healthcare
Centene waives prior authorization for top providers
Centene waives prior authorization for top providers based on performance and compliance criteria, affecting over 160,000 providers.
Alignment sues CMS over 2027 Medicare star ratings
Alignment Healthcare is suing the Centers for Medicare and Medicaid Services (CMS) over its 2027 Medicare Advantage star ratings, which fell from…
Hospitals Sue Over 340B Drug Rebate Pilot
Hospitals sue HHS over the 340B drug rebate pilot, claiming the shift from discounts to rebates threatens their financial viability. Read more…
Hospitals lag in quantum-proofing critical medical devices
Only 6% of critical medical devices are quantum-proofed, leaving hospitals vulnerable to encryption breaches that could expose patient records—while IT systems
Hospitals Expand Outpatient Care, Boost Margins Amid Cost Pressures
Hospitals expand outpatient care to boost margins amid cost pressures, shifting lower-acuity cases from inpatient wards.
Humana Improves Medicare Advantage Ratings Sharply
Humana improves Medicare Advantage ratings sharply with 93% of members in 4+ star plans in 2027.
Teladoc Launches AI Tools to Streamline Hospital Operations
Teladoc introduces AI tools to streamline hospital operations, including contactless vital sign monitoring and AI scribing for clinical encounters.
Utah approves three AI health pilots
Utah AI health pilots have been approved, expanding a program that may let AI systems issue prescriptions and care plans without direct…
Trump approves $90 Medicare rebates for millions
20.8 million Medicare beneficiaries will get a $90 rebate in October to help cover Part B premiums, announced by President Trump on…
U.S. to cut Medicaid for legal immigrants starting October
Starting October, the U.S. will cut Medicaid for hundreds of thousands of legal immigrants, with spending reductions exceeding $900 billion by 2034…