The Latest

  • Pills bottles labeled with the logos for Eliquis, Farxiga and Xarelto are arranged on a table.
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    Medicare reveals results of drug price negotiations

    The agency said the first round of pricing talks, which involved drugs like the blood thinners Eliquis and Xarelto, will result in $6 billion in savings for taxpayers.

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    Sponsored by Point Click Care

    Navigating industry challenges: Policy, tech and the road ahead

    LTPAC professionals claim they're the second most regulated industry in America after nuclear power. Regardless, senior care operators face extensive regulations.

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    Unsealed court filings offer details of DOJ investigation into Prospect Medical

    The documents released Tuesday say Prospect is under federal investigation for possible False Claim Act violations, and faces state investigations for failing to safeguard patient data before a ransomware attack last year.

  • Kaiser Permanente building
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    Justin Sullivan / Staff via Getty Images
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    Kaiser Permanente rolls out Abridge’s AI documentation tool

    The product, which uses AI to summarize medical information from conversations between patients and clinicians, is now available across Kaiser’s 40 hospitals and more than 600 medical offices.

  • Elevance headquarters is a large white and brown building surrounding a grassy quad.
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    Permission granted by Elevance Health
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    Elevance, Clayton Dubilier and Rice unveil primary care venture Mosaic Health

    New information is emerging about the joint care delivery platform first teased earlier this spring, which is launching without Elevance’s assets.

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    Medicare Advantage prior authorization denials increased in 2022: KFF

    More than 80% of denied requests were overturned when appealed, but few beneficiaries formally questioned the decisions.

  • New York Fire Department ambulance with emergency lights on at night driving through an intersection in Midtown Manhattan, blurry due to vehicle in motion
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    pidjoe via Getty Images
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    Overturning of Roe v. Wade

    Texas women say hospitals violated EMTALA by denying emergency abortions

    The patients’ complaints to the HHS allege two Texas hospitals denied them emergency abortion care for ectopic pregnancies, risking their lives and damaging their future fertility.

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    Tracking Steward's decline

    Steward to sell physician group to private equity firm for $245M

    It’s a major win for bankrupt Steward, which has sought to offload its physician group since December. 

  • An illustration of a large dollar coin with medical supplies flying in the foreground is positioned on an analysis tracking chart background.
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    Illustration: Xavier Lalanne-Tauzia for Industry Dive

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    Kaiser’s operating margin rises to 3.1% in second quarter

    The nonprofit healthcare giant's results represent a strong quarter and a solid end to the first half of the year, one analyst said.

  • An empty hospital room has a TV screen with a camera and sensor mounted above it on the wall.
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    Retrieved from Care.ai on August 12, 2024
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    Stryker to buy smart hospital technology firm Care.ai

    Stryker said the company will strengthen its growing health IT offering and portfolio of wirelessly connected medical devices.

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    Illustration: Xavier Lalanne-Tauzia for Industry Dive

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    For-profit health systems see Medicaid supplemental payment bump in Q2

    However, hospital executives said the uptick in supplemental funding still wasn’t enough to cover their costs.

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    SARINYAPINNGAM via Getty Images
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    Nonprofits’ cash on hand hit 10-year low in 2023: report

    S&P Global also found no "meaningful" improvement in cash flow for providers between 2022 and 2023.

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    Getty Images/Staff via Getty Images
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    Prospect Medical to sell Crozer Health to real estate company CHA Partners

    Prospect has sought to divest the struggling four-hospital system since 2022.

  • A sign reading Food and Drug Administration is seen above a door to a government building.
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    Sarah Silbiger via Getty Images
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    In tone-setting verdict, FDA rejects MDMA as a therapy aid for PTSD

    The decision to turn down an application comes at a pivotal time for psychedelics research, which has recently gained momentum after decades of dismissal.

    Updated Aug. 9, 2024
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    WhataWin via Getty Images
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    McLaren Health Care confirms cyberattack after IT system disruptions

    The latest attack on the Grand Blanc, Michigan-based health system comes less than a year after it was hit by a ransomware attack.

  • Walgreens revamps its app.
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    Courtesy of Walgreens
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    Walgreens considering full sale of VillageMD

    The decision, disclosed Wednesday in a securities filing, is a sharp reversal to the pharmacy behemoth’s past commitment to building out its healthcare delivery offerings.

  • Telemedicine, technology, middle aged couple using laptop for video meeting with doctor. Husband and wife at home on the couch with child listening and talking to the doctor.
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    Included Health taps Optum exec as CFO

    Mark Flakne comes to the virtual and in-person care company from Optum, where he worked for more than 11 years.

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    Tippapatt via Getty Images
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    After decline, private equity investment in healthcare reaches turning point: PitchBook

    Private equity dealmaking fell more than 16% in the second quarter, but the market is showing signs of a turnaround, according to the market research firm.

  • Shot of CVS Pharmacy logo
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    Mario Tama via Getty Images
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    Aetna executive ousted as CVS’ Medicare Advantage woes drag into second quarter

    On Wednesday, CVS slashed its earnings guidance for the third time this year, announced a plan to cut $2 billion in costs and fired the head of its insurance division Aetna, which continues to struggle with high medical utilization.

  • Chiquita Brooks-LaSure sits behind a desk testifying before a congressional subcommittee.
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    Rebecca Pifer/Healthcare Dive
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    CMS finalizes notice on Medicare coverage for breakthrough devices

    The CMS will consider five medical device candidates yearly for national coverage through the new pathway, called Transitional Coverage for Emerging Technologies.

  • A stethoscope rests on a medical insurance claim form.
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    iStock / Getty Images Plus via Getty Images
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    Uninsured rate jumps to 8.2% amid Medicaid unwinding: CDC

    Growth in the nation’s uninsured rate could become steeper if subsidies in the Affordable Care Act exchanges expire on schedule next year, according to health policy experts.

  • A red stethoscope sitting on a picnic table.
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    Pongasn68 via Getty Images
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    More than 700 rural hospitals at risk of closing: report

    One challenge hospitals face is reimbursement from private payers, which doesn’t cover the higher costs of care in rural areas, according to a report by the Center for Healthcare Quality and Payment Reform.

  • A calculator and stethoscope rest on a medical bill.
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    erdikocak via Getty Images
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    Premiums for ACA plans to grow 7% next year: KFF

    Insurers cited workforce shortages, hospital consolidation and growing demand for pricey GLP-1 drugs as reasons driving the premium increases for 2025.

  • A gavel rests on a pile of money wrapped with a stethoscope.
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    yavdat via Getty Images
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    Surprise Billing

    Appeals court hands providers latest win in No Surprises litigation

    The 5th Circuit Court’s decision vacates instructions that arbiters should first consider the qualifying payment amount in deciding payments over contested out-of-network bills. Providers argued that unfairly advantaged insurers.

  • A picture of a researcher standing in front of a testing machine in a laboratory.
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    Karen Ducey/Getty Images via Getty Images
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    Experts fear patient harm from FDA’s lab developed test rule

    Decreased access to diagnostic tests, worsening patient care and practice closures are among the concerns the AMA and others have raised as the regulation takes effect.

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    Getty Images/Staff via Getty Images
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    Tenet to sell majority stake in 5 Alabama hospitals for $910M

    The health system has divested a string of hospitals this year as it seeks to pay down debt and refocus its portfolio on ambulatory surgery centers.