare giant outperformed to close out 2025, and expects its finances to improve further this year. Still, proposed Medicare Advantage rates could be an issue moving forward.

    By Feb. 10, 2026
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    Kaiser Permanente strike expands as pharmacy, lab workers walk out

    More than 3,000 pharmacy technicians, pharmacy assistants and clinical laboratory professionals joined the strike, which entered its third week on Monday.

    By Emily Olsen • Feb. 9, 2026
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    Win McNamee via Getty Images
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    Trump signs funding bill with PBM reforms, hospital-at-home and telehealth extensions

    The funding package ends a partial government shutdown and enacts several healthcare policies, including preserving telehealth flexibilities in Medicare through 2027.

    By Emily Olsen • Feb. 4, 2026
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    Alamy
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    Prices rise at surgery centers acquired by Optum: study

    The full financial impact of the price hikes could exceed $67 million each year in two dozen markets, according to the new study published in Health Affairs.

    By Feb. 3, 2026
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    Telehealth flexibilities, hospital-at-home waivers lapse amid partial government shutdown

    The Senate passed a spending package Friday, but the measure is still awaiting House approval. House Speaker Mike Johnson said the partial shutdown should be brief.

    By Emily Olsen • Feb. 2, 2026
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    Healthcare bankruptcies fall in 2025, but providers still face headwinds: report

    Bankruptcy filings dropped 21% compared to 2024, according to Gibbins Advisors. Still, the sector’s financial outlook is unsteady due to pressures from Medicaid cuts and other policy changes.

    By Emily Olsen • Feb. 2, 2026
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    Courtesy of UnitedHealth Group
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    UnitedHealth revenue climbs in 2025, though profit continues to fall

    The healthcare behemoth posted its lowest profits since 2018 last year, largely thanks to continued Medicare Advantage challenges. Executives warned how regulators’ “disappointing” rate update might further contract MA.

    By Jan. 27, 2026
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    Surprise Billing

    No Surprises disputes increasing even as arbiters catch up, CMS says

    The agency released new data on independent dispute resolution in the first half of 2025. Roughly 1.2 million cases were filed in that period, mostly by the same private equity-backed providers.

    By Jan. 26, 2026
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    Alamy
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    31,000 Kaiser Permanente workers strike in California, Hawaii

    Kaiser workers are calling for increased staffing and wages, which the union argues haven’t kept pace with rising costs. The health system said a generous offer is already on the table.

    By Emily Olsen • Jan. 26, 2026
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    MedPAC steps away from advocating doctor pay be tied to inflation

    The advisory group wants Congress to approve a 0.5 percentage point increase for doctors in Medicare next year. But some commissioners dissented over MedPAC’s about-face on underlying payment reform.

    By Jan. 16, 2026
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    Doctors focused on scope of practice, Medicaid cuts in state legislatures this year: AMA

    The physician lobby surveyed 64 medical societies and found that most of them were worried about nurses, physician assistants and other practitioners getting more freedom to provide care this year.

    By Jan. 12, 2026
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    Deep Dive

    Top healthcare provider trends in 2026

    Health systems that address costs, workforce planning and portfolio strategy may be better positioned as reimbursement headwinds intensify this year.

    By Michael Brady • Jan. 8, 2026
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    UnitedHealthcare raises bar for doctors to get paid for radiology services

    The change runs counter to the company’s broader efforts to pare back red tape for physicians amid widespread discontent with health insurers.

    By Updated Jan. 9, 2026
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    CMS distributes rural health funds for 2026

    States received an average of $200 million to expand rural care access. Texas received the most money, while New Jersey received the least.

    By Jan. 5, 2026
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    Courtesy of UnitedHealth Group
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    UnitedHealth commits to changes after independent review

    The healthcare behemoth released results of three highly anticipated external reviews that drilled down on a number of areas for improvement.

    By Dec. 22, 2025