Category: Healthcare Finance News

Alabama hospital expanding behavioral health capabilities

North Alabama Shoals Hospital in Muscle Shoals will be expanding on its behavioral health capabilities with an initiative that includes building a new 16-bed adolescent psychiatry unit and adding eight adult psychiatric beds, the hospital announced.

Ex-pharmacy owner sentenced in $11.5 million Medicare fraud case

Former pharmacy owner Aftab Hussain has been sentenced to two to six years in prison for allegedly stealing more than $11.5 million dollars through a Medicaid fraud scheme that targeted low-income HIV patients who needed life-saving medications, accord…

CHS and Woodbridge end $120 million deal in Pennsylvania

Community Health Systems has announced there is no longer a deal to sell three hospitals in Pennsylvania to Woodbridge Healthcare.
The divestiture was expected to go through this quarter. Instead, on November 22, the for-profit CHS and nonprofit WoodBr…

Franciscan Health repurposing hospital for behavioral health

Franciscan Health Dyer in Indiana will transition its hospital to a behavioral health services facility by the end of 2027, the health system has announced.
The transition, approved by the Franciscan Alliance Board of Trustees, aims to meet the growing…

CMS announces obesity drug coverage in Medicare, Medicaid

On Tuesday, the Centers for Medicare and Medicaid Services announced a proposed rule for coverage of obesity drugs in Medicare and Medicaid, starting in 2026.
After notice and comment rulemaking, the rule would need to be finalized under the Trump Admi…

Mount Sinai leans into AI with new research center

Mount Sinai Health System in New York is embracing artificial intelligence with the recently announced opening of the Hamilton and Amabel James Center for Artif

UnitedHealthcare wins lawsuit over star ratings

UnitedHealthcare has won its lawsuit against the Centers for Medicare and Medicaid Services over the calculation of Medicare Advantage star ratings.
A federal court in Texas on Friday ordered CMS to recalculate UnitedHealth’s 2025 star ratings without …

Anesthesiologist sentenced to 190 years for IV bag tampering

A Dallas anesthesiologist who was found guilty of injecting dangerous drugs into patient IV bags, leading to one death and numerous cardiac emergencies, has been sentenced to 190 years in prison, according to the U.S. Department of Justice.

Senators urge action on physician payment cut before end of lame duck session

With only three weeks left in the legislative calendar, 41 senators have signed a letter urging Senate leaders to prevent the 2.8% physician pay cut scheduled to go into effect on January 1.

Payers, providers increasing investments in AI

More than half of health system leaders and insurance executives are calling artificial intelligence an “immediate priority,” and 73% of organizations said they were growing their financial commitments to the technology, according to a new survey, “Ins…