News & Trends

Research: From Payer to Provider – Impacts of Insurer Vertical Expansion into Physician Services

Vertical integration can both create efficiencies and harm competition through rival foreclosure. This research paper examines these tensions through one of the most prominent forms of vertical integration in the United States: the acquisition of physician practices by the nation’s largest insurer, UnitedHealth Group. Using a difference-in-differences design and Medicare administrative data, the researchers find

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From Early Struggles to Billion+ Exit | SmarterDx Founders Michael Gao & Joshua Geleris

Behind SmarterDx’s story, now one of the biggest health AI exits to date, were 18 months without a single customer, a pivot that seemed to make no product sense, and two co-founders who went back to working as hospitalists just to get by. This episode of The Heart of Healthcare Podcast features the real story

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Prochant Targets Bigger, Better Offerings Across Home-Based Care

Prochant recently announced its first outside investment. Joey Graham, the company’s CEO, spoke with HME News about how Longshore Capital Partners will help create Prochant 2.0. Read the full article: Prochant Targets Bigger, Better Offerings Across Home-Based Care // Source: https://www.hmenews.com/article/prochant-targets-bigger-better-offerings-across-home-based-care

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Demand for Private-Duty Nursing Grows, but Nursing Shortage, Rates Hamper Expansion

Private-duty nursing isn’t the new kid on the home care block, but it is increasingly becoming part of the popular crowd. Advancements in care have allowed medically fragile people of all ages to live longer and at home, fueling demand for this part of the home care ecosystem. PDN, which is largely private pay but

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Home Health M&A Activity Rises as Proposed Rule, Provider Moratorium Shape Market

After four consecutive years of decline, home health and hospice dealmaking is gaining momentum — and the proposed CY2027 home health rule and the Medicare enrollment moratoria could propel activity even higher through 2027. Home health and hospice dealmaking could spike not only in volume, but also in valuation, according to a recent report from

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What the McKesson-Precision Medicine Deal Signals for Trial Sponsors

McKesson Corporation has signed a definitive agreement to acquire Precision Medicine Group, a global provider of clinical research and biopharma commercialization services, in a transaction valued at approximately $2.25 billion. Brian Tyler, chair and chief executive officer, McKesson, said in a press release, “This acquisition represents another meaningful step in advancing our oncology and multispecialty

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Costs Tied to No Surprises Act’s IDR Process Hit $22B in 2025, Study Finds

Total costs associated wth the No Surprises Act’s dispute resolution process reached $22.4 billion at the end of 2025, according to a new analysis. Researchers at the Center on Health Insurance Reforms at Georgetown University’s McCourt School of Public Policy dove into the latest public data on independent dispute resolution (IDR) from the federal government,

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As Costs Rise, C-Suite Is Getting More Involved in Healthcare: Employer Survey

Sustained cost pressure is forcing employers to reassess their approach to healthcare, according to a new survey. The Business Group on Health released its annual Employer Healthcare Strategy Survey, which found that firms anticipate a median cost increase of 9.2% in 2027. Plan changes and updates would likely offset that, resulting in an 8% increase,

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5 Questions and Answers About Medicaid and Provider Taxes

The 2025 reconciliation law imposes significant new restrictions on states’ ability to generate Medicaid provider tax revenue, including prohibiting all states from establishing new provider taxes or from increasing existing taxes as well as reducing existing provider taxes for states that have adopted the Affordable Care Act (ACA) Medicaid expansion. This issue brief uses data

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