Sydney Halleman

“Virtually everyone” losing Affordable Care Act coverage is going insured, one UHS executive said. The hospital operator expects to lose $10 million more than expected as a result this year.

The Health Resources and Services Administration is again pushing to include rebates in the drug discount program after a failed attempt earlier this year. Hospitals railed against the announcement, saying it would burden already strapped providers.

The COVID-19 pandemic heightened vaccine skepticism. Six years later, CVS’ chief medical officer talks about building trust with patients — and the surprising benefits of many vaccines.

Regulators also finalized the first nationwide, mandatory payment model to reduce the cost of joint replacements starting in 2028. Hospitals said the pay raise was inadequate, and chafed at the mandatory nature of the new model.

Half a year after major cuts to the Affordable Care Act exchanges went into effect, hospitals say more patients are going uninsured. That’s starting to drag their finances, for-profit hospitals say.

Nearly 380,000 patients could go out of network with the health system if the commercial, Medicare and Medicaid contracts lapse.

The decertification of Network for Hope could disrupt organ donation in Kentucky, Indiana, Ohio and West Virginia.

As lawmakers consider whether to enact site-neutral payments into law, one physician argues that reforming the Medicare payments would lower healthcare spending without hurting patient care.

Seema Verma, a former administrator for the CMS, makes the case for better connecting healthcare data as the agency marks the first anniversary of its “Kill the Clipboard” initiative.

Kevin Smith will become the nonprofit’s new finance chief this fall, succeeding Greg Hoffman who retired in June. Smith’s appointment comes as Providence works to improve its operations following years of losses.