Category: Healthcare Finance News

Nursing home staffing mandate struck down in Texas court ruling

A federal judge in Texas has blocked a nursing home staffing rule mandated by the Biden administration last year.

Rising demand challenging emergency departments

Emergency physicians across the U.S. are facing increasing financial and operational pressures that are threatening their ability to provide care, according to a new report authored by RAND and supported by the Emergency Medicine Policy Institute (EMPI).

Medicare Advantage plans get a 5% payment increase

Medicare Advantage plans are getting a 5% payment increase, which is above the anticipated 4.3% released in the Advance Notice.
The Centers for Medicare and Medicaid Services issued the rate announcement this week as part of the Medicare Advantage Part…

Hospital merger and acquisition deals dip amid economic uncertainty

Mergers and acquisitions in Q1 reflect market volatility and economic uncertainty surrounding tariffs and potential policy changes from the new administration, according to a Kaufman Hall Mergers and Acquisitions Quarterly Activity Report. 

Payers have poor member digital experiences compared to other industries

Health insurance members across both commercial and Medicare Advantage plans are increasingly using their health plan’s websites and mobile apps as their primary conduits of communication, but the quality of these digital experiences is lagging far beh…

RFK Jr. will reportedly not appear before Senate subcommittee

The chairman and the ranking member of a Senate subcommittee have asked Health and Human Services Secretary Robert F. Kennedy Jr. to participate in a hearing on the reorganization of HHS, but Kennedy, reportedly, will not appear.

Duke buys CHS hospital for $284 million

Duke University Health System in Durham, North Carolina has completed a $284 million acquisition of Lake Norman Regional Medical Center from Franklin, Tennessee-based Community Health Systems.

Alliance for Connected Care outlines policy requests to CMS

The Alliance for Connected Care is using the Centers for Medicare and Medicaid Services’ recent appointment of its new administrator, Dr. Mehmet Oz, as an opportunity to advocate for digital healthcare initiatives such as expanded access to virtual car…

Medicare Advantage final rule updates coverage decisions

The Centers for Medicare and Medicaid Services on Friday issued a 2026 Medicare Advantage and Part D final rule that makes changes to authorization decisions.

Providence Health Plan teams with Collective Health on third-party administration

Providence Health Plan, a regional, nonprofit health plan serving Oregon, Washington and California, is partnering with health benefits platform Collective Health on an effort to overhaul third-party administration (TPA) services for self-funded employ…