Health Insurance News | Medicare, ACA & Healthcare Policy | actuary.info

Actuary CPD Tracker Download

Recent Headlines Last 30 days

389 articles

Search this page

Weekly Rundown: Surgical Safety Technologies rebrands to Aimbient; UC San Diego launches applied health intelligence institute

Fierce Healthcare · Yesterday

ACO REACH participants generated nearly $1B in 2024 savings: CMS

Fierce Healthcare · Yesterday

Op-ed: Tackling affordability is a shared responsibility. Here's what hospitals are doing

Fierce Healthcare · Yesterday

Virginia becomes 10th state to offer additional subsidies to ACA enrollees to mitigate damage from GOP cuts

ACA Signups · Yesterday

Pearl Health banks $110M in fresh funding to build out tech and AI for Medicare providers

Fierce Healthcare · Yesterday

Feds push back HIPAA security rule overhaul to July 2027

Fierce Healthcare · Yesterday

HHS calls on hospitals to sign 'Make Hospital Food Healthier Pledge'

Fierce Healthcare · Yesterday

The Return-to-Work Gap No One Plans For

Risk & Insurance · 2d ago

Strikes boil at Mass General Brigham, Mount Nittany

MGB strike covers 4,500 workers, Mount Nittany faces 950 more, labor trend pressure stays hot

Healthcare Dive · Yesterday

Memorial Hermann exits commercial insurance business

Memorial Hermann winds down 36,000 employer-plan lives after $250M system loss

Healthcare Dive · Yesterday

They Harvest the Nation’s Food, but a New Rule May Strip Them of Health Insurance

KFF Health News · 2d ago

A New Option for Long-Term Care Costs

KFF Health News · 2d ago

Bankrupt Omnicare reaches $440M deal with DOJ in fraud case

$440M Omnicare DOJ deal follows $948.8M fraud judgment on government programs

Healthcare Dive · Yesterday

AI wearables company Vilo launches Signal OS ahead of upcoming smart ring launch

Fierce Healthcare · 2d ago

Memorial Hermann Health Plan winds down commercial coverage

Fierce Healthcare · 2d ago

CVS' Omnicare unit agrees to $440M settlement with DOJ in ongoing fraud case

Fierce Healthcare · 2d ago

Former Mayo Clinic research director sues system over alleged retaliation for raising AI practice concerns

Fierce Healthcare · 2d ago

Gallagher acquires Med James

Coverager · 2d ago

Health tech startup Forus inks partnership with GI medical society to improve medication access

Fierce Healthcare · 2d ago

Frazier Healthcare Partners to acquire MatrixCare in $490M deal

Fierce Healthcare · 2d ago

Former exec alleges Alignment Healthcare leaders juiced profits to boost bonuses

Fierce Healthcare · 2d ago

Founder of telehealth startup Done sentenced to six years in prison for Adderall fraud scheme

Fierce Healthcare · 2d ago

A Look at 1115 Waiver Evaluations for Medicaid Payments to Institutions of Mental Disease (IMD) for Substance Use Disorder

Texas Lawmakers Continue Push to Ban TCH Products

Insurance Journal · 2d ago

New Data Shows Risk of Drowning Highest for Kids Ages 1-4

Carrier Management · 2d ago

CVS CEO says Aetna has a handle on medical costs in advance of Q2 earnings

Aetna moved from $984M loss to $1.8B income, watch Q2 medical cost trend guidance

Healthcare Dive · 2d ago

Who Are Direct Care Workers and How Might Federal Policy Changes Impact the Workforce?

Former Dallas Cowboys Defensive End Kneeland Autopsy Reveals Early Stage CTE

Carrier Management · 2d ago

UnitedHealthcare unveils Lifestyle Spending Accounts for employer plans

Fierce Healthcare · 2d ago

New KFF Poll Examines Patterns of Belief Across Common Vaccine Myths — The Monitor

Aviva to take full ownership of Aviva India

Coverager · 3d ago

HCF ends Flip Insurance five years after we called it

Coverager · 3d ago

Whistleblower lawsuit accuses Alignment of accounting fraud

Alignment MA suit alleges $8M-$10M capex shift against $1.3M 2024 adjusted EBITDA

Healthcare Dive · 2d ago

My Search for a Psychiatric Bed in an Overburdened Health System

KFF Health News · 3d ago

InsuranceDekho Said to Pick Banks for $400 Million India IPO

Insurance Journal · 3d ago

American Heart Association joins social network Roon for medical research collaboration

Fierce Healthcare · 3d ago

Teladoc Health inks multi-year virtual care deal with National Basketball Players Association

Fierce Healthcare · 3d ago

Leo Cancer Care secures $65M to advance upright radiotherapy system as company preps for IPO

Fierce Healthcare · 3d ago

Mass General Brigham nurses, home care clinicians launch largest healthcare strike in state history

Fierce Healthcare · 3d ago

Tampa General Hospital sues Eli Lilly over pulled 340B discounts

Fierce Healthcare · 3d ago

Primary care’s AI moment

Fierce Healthcare · 3d ago

ACA plans set for another year of premium spikes, preliminary filings show

Fierce Healthcare · 3d ago

Small enough to drown in a bathtub: How Trump & Congressional Republicans are shrinking ACA enrollment in nearly every state

ACA Signups · 3d ago

Contraceptive Implants: Access and Coverage in the U.S.

Protected: Health Care Costs Keep Rising … Why and Who Pays?

Protected: How Unaffordable is Health Care?

Resmed to sell software business MatrixCare to private equity firm

Healthcare Dive · 3d ago

Physicians’ wearable data use hampered by reimbursement, workflow barriers: survey

Only 6% of US doctors have wearable data in workflow, 10% use remote monitoring CPT codes

Healthcare Dive · 3d ago

ACA premiums set to spike again in 2027

Healthcare Dive · 3d ago

Centene exits Arkansas Medicaid expansion program, citing funding challenges

Healthcare Dive · 3d ago

Integrity acquires Allstate-backed Stride Health

Coverager · 3d ago

InsuranceDekho parent selects banks for possible IPO

Life Insurance International · 3d ago

Affordable Care Act Insurers Want More Premium Increases as Enrollment Sags

KFF Health News · 4d ago

Life Sciences: Where Innovation Meets Risk

Insurance Journal · 4d ago

In Preliminary Rate Filings, ACA Marketplace Insurers Largely Propose Double-Digit Premium Increase For 2027, Following a Steep Climb This Year

Patients Face a Thicket of Red Tape Trying To Maintain Consistent Health Coverage

KFF Health News · 4d ago

AI care partner Heidi puts a spin on pharma ad tropes in new campaign to relieve 'side effects'

Fierce Healthcare · 4d ago

Lenz Therapeutics rolls out telehealth offering for Vizz prescription eye drops

Fierce Healthcare · 4d ago

Independent pharmacies hit Prime Therapeutics with antitrust suit over alleged price fixing

Fierce Healthcare · 4d ago

Nonprofit-private equity joint ventures worth scrutiny, PESP report says

Fierce Healthcare · 4d ago

Palomar Health, UCSD Health join operations to form new regional system

Fierce Healthcare · 4d ago

Allegheny Health Network acquires Heritage Valley Health System

Fierce Healthcare · 4d ago

Ascension plans to acquire independent system Williamson Health for nearly $1B

Fierce Healthcare · 4d ago

Nonprofit hospitals are embracing high-risk, high-reward investment portfolios. Is that a problem?

Fierce Healthcare · 4d ago

Principal to acquire Beam Benefits

Coverager · 4d ago

In which the Trump Regime actually INCREASES healthcare data transparency (while simultaneously kicking people off healthcare)

ACA Signups · 4d ago

Digital Health Tools and Technologies: An Overview of CMS’ Recent Efforts to Expand Their Use in Medicare

External audit of UnitedHealth senior home visits finds most diagnoses supported by medical data

Healthcare Dive · 4d ago

AdaptHealth discloses patient data was stolen in cyberattack

Healthcare Dive · 4d ago

Bowtie Crosses US$100 Million in ARR, Reaching “Centaur” Status Seven Years After Founding

Insurtech Insights · 4d ago

Healthcare faces congressional oversight heading into 2026 midterms and beyond

Healthcare Dive · 4d ago

Ascension to buy Tennessee system Williamson Health in $1B deal

Healthcare Dive · 4d ago

Elevance Health sues CMS over MA star ratings recalculations

Fierce Healthcare · 4d ago

Handspring Health lands $19M series B to expand behavioral health model for youth

Fierce Healthcare · 4d ago

Private equity may skirt oversight with nonprofit healthcare joint ventures

Healthcare Dive · 5d ago

New York City Reports Cases of Legionnaires’ Disease Rise to 23

Insurance Journal · 5d ago

Thousands of Medicare Beneficiaries Thought Their Drug Plan Was Free. Then They Lost It.

KFF Health News · 5d ago

Copay Assistance Is Meant To Defray Patient Drug Costs. Some Insurers Keep It Instead.

KFF Health News · 5d ago

Epic reshapes leadership as President Sumit Rana plans to step away

Fierce Healthcare · 5d ago

When Health System Joint Ventures Need Growth Capital, Don’t Overlook the Bank

Fierce Healthcare · 5d ago

The Revenue Cycle Model Is Being Rebuilt And CFOs Are Leading the Way

Fierce Healthcare · 5d ago

Medicare Advantage plans set to rake in $13B in 2026 quality bonus payments

Fierce Healthcare · 5d ago

Healthcare Dealmakers—Ascension closes $3.9B Amsurg purchase, Hims & Hers' $1.2B international play and more

Fierce Healthcare · 5d ago

American Medical Association updates maternity care CPT coding

Fierce Healthcare · 5d ago

CMS' 2027 outpatient pay proposal brings 340B, site-neutral changes, to hospitals' dismay

Fierce Healthcare · 5d ago

Medicare Advantage Insurers Deny Prior Authorization Requests for Post Acute Care at Substantially Higher Rates Than the Overall Denial Rate

Deadly Screwworm’s Leap Into the US Mystifies Health Experts

Insurance Journal · 5d ago

Epic president to step down this summer

Healthcare Dive · 5d ago

NATIONAL: How much more are ACA enrollees *really* paying due to Trump/GOP policies this year?

ACA Signups · 5d ago

New York City Investigating Legionnaires’ Disease Outbreak on Upper East Side

Insurance Journal · 5d ago

Sun Life Completes $350 Million Acquisition of Bell Partners

Insurtech Insights · 6d ago

New Medicaid Work Rule Means More Opportunities To Lose Coverage

KFF Health News · 6d ago

In California Governor’s Race, Voters Face Stark Choice on Immigrant Healthcare

KFF Health News · 6d ago

KLAS Emerging Company Spotlight: Enhancing risk adjustment coding defensibility through neuro-symbolic AI solutions

Healthcare Dive · 6d ago

Journalists Discuss Healthcare Costs’ Political Fallout, Concerns About Canceled ICE Facility

KFF Health News · Jul 3

Elevance sues CMS after Medicare Advantage stars recalculation

Healthcare Dive · Jul 2

Transamerica Adds Empathy Services for Life Customers

Insurance Innovation Reporter · Jul 2

How much more are ~75,000 NEW MEXICO ACA enrollees *really* paying this year due to Trump/GOP policies?

ACA Signups · Jul 2

How much more are ~40,000 WYOMING ACA enrollees *really* paying this year due to Trump/GOP policies?

ACA Signups · Jul 2

How much more are ~290,000 WISCONSIN ACA enrollees *really* paying this year due to Trump/GOP policies?

ACA Signups · Jul 2

How much more are ~55,000 WEST VIRGINIA ACA enrollees *really* paying this year due to Trump/GOP policies?

ACA Signups · Jul 2

Fewer health information exchanges say they experience info blocking

Healthcare Dive · Jul 2

Allegheny Health Network, Heritage Valley finalize combination in Pennsylvania

Healthcare Dive · Jul 2

Medicare slashes 340B payments, broadens site-neutral policies in proposed 2027 payment rule

Healthcare Dive · Jul 2

Medicare Advantage bonuses will exceed $13B this year, KFF finds

Healthcare Dive · Jul 2

New Disease Threats Follow Trump Administration’s Health Program Cuts

KFF Health News · Jul 2

HealthQ Special: Caregiving in the Sandwich Generation

KFF Health News · Jul 2

A Mom Said Infant Formula Killed Her Baby. The Manufacturer Didn’t Tell the FDA.

KFF Health News · Jul 2

How much more are ~250,000 WASHINGTON ACA enrollees *really* paying this year due to Trump/GOP policies?

ACA Signups · Jul 2

Startup Queue lands $12.6M to launch autonomous robotic pharmacy kiosks

Fierce Healthcare · Jul 2

CMS mulls tougher Medicare enrollment rules to combat fraud as part of 2027 home health payment rule

Fierce Healthcare · Jul 2

House Hearing Airs Partisan Rift Over Healthcare Costs

Plan Adviser · Jul 1

House Subcommittee Hearing on Health Costs Reveals Sharp Divide

PLANSPONSOR · Jul 1

How much more are ~370,000 VIRGINIA ACA enrollees *really* paying this year due to Trump/GOP policies?

ACA Signups · Jul 1

AI playing a major role in consumers' healthcare decision-making, survey finds

Fierce Healthcare · Jul 1

ACCESS Model: behavioral health edition

Fierce Healthcare · Jul 1

Experity acquires Exdion Healthcare to accelerate on-demand care RCM automation

Fierce Healthcare · Jul 1

Trump administration withholds funds from New York's Medicaid fraud unit

Fierce Healthcare · Jul 1

CMS goes live with GLP-1 Bridge program for Part D beneficiaries

Fierce Healthcare · Jul 1

Medical Frailty and Medicaid Work Requirements: Challenges for People with HIV

How Has Projected Medicaid Spending and Enrollment Changed Since Passage of the 2025 Reconciliation Law?

How much more are ~28,000 VERMONT ACA enrollees *really* paying this year due to Trump/GOP policies?

ACA Signups · Jul 1

How much more are ~380,000 UTAH ACA enrollees *really* paying this year due to Trump/GOP policies?

ACA Signups · Jul 1

Jencap launches unified stop-loss brand

Coverager · Jul 1

Medicare Will Spend More Than $13 Billion on the Medicare Advantage Quality Bonus Program in 2026

Decoding Medicare Advantage Coding Intensity

PrismHR launches insurance advisory and benefits services offering

Coverager · Jul 1

Nearly 4M Medicare beneficiaries could access GLP-1s for weight loss under new program: analysis

Healthcare Dive · Jul 1

Court dismisses PBMs’ lawsuit against FTC following insulin settlements

Healthcare Dive · Jul 1

Evernorth unveils new AI-powered specialty pharmacy program, Pharmacy Forward

Fierce Healthcare · Jul 1

Saint Peter’s Healthcare System Expands Intelligent Hospital Room Initiative with hellocare.ai to Advance AI Assisted Patient Safety and Virtual Care

Fierce Healthcare · Jul 1

Newsom Vowed To Transform Kids’ Mental Health. Many California Schools Are Still Waiting.

KFF Health News · Jul 1

Affordable Healthcare Emerges as a Voter Priority in Purple Nevada

KFF Health News · Jul 1

26 states sue CMS over final Medicaid work requirements rule

Fierce Healthcare · Jun 30

Rural residents falling behind urban and suburban communities on medical, cancer screenings

Fierce Healthcare · Jun 30

Carbon Health agrees to revise contracts with its California clinics, pay penalties

Fierce Healthcare · Jun 30

Recent Research on How Experiencing Racial Discrimination Impacts Health

Cancer, Preterm Births, and Specialty Drugs Drive Record Severity in Self-Funded Health Plans

Risk & Insurance · Jun 30

Top FDA gene and cell therapy regulator to step down

Healthcare Dive · Jun 30

States sue Trump administration over Medicaid work requirements rule

Healthcare Dive · Jun 30

He Dreamed of Becoming a Physician Assistant. New Loan Rules May Thwart Him.

KFF Health News · Jun 30

These Church Members Disagree on Politics. Together They’re Wiping Out Medical Debt.

KFF Health News · Jun 30

Would Hunters Take a Lyme Disease Vaccine? We Asked

KFF Health News · Jun 30

KFF Tracking Poll on Health Information and Trust: Update on Common Vaccine Myths

AI: Show Me the Outcomes

Poll: People Without a Trusted Health Care Provider Are More Likely to Endorse Vaccine Myths, As Are Those Who Often Use Social Media or AI for Health Information

Texas Reaches $34M Settlement With AstraZeneca for Illegal Kickback Scheme

Insurance Journal · Jun 30

Euna strengthens healthcare underwriting team

Reinsurance News · Jun 30

How much more are ~4 MILLION TEXAS ACA enrollees *really* paying this year due to Trump/GOP policies?

ACA Signups · Jun 30

Industry Voices—What Pope Leo’s AI encyclical could mean for healthcare: 3 key takeaways for leaders

Fierce Healthcare · Jun 29

Clinicians' compensation rose 4.3% across 2025: AMGA

Fierce Healthcare · Jun 29

One Brooklyn Health Selects hellocare.ai to Advance AI-Powered Virtual Care Across Its Hospitals

Fierce Healthcare · Jun 29

Doctronic, Simple HealthKit partner to connect at-home screening with AI-powered clinical care

Fierce Healthcare · Jun 29

How payers, drugmakers can collaborate to drive more outcomes-based contracts

Fierce Healthcare · Jun 29

3 in 10 adults turn to AI or social media for health advice, citing difficulties accessing and affording care

Fierce Healthcare · Jun 29

ACA marketplace enrollment down by 3M as of February, new federal data show

Fierce Healthcare · Jun 29

HHS announces new oversight measures for TEFCA, touts 1B health records exchanged

Fierce Healthcare · Jun 29

HRSA opens applications for $140M in rural health grant funding

Fierce Healthcare · Jun 29

Cost and Utilization of Inpatient Mental Health and Substance Use Treatment

How much more are ~570,000 TENNESSEE ACA enrollees *really* paying this year due to Trump/GOP policies?

ACA Signups · Jun 29

ONC rolls out new TEFCA oversight efforts

Healthcare Dive · Jun 29

Nearly Four Million Medicare Beneficiaries Could Be Eligible for the Temporary Medicare GLP-1 Bridge Program Covering These Drugs for Weight Loss

How much more are ~50,000 SOUTH DAKOTA ACA enrollees *really* paying this year due to Trump/GOP policies?

ACA Signups · Jun 29

Tennessee Plans to Share Data on Children with Disabilities with Immigration Authorities

How much more are ~580,000 SOUTH CAROLINA ACA enrollees *really* paying this year due to Trump/GOP policies?

ACA Signups · Jun 29

Nearly Four Million Medicare Beneficiaries Met the Eligibility Criteria in 2023 for the Medicare GLP-1 Bridge

ACA enrollment declines by nearly 3M

Healthcare Dive · Jun 29

Rush health system CEO to step down in 2027

Healthcare Dive · Jun 29

The Doctors Company Completes $1.3 Billion Acquisition of ProAssurance

Insurtech Insights · Jun 29

She Struggled To Get a Lifesaving Drug Even After Insurers Vowed To Help

KFF Health News · Jun 29

Florida Hospitals Act Fast To Discharge Gun Victims — Especially if They’re Not Insured

KFF Health News · Jun 29

A more connected approach for AI in healthcare

Healthcare Dive · Jun 29

Quality should guide care, not just grade it

Healthcare Dive · Jun 29

Business Moves: The Doctors Co. Completes Buy of ProAssurance

Insurance Journal · Jun 29

The Doctors Group Completes $1.3B Purchase of ProAssurance Med Mal Provider

Insurance Journal · Jun 29

CorVel launches market-based medical bill repricing solution

Coverager · Jun 28

Reporters Talk Through FDA Sunscreen Move and Closure of Rural Dialysis Clinics

KFF Health News · Jun 27

Weekly Rundown: Innovaccer, AWS ink strategic collaboration; Mount Sinai adopts Signal 1 for AI management

Fierce Healthcare · Jun 26

As PBM industry shifts, LucyRx and Abarca Health merge to build scale

Fierce Healthcare · Jun 26

Medicaid/CHIP Monthly Enrollment Tracker

Breaking: HHS report admits Trump/GOP policy had already thrown 2.6M off the ACA cliff as of FEBRUARY

ACA Signups · Jun 26

How much more are ~43,000 RHODE ISLAND ACA enrollees *really* paying this year due to Trump/GOP policies?

ACA Signups · Jun 26

2027 Rate Changes - Maryland: +13.7% indy, +13.1% sm. group

ACA Signups · Jun 26

CMS posts March 2026 Medicare data; 70.2 million total

ACA Signups · Jun 26

Pa. bill would create state-funded cancer screening program for firefighters

Business Insurance · Jun 26

State Medicaid directors defend program integrity as Dems cry foul in House hearing

Healthcare Dive · Jun 26

Aidoc wins breakthrough nod for AI that reads chest X-rays

Healthcare Dive · Jun 26

Deadly Neglect Lawsuits, Fines Follow Ohio Nursing Home Chain

Carrier Management · Jun 26

Deadly Neglect Lawsuits and Fines Follow Ohio Nursing Home Chain

Insurance Journal · Jun 26

HHS details takeaways from sweeping AI request for information

Healthcare Dive · Jun 26

Pharmacists Mutual launches PM Healthcare Protect

Coverager · Jun 26

How much more are ~440,000 PENNSYLVANIA ACA enrollees *really* paying this year due to Trump/GOP policies?

ACA Signups · Jun 26

Medicare Advantage Company Pays $342M to Government in Midst of Billing Probe

KFF Health News · Jun 26

Efforts To End School Vaccine Mandates Hit a Wall in Florida

KFF Health News · Jun 26

Trouble Getting Weight Loss Drugs Covered by Insurance? Here’s What To Know

KFF Health News · Jun 26

How much more are ~110,000 OREGON ACA enrollees *really* paying this year due to Trump/GOP policies?

ACA Signups · Jun 26

Democrats to propose bill capping out-of-pocket costs for Medicare enrollees

Fierce Healthcare · Jun 26

With Medicare's GLP-1 'bridge' coming soon, Walmart expands weight management supports for consumers

Fierce Healthcare · Jun 26

Cassidy's new plan to overhaul 340B: Rebates, contract pharmacy limits and more changes

Fierce Healthcare · Jun 26

First Stop Health expands weight management program, shares first-year results

Fierce Healthcare · Jun 25

Infinitus launches risk detection system to ensure appropriate patient triage from AI agents

Fierce Healthcare · Jun 25

TigerConnect expands AI-driven platform with new scheduling capabilities

Fierce Healthcare · Jun 25

Upside secures $20M series A to expand healthcare-focused housing platform

Fierce Healthcare · Jun 25

Protected: Did the Affordable Care Act Make Health Care More Affordable?

Protected: What Your Employer-Based Health Coverage Really Costs

Everything But The House to offer Jewelers Mutual care plans

Coverager · Jun 25

Thrive Pet Healthcare partners with Pumpkin and Trupanion

Coverager · Jun 25

How much more are ~260,000 OoooooKLAHOMA ACA enrollees *really* paying this year due to Trump/GOP policies?

ACA Signups · Jun 25

Patient messages to providers skyrocket since 2020: study

Healthcare Dive · Jun 25

BD’s Bilal Muhsin talks AI in connected care

Healthcare Dive · Jun 25

Alan Raises €480 Million at €5.5 Billion Valuation to Accelerate AI and International Expansion

Insurtech Insights · Jun 25

Florida Insurer Safepoint Files to Withdraw U.S. IPO Listing

Carrier Management · Jun 25

Florida-Based Safepoint Withdraws IPO Just as it Was Expected to Launch

Insurance Journal · Jun 25

Badges, bots and blind spots

Fierce Healthcare · Jun 25

Assort Health scores $120M series C to scale voice AI agent platform for healthcare

Fierce Healthcare · Jun 25

Federato Expands Into Asia-Pacific and Japan With AI-Native Insurance Platform

Insurtech Insights · Jun 25

KFF Poll Shows Three in Ten Adults Turn to Social Media or AI for Health Information, with Lower-Income Adults More Likely to Cite Cost and Access Barriers as a Reason — The Monitor

Medicaid Program Integrity: Tracking State-Specific and Nationwide Federal Action

Hannover Re commits up to $250 million to fund Lemonade’s growth

Coverager · Jun 25

Democrats To Propose Bill Capping Out-of-Pocket Medicare Costs for Enrollees

KFF Health News · Jun 25

Opioid Settlement Money Pays for Services To Battle Addiction in Rural Kentucky

KFF Health News · Jun 25

Pfizer Dismissed From States’ Drug Price-Fixing Lawsuit

Claims Journal · Jun 25

How much more are ~460,000 OHIO ACA enrollees *really* paying this year due to Trump/GOP policies?

ACA Signups · Jun 25

How much more are ~40,000 NORTH DAKOTA ACA enrollees *really* paying this year due to Trump/GOP policies?

ACA Signups · Jun 25

Florida AG to probe CVS for anticompetitive pharmacy practices

Fierce Healthcare · Jun 25

Kaiser Health Plan ordered to pay hospital $82M over insufficient reimbursement

Fierce Healthcare · Jun 25

Patients prefer healthcare providers' AI agents to public chatbots, with human oversight non‑negotiable, survey finds

Fierce Healthcare · Jun 24

Senators call for $50B rural health fund to better target small providers, relax spending restrictions

Fierce Healthcare · Jun 24

Locum tenens coverage becoming ‘more purposeful’ staffing strategy: Definitive Healthcare

Fierce Healthcare · Jun 24

US health spending set to reach $9T by 2034: CMS report

Fierce Healthcare · Jun 24

How much more are ~760,000 NORTH CAROLINA ACA enrollees *really* paying this year due to Trump/GOP policies?

ACA Signups · Jun 24

Protected: How Unaffordable is Health Care? A Short Video Series from KFF

Protected: Video: Health Care Affordability at the Macro Level

US health spending spikes to $5.7T in 2025, though growth should moderate, CMS finds

Healthcare Dive · Jun 24

Centene adds JPMorgan veteran to board

Healthcare Dive · Jun 24

FDA drops Whoop warning letter over blood pressure feature

Healthcare Dive · Jun 24

Florida launches probe into CVS for alleged anticompetitive pharmacy practices

Healthcare Dive · Jun 24

Workers’ Comp MSA Costs Run 23% Below National Average Where Clinical Intervention Is Applied

Risk & Insurance · Jun 24

Democrats push for more data on Medicare AI prior authorization pilot

Healthcare Dive · Jun 24

Key Facts About Medicare Spending Trends and Projections from the 2026 Medicare Trustees Report

Inszone acquires BenefitRiver

Coverager · Jun 24

The $50B rural health transformation fund is pushing many hospitals to shrink

Healthcare Dive · Jun 24

Even in Blue States, Hospitals Have Continued To Drop Gender-Affirming Care for Youths

KFF Health News · Jun 24

Michigan hospitals denounce legislation to cap prices, limit mergers

Fierce Healthcare · Jun 23

Medicare’s AI push snarls patients and doctors in errors and delays

Fierce Healthcare · Jun 23

Unpacking CMS' decision to recalculate 2026 MA star ratings after Clover Health ruling

Fierce Healthcare · Jun 23

DOJ announces $6.5B healthcare fraud takedown with record Medicaid enforcement

Fierce Healthcare · Jun 23

These 'socially responsible' hospitals deliver on quality, value and equity

Fierce Healthcare · Jun 23

Cadence secures $100M series C to advance AI-powered care for chronic disease

Fierce Healthcare · Jun 23

Half of U.S. adults can't afford healthcare, Gallup poll finds

Fierce Healthcare · Jun 23

Pharmaceutical Trade Group Files Lawsuits to Block State Laws on PBMs

Plan Adviser · Jun 23

U.S. Global Health Legislation Tracker

MultiCare CEO to retire at end of 2026

Healthcare Dive · Jun 23

How much more are ~200,000 NEW YORK ACA enrollees *really* paying this year due to Trump/GOP policies?

ACA Signups · Jun 23

HCA’s chief clinical officer to exit after 4 years

Healthcare Dive · Jun 23

The Medical Frailty Exemption from Medicaid Work Requirements: Key Takeaways from the CMS Interim Final Rule

HHS, responding to China’s rise, moves to fast-track early drug research

Healthcare Dive · Jun 23

HCSC unveils Easify Edge plans as alternative employer option

Fierce Healthcare · Jun 23

A look at Elevance Health's push to streamline clinical reviews

Fierce Healthcare · Jun 23

Hackensack Meridian Health, Hunterdon Health explore merger in New Jersey

Healthcare Dive · Jun 23

How much more are ~440,000 NEW JERSEY ACA enrollees *really* paying this year due to Trump/GOP policies?

ACA Signups · Jun 23

Medicare’s AI Push Snarls Patients and Doctors in Errors and Delays

KFF Health News · Jun 23

Worried About Your Aging Parents? Welcome to the Caregiving Club

KFF Health News · Jun 23

Ensemble Health Partners secures strategic growth investment from Thoreau

Fierce Healthcare · Jun 23

How much more are ~66,000 NEW HAMPSHIRE ACA enrollees *really* paying this year due to Trump/GOP policies?

ACA Signups · Jun 22

Hospital margins inched higher in April, but still remain below 2025

Fierce Healthcare · Jun 22

Patient portal messages doubled since 2020, study finds, underscoring challenges to physician workloads

Fierce Healthcare · Jun 22

PCMA Sues to Block Illinois, Tennessee PBM Laws, Citing ERISA Preemption

PLANSPONSOR · Jun 22

Health services M&A is active in 2026, but uncertainty slows volume: PwC

Healthcare Dive · Jun 22

Hospitals irate after Eli Lilly follows through on 340B ultimatum

Healthcare Dive · Jun 22

Retiree Healthcare Costs Climb Another $30,000 in 2026

401k Specialist · Jun 22

A look at Epic's long-term play to build tech for operations, starting with scheduling

Fierce Healthcare · Jun 22

Preparing for LEAD: Why post-acute visibility is the key to long-term value-based success

Fierce Healthcare · Jun 22

The New Frontier of Care Management: Bridging the Empathy Gap with Intelligence

Fierce Healthcare · Jun 22

Before you build or buy care navigation AI, answer this

Fierce Healthcare · Jun 22

Prosper AI lands $30M backed by Andreessen Horowitz to build AI workforce for healthcare operations

Fierce Healthcare · Jun 22

Why It’s Time to Sunset AI Point Solutions and Consolidate Platforms

Fierce Healthcare · Jun 22

Pennsylvania Court Allows Doctor-Owned Pharmacy Referrals

Risk & Insurance · Jun 22

Comorbid Condition Management in Workers’ Compensation

Risk & Insurance · Jun 22

Soon-to-Be Retirees Face Rising Healthcare Costs, per Milliman

Plan Adviser · Jun 22

RCM&D named exclusive provider for LifeSpan Network

Coverager · Jun 22

Inflation, Higher Federal Program Premiums Drive Up Healthcare Costs for 2026 Retirees

PLANSPONSOR · Jun 22

Optimizing healthcare procurement: 5 challenges and best practices

Healthcare Dive · Jun 22

Indiana Takes On Powerful Hospitals by Capping Prices They Charge Employers

KFF Health News · Jun 22

Why payer contracts matter long after negotiations end

Healthcare Dive · Jun 22

Optimizing healthcare procurement: Five challenges and best practices

Healthcare Dive · Jun 22

Disaggregation vs. integration: Why an integrated pharmacy benefits strategy is the right choice

Healthcare Dive · Jun 22

Guardian expands employee vision benefits with XP Health

Coverager · Jun 21

2027 Rate Changes - Rhode Island: +20.1% indy, +8.7% sm. group, +15.5% lg. group (preliminary)

ACA Signups · Jun 20

2027 Rate Changes - Indiana: +18.9% indy, +14.1% sm. group (preliminary)

ACA Signups · Jun 19

Michigan: State-based exchange passes MI Senate (again), makes it one step closer to becoming reality

ACA Signups · Jun 19

How much more are ~92,000 NEVADA ACA enrollees *really* paying this year due to Trump/GOP policies?

ACA Signups · Jun 19

Rural, independent Kansas hospitals launch clinically integrated network

Fierce Healthcare · Jun 19

Weekly Rundown: Lumeris adds symptom-checking tool to AI platform; DeepIntent rolls out agentic AI tool for healthcare marketers

Fierce Healthcare · Jun 19

Congressional Budget Office calls for more research on No Surprises Act unintended impacts

Fierce Healthcare · Jun 19

Healthcare organizations still struggle to operationalize AI at scale: Arcadia survey

Fierce Healthcare · Jun 18

FTC, states sue transgender health association over 'misleading' gender care guidance

Fierce Healthcare · Jun 18

HHS opens applications for $700M in mental health, addiction funding, with $96M for new STREETS program

Fierce Healthcare · Jun 18

How much more are ~128,000 NEBRASKA ACA enrollees *really* paying this year due to Trump/GOP policies?

ACA Signups · Jun 18

How much more are ~73,000 MONTANA ACA enrollees *really* paying this year due to Trump/GOP policies?

ACA Signups · Jun 18

Can certification help solve healthcare’s AI governance gap?

Healthcare Dive · Jun 18

The Role of Immigrants in the U.S. Health Care Workforce

PCMA sues to exempt PBMs from Illinois drug law

Healthcare Dive · Jun 18

Connie Health buys Clearlink’s Medicare business

Coverager · Jun 18

One Medical Seniors reports data breach of third-party vendor impacting 'limited' number of patients

Fierce Healthcare · Jun 18

Lantern, Marathon Health team up to launch integrated care management model

Fierce Healthcare · Jun 18

Employers plan to shift more health costs to employees

Healthcare Dive · Jun 18

CMS recalculates Medicare Advantage stars after Clover lawsuit loss, but not a freebie for plans

Healthcare Dive · Jun 18

Securian Canada backs June

Coverager · Jun 18

How much more are ~360,000 MISSOURI ACA enrollees *really* paying this year due to Trump/GOP policies?

ACA Signups · Jun 18

EPIC launches Medicare-focused benefits platform with GoodTrust

Coverager · Jun 18

Readers Curse Medical Debt and Defend Spelling Therapy

KFF Health News · Jun 18

Arrests of Immigrant Parents Create Mental Health Crisis for Children

KFF Health News · Jun 18

Sandwiched Between Caring for Kids and Aging Parents? Reach Out for Resources

KFF Health News · Jun 18

Whoop, HealthEx partner to connect members’ medical records and biometric data

Fierce Healthcare · Jun 18

OIG report raises red flags about maternal health 'ghost networks' in Medicaid managed care

Fierce Healthcare · Jun 17

OhioHealth reaches settlement with DOJ, Ohio AG on antitrust lawsuit

Fierce Healthcare · Jun 17

2027 Rate Changes - Minnesota: +11.9% indy, +15.1% sm. group (preliminary)

ACA Signups · Jun 17

How much more are ~310,000 MISSISSIPPI ACA enrollees *really* paying this year due to Trump/GOP policies?

ACA Signups · Jun 17

CBO asks for more No Surprises research

Healthcare Dive · Jun 17

Allianz Partners’ nib deal signals major shift in Australian and New Zealand travel insurance distribution

Insurtech Insights · Jun 17

Fewer insurers participating in ACA marketplaces amid policy turmoil, KFF finds

Healthcare Dive · Jun 17

Health services deal value holds steady in 2026 with higher bar for investment: PwC

Fierce Healthcare · Jun 17

OhioHealth settles antitrust suit with the DOJ

Healthcare Dive · Jun 17

Sun Life taps Medzown to steer high-cost members into clinical trials

Coverager · Jun 17

KFF Tracking Poll on Health Information and Trust: Use of Social Media and AI For Health Information and Advice

Tennessee Pharmacies Sell Potent Ivermectin, Led by Anti-Vaccine Doctor Who’s Taken ‘Bucketloads’

KFF Health News · Jun 17

Democrats Seek To Spotlight Rising Health Costs by Forcing Vote on Trump Regulation

KFF Health News · Jun 17

More Americans Are Surviving Cancer. But the Mental Health Challenges Can Persist.

KFF Health News · Jun 17

US telehealth utilization climbs 10.1% in Q1, led by mental health visits: Fair Health

Fierce Healthcare · Jun 16

CMS tightens oversight of accreditation facilities, limits fee-based consulting

Fierce Healthcare · Jun 16

MedPAC offers a look at enrollment hiccups for Medicare beneficiaries

Fierce Healthcare · Jun 16

IRhythm discloses data stolen from third-party applications in cyberattack

Healthcare Dive · Jun 16

Out-of-Pocket Costs for Long-Acting Reversible Contraception Among Individuals Enrolled in Employer Sponsored Insurance Plans

State Choices, Unequal Access: Policies Shaping Reproductive Health Care Across the United States

8th Circuit revives nurse’s ADA accommodation suit over vaccine exemption

Business Insurance · Jun 16

Express Scripts, PCMA sue to block Tennessee law breaking up PBMs and pharmacies

Healthcare Dive · Jun 16

CMS proposes Medicare coverage expansion for TAVR

Healthcare Dive · Jun 16

Marsh Nexus to help firms counter rising international employee benefit costs

Reinsurance News · Jun 16

Recent State Actions Related to Immigrants’ Access to Services and Immigration Enforcement

India to divest up to 5% in GIC through offer for sale

Life Insurance International · Jun 16

Centene offers employee buyouts amid membership losses

Healthcare Dive · Jun 16

Bench to Bedside at AI Speed

Early-Onset Cancers Are on the Rise. Knowing Your Family History Is Crucial.

KFF Health News · Jun 16

Backed by Threat of Clawbacks, Feds Wield Tight Grip on $50B Rural Health Fund

KFF Health News · Jun 16

Nonprofit Hospital Entitled to Liability Cap But Not Immunity: NJ High Court

Claims Journal · Jun 16

47% of US adults say corporate health insurers ‘primary drivers’ of rising health costs

Fierce Healthcare · Jun 16

BMO launches health and dental insurance offering powered by GreenShield

Coverager · Jun 15

How much more are ~130,000 MINNESOTA ACA enrollees *really* paying this year due to Trump/GOP policies?

ACA Signups · Jun 15

Judge tosses multiple provisions of CMS' 2025 ACA program integrity rule

Fierce Healthcare · Jun 15

KFF: Insurer participation in the ACA marketplaces declined from 2025 to 2026

Fierce Healthcare · Jun 15

Centene offering staff buyouts as it navigates murky ACA waters

Fierce Healthcare · Jun 15

How much more are ~490,000 MICHIGAN ACA enrollees *really* paying this year due to Trump/GOP policies?

ACA Signups · Jun 15

How much more are ~400,000 MASSACHUSETTS ACA enrollees *really* paying this year due to Trump/GOP policies?

ACA Signups · Jun 15

GetCovered acquires Revyse

Coverager · Jun 15

Why one health system invested in its PBM as GLP-1 costs surged

Fierce Healthcare · Jun 15

Healthcare AI Works Better with Clear Roles and Honest Limits

Fierce Healthcare · Jun 15

InStride Health lands $30M series C to expand pediatric mental health services

Fierce Healthcare · Jun 15

How transparency is redefining payment integrity

Fierce Healthcare · Jun 15

Cedar’s voice AI agent has handled nearly 400K patient calls since April 2025 launch

Fierce Healthcare · Jun 15

Yale New Haven Health System deploys Rad AI solutions across its network as Microsoft sunsets PowerScribe 360

Fierce Healthcare · Jun 15

CMS creates new health tech office to lead interoperability efforts, digital products

Fierce Healthcare · Jun 15

Tawuniya gets approval for 50% capital hike

Business Insurance · Jun 15

Medicare drug price rule may target under-the-skin cancer immunotherapies

Healthcare Dive · Jun 15

Judge vacates most of controversial 2025 ACA enrollment, eligibility rule

Healthcare Dive · Jun 15

Allianz emerges as frontrunner to acquire HSBC Life Singapore in potential US$2bn deal

Insurtech Insights · Jun 15

Spending on Medicaid State Directed Payments Before New Limits Take Effect

Forthcoming Policy Changes to Medicaid State Directed Payments

Federal Medicaid Spending Through State Directed Payments Nears $100 Billion Annually Across 41 States, With New Limits Set to Reduce Funding to States

How healthcare AI is closing the revenue gap

Healthcare Dive · Jun 15

Data analytics for payers: Improving maternal health outcomes while reducing total cost of care

Healthcare Dive · Jun 15

They’re Uninsured After Obamacare Became Too Costly. And They’re Far From Alone.

KFF Health News · Jun 15

Long-Awaited Rule Aims To Boost ACA Choices While Embracing Higher Deductibles

KFF Health News · Jun 15

Virginia Says Airbnb Lacks Insurance License to Offer Host Damage Protection Plan

Claims Journal · Jun 15

Journalists Highlight Medical Neglect in ICE Detention, RFK Jr. Antidepressant Comments

KFF Health News · Jun 13

Industry Voices—Why health systems need physicians engaged in IT leadership

Fierce Healthcare · Jun 13

Weekly Rundown: Karias Health launches AI companion; Mount Sinai, Wisp partner to expand PrEP access in NY

Fierce Healthcare · Jun 13

Optum Rx, FTC posed for settlement in insulin pricing case

Fierce Healthcare · Jun 13

CMS proposes permanent framework for Medicare drug price negotiations

Fierce Healthcare · Jun 13

Mercer survey: Employers eye cost-shifting strategies as health benefit spend rises

Fierce Healthcare · Jun 12

UnitedHealth, FTC reach proposed settlement in insulin case

Healthcare Dive · Jun 12

California Health Worker Union, Hospital Association Tout Dueling Ballot Initiatives

KFF Health News · Jun 12

2027 Rate Changes - New York: +21.1% indy, +25.3% sm. group (preliminary)

ACA Signups · Jun 12

Major Medicare Advantage insurers appear to deny care for profit, federal watchdog finds

Healthcare Dive · Jun 12

CMS creates office dedicated to health technology

Healthcare Dive · Jun 12

Abridge partners with Eli Lilly, Nvidia as AI scribe eyes expansion

Healthcare Dive · Jun 12

Illinois: Effectuated ACA enrollment down 12.4% y/y as of May; at least 680,000 have lost coverage across just 15 states

ACA Signups · Jun 12

Novo Nordisk flags patient data breach from some clinical trials in cyberattack

Business Insurance · Jun 12

CMS increases oversight of state Medicaid demonstrations

Healthcare Dive · Jun 12