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Modern Healthcare

@modrnhealthcr

Award-winning healthcare business news, research and opinion | https://teapawt.net/t.co/IqTQOt0NUe (RTs are not endorsements)

modernhealthcare.com
Joined January 2009
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Abridge lays off employees in realignment. modernhealthcare.com/health-…
Abridge lays off employees in realignment

Abridge lays off employees in realignment

The AI documentation company said the realignment would allow Abridge to hire in priority areas and invest in new opportunities.

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Four states target Medicaid work rules in new lawsuit. modernhealthcare.com/politic…
Four states target Medicaid work rules in new lawsuit

Four states target Medicaid work rules in new lawsuit

Minnesota, New Mexico, Oregon and Washington argue Medicaid work requirements unlawfully coerce states by threatening federal funding tied to coverage.

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State leaders are still waiting to learn their second-year Rural Health Transformation Program allocations as federal officials delay the announcement. modernhealthcare.com/politic…
CMS delays $50B rural health award announcements

CMS delays $50B rural health award announcements

State leaders are still waiting to learn their second-year Rural Health Transformation Program allocations as federal officials delay the announcement.

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Humana’s 2027 Medicare Advantage sign-ups beat expectations. modernhealthcare.com/insuran…
Humana’s 2027 Medicare Advantage sign-ups beat expectations

Humana’s 2027 Medicare Advantage sign-ups beat expectations

Humana said Medicare Advantage sign-ups are ahead of plan as rivals exit markets, giving the insurer added confidence in membership growth next year.

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Star Ratings lawsuits are piling up: What you need to know. modernhealthcare.com/insuran…
Star Ratings lawsuits are piling up: What you need to know

Star Ratings lawsuits are piling up: What you need to know

A court ruling that boosted Clover Health's Medicare Advantage star ratings continues to ripple across the program.

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How a deal is helping a remote monitoring company enter hospitals. modernhealthcare.com/medical…
How a deal is helping a remote monitoring company enter hospitals

How a deal is helping a remote monitoring company enter hospitals

iRhythm’s acquisition of VitalConnect could expand its reach into hospital and hospital-at-home settings.

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CMS proposes rollbacks of Medicare, Medicaid provider rules. modernhealthcare.com/politic…
CMS proposes rollbacks of Medicare, Medicaid provider rules

CMS proposes rollbacks of Medicare, Medicaid provider rules

The draft regulation is part of a broader deregulatory agenda at the Centers for Medicare and Medicaid Services.

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The layoffs come at a time when the company is producing strong financial results and plans on 2027 price hikes to pay for rising expenses from inflation. modernhealthcare.com/medical…
Medline lays off 300, separately unwinding hospital bed business amid recall

Medline lays off 300, separately unwinding hospital bed business amid recall

The layoffs come at a time when the company is producing strong financial results and plans on 2027 price hikes to pay for rising expenses from inflation.

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CMS freeze on health insurance exchange brokers lifted by court. modernhealthcare.com/insuran…
CMS freeze on health insurance exchange brokers lifted by court

CMS freeze on health insurance exchange brokers lifted by court

The Centers for Medicare and Medicaid Services argued that suspending new marketers was necessary to fight fraud.

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CMS postpones third-party remote patient monitoring restriction. modernhealthcare.com/health-…
CMS postpones third-party remote patient monitoring restriction

CMS postpones third-party remote patient monitoring restriction

The 2027 Medicare Physician Fee Schedule pushes the direct-employment restriction for remote patient monitoring reimbursements back by two years.

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Evernorth earnings boosted by specialty business as PBM evolves. modernhealthcare.com/insuran…
Evernorth earnings boosted by specialty business as PBM evolves

Evernorth earnings boosted by specialty business as PBM evolves

Cigna raised its earnings guidance even as it weathers weaker results from its Express Scripts pharmacy benefit manager.

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Here’s what to expect on healthcare from a Democratic Congress. modernhealthcare.com/politic…
Here’s what to expect on healthcare from a Democratic Congress

Here’s what to expect on healthcare from a Democratic Congress

The Democratic takeover of Congress will revive fights over Medicaid cuts, insurance subsidies and healthcare affordability.

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Why CVS is breaking up its pharmacy empire now. modernhealthcare.com/insuran…
Why CVS is breaking up its pharmacy empire now

Why CVS is breaking up its pharmacy empire now

CVS is splitting off its retail pharmacies as lawmakers intensify scrutiny of vertically integrated insurers, PBMs and pharmacy owners.

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Medicare hospital outpatient pay to rise 2.3% in 2027. modernhealthcare.com/politic…
Medicare hospital outpatient pay to rise 2.3% in 2027

Medicare hospital outpatient pay to rise 2.3% in 2027

The outpatient payment rule pairs small Medicare rate increases with deeper 340B drug cuts and broader site-neutral reimbursement policies.

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A final rule will allow the Centers for Medicare and Medicaid Services to hasten the process for barring providers from Medicare reimbursement. modernhealthcare.com/politic…
CMS expands authority to exclude providers from Medicare

CMS expands authority to exclude providers from Medicare

A final rule will allow the Centers for Medicare and Medicaid Services to hasten the process for barring providers from Medicare reimbursement.

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The transaction is expected to close early next year. modernhealthcare.com/mergers…
Altru Health System agrees to buy 3 CommonSpirit hospitals

Altru Health System agrees to buy 3 CommonSpirit hospitals

The transaction is expected to close early next year.

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Oregon Senator Ron Wyden promised to demand accountability from “insurance companies that are delaying and denying healthcare to churn a profit.” modernhealthcare.com/politic…
Top Democrat to target ‘corporate chokehold’ on healthcare

Top Democrat to target ‘corporate chokehold’ on healthcare

Oregon Senator Ron Wyden promised to demand accountability from “insurance companies that are delaying and denying healthcare to churn a profit.”

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CMS cuts Medicare physician payments for 2027. modernhealthcare.com/politic…
CMS cuts Medicare physician payments for 2027

CMS cuts Medicare physician payments for 2027

CMS will reduce Medicare physician payments in 2027 while revising same-day procedure reimbursement and adding incentives tied to accountable care.

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Medline plans January price hikes as it decides inflation isn’t going away soon. modernhealthcare.com/medical…
Medline plans January price hikes as it decides inflation isn’t going away soon​

Medline plans January price hikes as it decides inflation isn’t going away soon​

Despite the squeeze from inflation, the company announced it will a $1 billion share buyback.

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Aetna lifts CVS Health profit in third quarter results. modernhealthcare.com/insuran…
Aetna lifts CVS Health profit in third quarter results

Aetna lifts CVS Health profit in third quarter results

CVS Health’s insurance and health services units outperformed Wall Street in the third quarter, yet the bigger story for investors was the company’s breakup plan.

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