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Justice Department sues NewYork-Presbyterian in second hospital antitrust case this year
Federal regulators accused the health system of using its market power to force insurers into “all-or-nothing” contracts. The Justice Department filed a similar lawsuit against OhioHealth in February.
By Sydney Halleman • March 27, 2026 -
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10M could lose Medicaid due to work requirements, more frequent eligibility checks: study
Between 5 million and 10 million people could be disenrolled due to cuts to the safety-net insurance program, depending on states’ mitigation strategies, according to the analysis.
By Emily Olsen • March 27, 2026 -
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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OpinionKeep care accessible and affordable for patients
Rick Pollack, president and CEO of the American Hospital Association, argues a new policy from Anthem creates an “impossible” mandate for independent physicians and hospitals.
By Rick Pollack • March 26, 2026 -
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House Democrats accuse CMS official of misleading Congress under oath
CMS Deputy Administrator Kimberly Brandt told Congress that the CMS couldn’t meet with Minnesota before cutting off Medicaid funding because of litigation. Democrats say her testimony made no sense.
By Rebecca Pifer Parduhn • March 26, 2026 -
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Cigna Healthcare names new chief medical officer
Dr. Stanley Crittenden will take up the post at Cigna’s health benefits division months after his predecessor became CMO of the entire organization.
By Emily Olsen • March 25, 2026 -
Courtesy of UnitedHealth Group
Faith-based investor coalition sues UnitedHealth to force disclosure of M&A impacts
The shareholders, members of the Interfaith Center on Corporate Responsibility, have been trying to get the healthcare juggernaut to share more information about its controversial business practices for more than a year.
By Rebecca Pifer Parduhn • March 25, 2026 -
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CVS, FTC reach proposed settlement in insulin pricing case
A settlement between CVS' pharmacy benefit manager and antitrust regulators would leave UnitedHealth as the sole holdout in high-profile suit.
By Rebecca Pifer Parduhn • March 24, 2026 -
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CommonSpirit, Humana reach new nationwide Medicare Advantage contract
The new agreement will give Humana’s MA members access to CommonSpirit’s doctors and facilities for the next three years, and returns CommonSpirit to Humana’s networks in Colorado and Texas.
By Rebecca Pifer Parduhn • March 24, 2026 -
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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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1 in 10 ACA enrollees dropped coverage after subsidy lapse: poll
More than half of respondents said their healthcare expenses are “a lot higher” this year, according to the KFF survey. One in 10 reported dropping coverage and becoming uninsured.
By Emily Olsen • March 23, 2026 -
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Sponsored by PointClickCareThe post-acute blind spot: Why what happens after discharge matters more than ever
Post-acute care is healthcare’s biggest blind spot — and a major opportunity.
March 23, 2026 -
Providence considering sale of health plan
The Catholic nonprofit continues to search for new ways to cut costs, including a potential sale of Providence Health Plan, the company disclosed Thursday.
By Rebecca Pifer Parduhn • March 20, 2026 -
Permission granted by Alignment
Q&AAlignment Healthcare’s idiosyncratic take on Medicare Advantage
Other MA plans are downsizing, upset about coding changes and lobbying for higher rates. Alignment is growing and unbothered by the policy and payment fuss. CEO John Kao lays out how his company is breaking away from the pack.
By Rebecca Pifer Parduhn • March 18, 2026 -
Emily Olsen/Healthcare Dive
Deep Dive // HIMSS26Balancing 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 and Jill Hughes • March 16, 2026 -
Anna Moneymaker / Staff via Getty Images
HIMSS26CMS wants seniors to use AI for care navigation
The agency plans to introduce AI agents to help Medicare beneficiaries find doctors and health plans, a challenge given many enrollees don’t yet trust the tools, CMS Administrator Dr. Mehmet Oz said during the HIMSS conference.
By Emily Olsen • March 13, 2026 -
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HIMSS26Safety-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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CVS to pay $118M to settle Medicare Advantage fraud allegations
The settlement announced by the Department of Justice on Wednesday comes after federal regulators accused Aetna of submitting inaccurate data to the CMS.
By Rebecca Pifer Parduhn • March 11, 2026 -
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Overpayments to Medicare Advantage plans are costing seniors billions, Joint Economic Committee finds
Congressional investigators found Medicare Part B premiums rose by more than $200 per member, totaling $13.4 billion in additional spending, due to the alleged overpayments. Payers slammed the report as flawed.
By Rebecca Pifer Parduhn • March 11, 2026 -
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Optum Rx, Caremark making ‘significant progress’ in settlement talks with FTC
It’s looking increasingly likely that the UnitedHealth and CVS drug middlemen will also make peace with federal regulators, after Cigna agreed to a sweeping settlement in the insulin lawsuit last month.
By Rebecca Pifer Parduhn • March 5, 2026 -
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Mount Sinai, Anthem fail to reach new contract
The New York hospital giant is now out of network with plans offered by the Elevance subsidiary after the two failed to agree on terms.
By Rebecca Pifer Parduhn • March 4, 2026 -
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CMS receives record comments on controversial Medicare Advantage payment proposal
The Trump administration wants to keep MA rates flat next year and change how risk adjustment is calculated. Insurers had a lot to say about this, CMS officials shared Tuesday during an event in D.C.
By Rebecca Pifer Parduhn • March 4, 2026 -
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CMS innovation center remains focused on mandatory models, officials say
CMMI Director Abe Sutton and CMS Administrator Dr. Mehmet Oz outlined how the administration aims to get more providers, especially poor-performing ones, into value-based models at a D.C. event on Tuesday.
By Rebecca Pifer Parduhn • March 4, 2026 -
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State Medicaid budgets face $664B cut due to ‘Big Beautiful Bill’: study
Twenty states are projected to experience Medicaid budget reductions of 5% or more from the law’s cuts to the safety-net insurance program, according to the Rand analysis.
By Emily Olsen • March 3, 2026 -
Alamy
CMS threatens Elevance with Medicare Advantage sanctions
Federal regulators are planning to suspend enrollment in Elevance's MA plans at the end of March, in a rare and serious threat to the company’s finances.
By Rebecca Pifer Parduhn • March 3, 2026 -
Julia Rendleman via Getty Images
Brian Evanko to succeed David Cordani as CEO of Cigna
Evanko, currently the insurer’s COO, will assume the chief executive role after Cordani retires in July.
By Sydney Halleman • March 3, 2026
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