Vertical Integration Doesn’t Appear to Lead to Higher Drug Costs in Medicare, HHS OIG Finds

Insurer ownership of pharmacy benefit managers doesn’t appear to increase the cost of drugs in Medicare, though the jury’s still out, according to a new report from the HHS’ Office of the Inspector General. Government investigators analyzed 60 commonly used and high-cost drugs, and found the overall difference in their prices was negligible — less […]

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UNC Health Sought ‘Partnership’ with WakeMed after Atrium Merger Announced

A few days after WakeMed announced its plan to merge with Charlotte-based Atrium Health, UNC Health made a counterproposal to WakeMed. Neither side is disclosing details, though both use the word “partnership” to describe UNC’s proposal. Regardless, WakeMed says it will move ahead with its combination with Atrium. News of the proposal was first reported

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Tevogen Signs Letter of Intent to Evaluate Potential Acquisition of a Management Services Organization

Tevogen (“Tevogen Bio Holdings Inc.” or “Company”) (Nasdaq: TVGN) announces that it has entered into a signed, non-exclusive, non-binding Letter of Intent (“LoI”) to evaluate a potential transaction with a Management Services Organization (“MSO”). If consummated, the proposed transaction could expand Tevogen’s healthcare infrastructure capabilities and support the Company’s evolution into a revenue-generating healthcare enterprise

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Lawmakers Mull Medicare Physician Pay Reform to Tamp Down Consolidation

Lawmakers are mulling reform of how Medicare pays physicians, concerned that insufficient reimbursement in the federal insurance program is incentivizing consolidation and increasing healthcare costs. Physician pay has declined over the past two decades when accounting for inflation, spurring independent providers to be acquired by hospital systems rather than go it alone, provider witnesses told

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Lawmakers, Health Leaders Make Bipartisan Push to Expand Clinical Trials Access

A House Democrat and Republican have highlighted their push to expand access to clinical trials, saying artificial intelligence could be one tool used to reach more underrepresented communities seeking additional treatment options. The Clinical Trial Modernization Act, co-sponsored by Reps. Raul Ruiz (D-Calif.) and Erin Houchin (R-Ind.), is a bipartisan effort aiming to address some

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Senators Outline Plan for Medicare Home Care Benefit: What It Would Mean for Providers

A group of Democratic senators has unveiled a policy framework to establish a home care benefit within Medicare and expand Medicaid home- and community-based services, a “major policy shift” that was welcomed by home-based care organizations. The lawmakers’ framework, released on Wednesday, could improve access to care, increase efficiency, and create a more stable payment

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California Attorney General Settlement with Aspen Dental Scrutinizes MSO Structures in Healthcare Industry

The California Attorney General’s settlement with Aspen Dental establishes detailed boundaries between permissible management services and impermissible MSO control, targeting common structural features such as revenue-based management fees, MSO ownership of practice property, and clinician non-compete provisions — creating de facto compliance guideposts for every MSO operating in California. Organizations using MSO structures — particularly

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Chinook Investment Partners Makes Growth Investment in PractiVet

Chinook Investment Partners, a Colorado-based, partnership-focused, entrepreneurial equity capital partner, announces it completed an investment in PractiVet, a leading branded supplier of veterinary infusion devices and IV infusion set consumables, serving thousands of veterinary end-users and the broader animal health ecosystem across the United States. Founded in 2007, PractiVet has established itself as a leading

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Innovaccer Acquires CaduceusHealth to Make Revenue Cycle Autonomous

Innovaccer Inc., a leading healthcare AI company, announces the asset acquisition of CaduceusHealth, a nationally recognized revenue cycle management services provider. The acquisition expands Innovaccer’s Flow suite to full-stack revenue cycle capabilities, making Flow the first AI-native platform that unifies scheduling, patient engagement, and end-to-end revenue cycle management into a single operating layer for ambulatory

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