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CVS Caremark to pay $95M in Medicare fraud case

CVS Caremark to pay $95M in Medicare fraud case

A federal judge ruled in favor of a whistleblower, finding CVS’ pharmacy benefit manager Caremark overbilled Medicare for generic drugs....

Medicaid, SNAP cuts could lead to nearly 500,000 lost healthcare jobs

Medicaid, SNAP cuts could lead to nearly 500,000 lost healthcare jobs

A large portion of the 1.22 million jobs that could be lost nationwide in 2029 would come from the healthcare...

GLP-1 prescriptions for weight loss are shooting up, despite obstacles

GLP-1 prescriptions for weight loss are shooting up, despite obstacles

The percentage of overweight or obese adults prescribed GLP-1s jumped by almost 587% between 2019 and 2024, according to a...

UnitedHealth, Amedisys reach new deal to sell home health and hospice locations if merger approved

UnitedHealth, Amedisys reach new deal to sell home health and hospice locations if merger approved

The sales are contingent on the closure of UnitedHealth’s acquisition of Amedisys, which has been held up after the Department...

GLP-1s are accelerating spending growth on traditional drugs, Evernorth research finds

GLP-1s are accelerating spending growth on traditional drugs, Evernorth research finds

Spending growth for simple-to-administer medications used to treat common health problems is outstripping spending growth for pricey medications used to treat...

Physicians say prior authorization stands in the way of medically necessary care

Physicians say prior authorization stands in the way of medically necessary care

Physicians surveyed by the AMA say that PA can cause care delays or force patients to abandon treatment. They warn...

Medicaid cuts could worsen home care worker shortage

Medicaid cuts could worsen home care worker shortage

States have increased provider payment rates to address workforce shortages, but they may have to cut back if spending cuts hit Medicaid,...

GOP calls for $1.5T in cuts, much of which could come from healthcare

GOP calls for $1.5T in cuts, much of which could come from healthcare

House Republicans unveiled their budget wish list on Wednesday, which directs the Energy and Commerce Committee — which oversees Medicare and...

RFK Jr. fumbles Medicare basics during second confirmation hearing

RFK Jr. fumbles Medicare basics during second confirmation hearing

Robert F. Kennedy Jr., nominee for HHS secretary, seemed unfamiliar with the massive insurance program during a hearing Thursday. Article...

Healthcare’s outlook in 2025: New administration spells uncertainty, but hope remains

Healthcare’s outlook in 2025: New administration spells uncertainty, but hope remains

Although the industry will grapple with uncertainty in a second Trump administration, some hope that yearslong headwinds could begin reversing course...