Amazon Pharmacy’s PillPack expands to Medicare patients

Amazon also announced a new feature allowing customers to invite caregivers to manage medications on their behalf as the e-commerce giant builds out its Amazon Pharmacy offerings.

By Rebecca Pifer Parduhn • June 4, 2025

HHS staffers sue over ‘hopelessly error-ridden’ layoffs

Most of the 10,000 HHS employees let go this spring could qualify for the class, according to lawyers. It’s the latest in a string of litigation against the Trump administration for drastically downsizing the federal workforce.

By Rebecca Pifer Parduhn • June 4, 2025

Explore the 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

Centene sued over alleged ghost network following member’s death

Ravi Coutinho tried to access mental healthcare he thought was covered by his Centene plan to no avail. The 36-year-old was later found dead, and his mother — who is bringing the suit — believes Centene is to blame.

By Rebecca Pifer Parduhn • June 3, 2025

HHS releases more detailed 2026 budget disclosing scope of cuts

On Friday, the HHS fleshed out a preliminary budget released in the spring and gave new details about which of its programs would be terminated if the Trump administration gets its way.

By Rebecca Pifer Parduhn • June 2, 2025

CVS, Cigna sue Arkansas to overturn new PBM law

The massive pharmacy middlemen contend that Arkansas’ law, which requires PBMs to divest pharmacies they own in the state, flies in the face of the Constitution and would worsen healthcare access.

By Rebecca Pifer Parduhn • May 30, 2025

Elevance sues Georgia providers for allegedly gaming No Surprises arbitration

Hospitalist Medicine Physicians, Sound Physicians Emergency Medicine and billing provider HaloMd allegedly filed thousands of ineligible disputes into the arbitration process, costing the insurer millions of dollars.

By Rebecca Pifer Parduhn • May 29, 2025

GLP-1 prescriptions for weight loss are shooting up, despite obstacles

The percentage of overweight or obese adults prescribed GLP-1s jumped by almost 587% between 2019 and 2024, according to a new Fair Health report.

By Rebecca Pifer Parduhn • May 28, 2025

Trump administration threatens states over Medicaid coverage for undocumented immigrants

The CMS told states it plans to go over their Medicaid spending with a fine-toothed comb to ensure federal dollars aren’t covering immigrants in the country illegally.

By Rebecca Pifer Parduhn • May 28, 2025

Medicaid cuts could threaten healthcare access for young adults: report

Young adults could struggle to navigate government bureaucracy and face other challenges managing work requirements or increased eligibility checks in the safety-net insurance program, the Urban Institute found.

By Emily Olsen • May 27, 2025

Trump administration updates price transparency guidance for hospitals and payers

Federal agencies are seeking public feedback on how to improve price transparency around prescription drugs and boost hospital compliance and enforcement.

By Susanna Vogel • May 27, 2025

Evernorth reaches deals with Novo Nordisk, Eli Lilly to cap GLP-1 copays

The agreements cap patients’ monthly out-of-pocket costs for Zepbound and Wegovy at $200 and more deeply discount the drugs for Evernorth’s employer and health plan clients.

By Rebecca Pifer Parduhn • May 22, 2025

CMS expands audits to crack down on Medicare Advantage overpayments

The agency said it would increase the number of MA plan audits and complete its backlog of reviews by investing in technology and growing its medical coding workforce.

By Emily Olsen • May 22, 2025

House passes reconciliation bill with massive Medicaid cuts

Speaker Mike Johnson negotiated a number of last-minute changes to the megabill to ensure passage, including moving up the start date for Medicaid work requirements. The House passed the bill 215-214.

By Rebecca Pifer Parduhn • May 22, 2025

Judge denies Florida Blue’s request to bump star ratings

The insurer sued the CMS late last year, arguing that flooding in Broward County should have qualified as an extreme and uncontrollable event relieving Florida Blue from star ratings decreases. A federal judge disagreed.

By Rebecca Pifer Parduhn • May 21, 2025

UnitedHealth downgraded by investment banks

TD Cowen, Raymond James and Bank of America have all downgraded UnitedHealth’s stock, citing dogged internal challenges facing the company.

By Rebecca Pifer Parduhn • May 20, 2025

Judge shuts down drugmakers’ 340B rebate plans, for now

A district court ruled that the HHS does have the power to review drug manufacturers’ plans to pay hospitals rebates instead of upfront discounts on 340B medications. But it left the door open to the controversial reforms.

By Rebecca Pifer Parduhn • May 19, 2025

How payers can drive value-based care forward

Lead value-based care with data, tech and the Veradigm Network advantage.

By Veradigm • May 19, 2025

RFK Jr. calls GOP Medicaid plans ‘not true cuts’

Republicans’ plan to reduce spending on Medicaid would eliminate waste, fraud and abuse, the HHS secretary said in hearings last week. Millions could become uninsured under the proposal.

By Emily Olsen • May 15, 2025

House committees advance reconciliation text with big impacts on healthcare

Republicans in Energy and Commerce and Ways and Means have approved their portions of President Donald Trump’s “big, beautiful bill” after marathon markups. Here’s an extensive look at what the legislation means for healthcare.

By Rebecca Pifer Parduhn • May 15, 2025

Stopping a ‘moral obscenity’: Senate Judiciary Committee expresses support for PBM reform

Sen. Chuck Grassley, R-Iowa, suggested Congress could once again move to overhaul PBMs’ controversial business practices after legislators pass President Donald Trump’s conservative megabill this summer.

By Rebecca Pifer Parduhn • May 14, 2025

CMMI revamps strategy to focus on disease prevention, cost savings

“Our system is facing unsustainable cost pressures,” said Director Abe Sutton. “We are pouring resources into treating disease after onset, rather than tackling the root causes and preventing it.”

By Emily Olsen • May 13, 2025

Andrew Witty steps down as UnitedHealth CEO

Witty’s departure was surprising, though it follows a sharp downturn in the healthcare juggernaut’s financial outlook. He is being replaced by Stephen Hemsley, the chair of UnitedHealth’s board and a previous chief executive.

By Rebecca Pifer Parduhn • May 13, 2025

House Republicans unveil Medicaid cuts including work requirement, provider tax freeze

The House Energy and Commerce Committee is backing more moderate reforms to Medicaid. But Republicans’ policy proposals would still result in millions of Americans losing health insurance.

By Rebecca Pifer Parduhn • May 12, 2025

Millions could lose coverage under potential GOP Medicaid policies: CBO

The Congressional Budget Office expects states will replace about half of the reduced federal support with their own resources, and then reduce spending by cutting provider payment rates, optional benefits and enrollment.

By Emily Olsen • May 9, 2025

Medicaid cuts could have ‘drastic impact’ on providers

Some providers may need to reduce services, lay off staff or close their doors if Congress enacts major cuts to the safety-net insurance program, experts say.

By Emily Olsen • May 9, 2025