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Senators urge action on physician payment cut
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MultiCare Health System pilots new AI tool
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CommonSpirit, University of Utah Health team on access
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Cigna nixes speculation of a Humana merger
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Feds shore up supply chain in wake of hurricanes
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Not-for-profit hospital outlook upgraded to neutral
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Health system operating margins declined in August
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American Heart Association launching HCM initiative
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CFPB warns of illegal tactics by medical debt collectors
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Denials top reason for eroding provider-payer relationship
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Elevance laying off 123 California employees
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UAB, Press Ganey launch certificate program for healthcare leaders
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Healthcare chatbots may promote racist misinformation
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Hospitals, physicians submit opposing views to FTC ruling
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Yale on track to complete $838M neurosciences center
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Brian Thompson named in lawsuit alleging insider trading
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Lawmakers push DOJ to investigate PBMs
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AMA pushes for stricter standards for hospital charity care policies
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NAACOS pushes ACO REACH extension
Acute Care
SDOH, tech key to advancing value-based care
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Cleveland Clinic and Amazon One Medical collaborate
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Interoperability in healthcare moving forward despite challenges
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L.A. Care appoints Santana-Chin next CEO
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Practices keeping close watch on risk adjustment coding
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Financial disincentives for providers who commit information blocking
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Older Americans struggling with healthcare costs
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HHS, Illinois reach agreement on disability rights
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CMS announces obesity drug coverage
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Weight loss drugs can save patients and healthcare dollars
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UPMC for You offers Medicaid redetermination coverage in laundromats
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Telehealth prescribing of controlled drugs extended
Mergers & Acquisitions
Addus Homecare buttons up $350M Gentiva acquisition
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Payers must change dynamic with providers to survive in the post-Affordable Care Act world
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Illinois Health and Hospital Association and Matchwell pair on staffing
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Top Stories
Words engraved on bullet shells provide clue to fatal CEO shooting
UPDATED: Luigi Mangione charged with murder in fatal shooting of UnitedHealthcare CEO
Brian Thompson named in lawsuit alleging insider trading
Health Maintenance Organization
Oct 23 | Jeff Lagasse
Oscar Health expands ACA presence and chronic condition plans
Oscar is launching a multi-condition plan for members with diabetes and pulmonary and cardiovascular disease.
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Oct 10 | Susan Morse
See the list: 7 plans, compared to 38 last year, receive 5 stars in the MA Star Ratings
Changes in methodology in 2024 and 2025 added Tukey outlier deletion that is used to set cut points…
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Jun 18 | Jeff Lagasse
CalPERS enters into contracts with Blue Shield of California, Included Health
Blue Shield of California will partner with Included Health to provide support and service to about 400,000…
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Apr 10 | Jeff Lagasse
Zero-premium MA plans are attracting disadvantaged populations
Enrollees in zero-premium plans are three times as likely to be nonwhite and are more likely to live in urban areas.
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Jan 11 | Jeff Lagasse
Baptist Health abandoning Medicare Advantage plans from UnitedHealthcare, Centene
The health system cited denials and delayed prior authorization requests in making the move, as well as its…
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Oct 19, 2023 | Jeff Lagasse
Walgreens, Alignment rolling out co-branded Medicare Advantage plans
This will reach about 1.6 million Medicare-eligible adults, pending regulatory approvals, companies say.
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Oct 13, 2023 | Susan Morse
See the Medicare Advantage 2024 star ratings list: Fewer plans earn 5 stars
This year, 31 plans earned 5 stars, compared to 57 in 2023 and 74 in 2022.
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Aug 29, 2023 | Jeff Lagasse
Humana eyes kidney disease in 13-state Interwell Health partnership
Under the arrangement, members will be able to access Interwell's care and specialized resources.
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Jul 11, 2023 | Jeff Lagasse
Significant differences uncovered between MA, FFS enrollees
For health plans, authors expect the study can provide a better understanding of the core customer segments of MA.
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Jul 06, 2023 | Jeff Lagasse
Medicare Advantage quality bonus program failing to meet objectives, report finds
The concern is that the QBP overpays MA organizations and does not encourage quality improvement or help…
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