Category: Healthcare Finance News

Walgreens pays $5 million to settle lawsuit originally brought by whistleblowers

Walgreens has agreed to pay $5 million to settle a lawsuit filed in federal court for the Northern District of Illinois more than 10 years ago.

Senate Finance Committee advances Dr. Oz’s nomination as CMS administrator

The Senate Finance Committee on Tuesday advanced Dr. Mehmet Oz’s nomination to become administrator of the Centers for Medicare and Medicaid Services.
The 14 to 13 vote was along party lines. Oz next faces a vote for confirmation before the full Senate

Orlando Health, Watson Clinic partnering on new hospital

Orlando Health is joining forces with physician-led practice Watson Health on a new hospital, the Orlando Health Watson Clinic Lakeland Highlands Hospital, which is slated to debut in June 2026.

Medicaid work requirements could force 5 million people off coverage

The majority leadership in Congress is considering establishing work requirements in Medicaid, but if work requirements were established in states that have expanded their programs, more than 5 million people could lose their coverage, according to a n…

Medicare Advantage plan growth decelerates

A new report shows decelerating growth for Medicare Advantage plans.

Humana, Aledade expand value-based care to rural clinics, FQHCs

Health insurer Humana and independent primary care network Aledade are expanding their partnership, extending services to rural health clinics and federally qualified health centers (FQHCs) with an eye toward achieving and sustaining value-based care.

Fitch downgrades two nonprofit hospitals due to cyberattacks

Cyberattacks can affect any hospital but have a disproportionate effect on smaller hospitals.
Fitch Ratings recently took credit action on two nonprofit health systems, downgrading both after each experienced a crippling cyberattack.
While most cyber e…

Optum Rx rolls out cost-based pharmacy reimbursement model

Optum Rx has signaled a shift to a cost-based pharmacy reimbursement model that’s intended to have pharmacies pay more for brand-name drugs and less for generics.
The model will reduce variation in how pharmacies are paid.

Increased patient volumes stabilize hospitals’ financial performance

Hospitals across the U.S. are seeing steady financial performance, driven by increased patient volumes, even as high expenses remain a persistent challenge, according to Kaufman Hall’s January 2025 National Hospital Flash Report.
The report, based on d…

HCA gets approval for new emergency room

An administrative law judge at the North Carolina Office of Administrative Hearings has reaffirmed the State Health Planning Agency’s approval of Mission Hospital’s Certificate of Need (CON) application for a new emergency room in West Asheville, accor…