For years, the conversation around health insurer consolidation and vertical integration has simmered through antitrust inquiries, oversight hearings, and policy papers. The Patients Over Profit Act (the “POP Act”), introduced in both chambers of Congress this fall, marks a decisive shift. Rather than regulating insurer-provider integration, the POP Act proposes to ban it outright. If […]
The American Dental Association has asked the Wisconsin Office of the Commissioner of Insurance to evaluate the impact of Delta Dental of Wisconsin’s recent practice acquisition. Delta Dental of Wisconsin announced in July that it purchased Cherry Tree Dental, a DSO with locations in Wisconsin, Illinois, Michigan and Minnesota. In addition to the ADA, the
ADA Asks Wisconsin Commissioner to Evaluate Impact of Delta Dental Acquisition: 5 Notes Read More »
The Senate deal to reopen the government would extend Medicare telehealth coverage through Jan. 30 and pay retroactively for virtual care services delivered during the government shutdown. If passed by Congress, the government funding deal would provide relief for seniors and providers who’ve come to rely on Medicare paying for virtual visits since the COVID-19
Shutdown Deal Extends Medicare Telehealth Coverage Read More »
Private equity firm GTCR can move forward with its acquisition of medical device coatings maker Surmodics, a federal judge in Chicago ruled on Monday, rejecting the U.S. Federal Trade Commission’s bid to block the deal. The FTC effort to stop the deal in March was its first lawsuit to block a merger during President Donald
US Judge Rejects FTC’s Bid to Block Private Equity Medical Company Deal Read More »
The Indiana Department of Health has approved the Certificate of Public Advantage (COPA) application for Union Health Hospital to acquire Terre Haute Regional Hospital. A COPA application was submitted by Union Health and Terre Haute Regional Hospital in February. The application would combine the two facilities. Read the full article: State Approves Union Health Acquisition
State Approves Union Health Acquisition of Terre Haute Regional Hospital Read More »
Known for its aesthetics and wellness culture, California continues to be a leading destination for new wellness and medical aesthetics practices (collectively, medical spas). Yet, unlike some other states, California does not currently have any laws or regulations specifically intended to govern medical spas. Depending upon the level of clinical care provided, medical spas in
The Justice Department is asking a Maryland federal court judge to appoint William Berlin as compliance monitor as part of the settlement agreement allowing UnitedHealth Group to acquire Amedisys. UnitedHealth completed its acquisition of the home health and hospice provider in August after reaching a settlement agreement with the Justice Department and attorneys general in
DOJ Proposes UnitedHealth-Amedisys Deal Monitor Read More »
The beginning of November brings a mixed bag of news for healthcare leaders on the telehealth front. The final version of the 2026 Medicare Physician Fee Schedule offers some good news on virtual care delivered in hospitals and skilled nursing facilities. The Centers for Medicare & Medicaid Services (CMS) has eliminated frequency limits on telehealth
CMS Offers Good News, Bad News for Telehealth Read More »
The Trump administration has finalized a controversial plan to reevaluate how Medicare calculates doctor payments that will result in lower rates for specialty services. Medicare will implement a 2.5% cut next year to payments for services like radiology and gastroenterology that are based on more than time spent delivering the service. Meanwhile, primary care doctors
Medicare Finalizes Policy to Cut Doctor Pay for Specialty Services Read More »
Health care has become a central issue in the much-watched governors’ races that will be decided next week — and the results could redirect the parties’ midterm strategies or sway their approaches to federal health policy. In Virginia and New Jersey’s gubernatorial races, new lines of attack are opening up in a time of transformational
