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Upcoding on the rise in ER | Exclusive Tom Price interview on immigration | CVS, Kroger bid on Rite Aid pharmacies

News You Need to Know Today
Upcoding on the rise in ER | Exclusive Tom Price interview on immigration | CVS, Kroger bid on Rite Aid pharmacies
Monday, May 19, 2025
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Today's News and Trends

Upcoding on the rise across all outpatient settings, study finds

A report by researchers at Trilliant Health found that common symptoms—such as cough, nausea and rash—are often coded as complex medical events, resulting in higher reimbursement rates.

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healthcare surprise billing statement payment
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Upcoding on the rise across all outpatient settings, study finds

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healthcare surprise billing statement payment
A report by researchers at Trilliant Health found that common symptoms—such as cough, nausea and rash—are often coded as complex medical events, resulting in higher reimbursement rates.
READ MORE >

Former HHS Secretary Tom Price: Immigration reform could alleviate healthcare staffing crisis

Tom Price, MD, an orthopedic surgeon, and former secretary of Health and Human Services (HHS) is an advocate for changing immigration policy to help solve the growing shortage of doctors and nurses in the U.S.

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Tom Price, MD, an orthopedic surgeon, and former secretary of Health and Human Services (HHS) during the first Trump administration has been an advocate for changing immigration policy to help solve the growing shortage of doctors and nurses in the U.S. He explains what is needed for bipartisan legislation to make it easier to recruit foreign doctors.
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Former HHS Secretary Tom Price: Immigration reform could alleviate healthcare staffing crisis

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Tom Price, MD, an orthopedic surgeon, and former secretary of Health and Human Services (HHS) during the first Trump administration has been an advocate for changing immigration policy to help solve the growing shortage of doctors and nurses in the U.S. He explains what is needed for bipartisan legislation to make it easier to recruit foreign doctors.
Tom Price, MD, an orthopedic surgeon, and former secretary of Health and Human Services (HHS) is an advocate for changing immigration policy to help solve the growing shortage of doctors and nurses in the U.S.
READ MORE >

CVS, Kroger among bidders for Rite Aid stores and prescription data

According to a report, Walgreens also expressed interest in an unknown number of pharmacies as Rite Aid seeks to liquidate all its assets.

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CVS Health announces $10.6B acquisition of Oak Street Health
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CVS, Kroger among bidders for Rite Aid stores and prescription data

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CVS Health announces $10.6B acquisition of Oak Street Health
According to a report, Walgreens also expressed interest in an unknown number of pharmacies as Rite Aid seeks to liquidate all its assets.
READ MORE >

Featured Articles

AdvaMed CEO warns Senate that tariffs threaten medtech innovation

Scott Whitaker, the CEO of the industry lobby AdvaMed, told the Senate Finance Committee that he fears tariffs will only raise the cost of care and put patients at risk if companies are unable to overcome supply chain disruptions. 

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supply chain shipping boat tariff
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AdvaMed CEO warns Senate that tariffs threaten medtech innovation

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supply chain shipping boat tariff
Scott Whitaker, the CEO of the industry lobby AdvaMed, told the Senate Finance Committee that he fears tariffs will only raise the cost of care and put patients at risk if companies are unable to overcome supply chain disruptions. 
READ MORE >

Report: UnitedHealth under investigation by DOJ for criminal fraud

Citing sources familiar with the matter, the Wall Street Journal reports that UnitedHealth Group is being investigated for criminal fraud, likely stemming from its Medicare Advantage billing practices. 

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UnitedHealthcare HQ Sign
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Report: UnitedHealth under investigation by DOJ for criminal fraud

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UnitedHealthcare HQ Sign
Citing sources familiar with the matter, the Wall Street Journal reports that UnitedHealth Group is being investigated for criminal fraud, likely stemming from its Medicare Advantage billing practices. 
READ MORE >

UnitedHealth agrees to $1.8M settlement over robocall complaint

The unwanted spam calls were associated with Optum's home healthcare service. Plaintiffs alleged they received the marketing calls despite opting out and never signing up, in violation of federal consumer protection laws. The company does not admit to wrongdoing. 

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Robocall Spam Calls
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UnitedHealth agrees to $1.8M settlement over robocall complaint

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Robocall Spam Calls
The unwanted spam calls were associated with Optum's home healthcare service. Plaintiffs alleged they received the marketing calls despite opting out and never signing up, in violation of federal consumer protection laws. The company does not admit to wrongdoing. 
READ MORE >

In Case You Missed It

Cyberattack on Yale New Haven Health exposes 5.6M patients

The incident, which has all the hallmarks of a ransomware attack, happened in March. Despite the scope of the breach, Yale New Haven said its EHR was not accessed and patient medical records were not taken by hackers. 

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Cyberattack on Yale New Haven Health exposes 5.6M patients

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The incident, which has all the hallmarks of a ransomware attack, happened in March. Despite the scope of the breach, Yale New Haven said its EHR was not accessed and patient medical records were not taken by hackers. 
READ MORE >

HHS sued over RFK’s $11B cuts to infectious disease control

The Department of Health and Human Services is refusing to allocate funds meant to support state and local healthcare initiatives, as the money stemmed from now-defunct COVID-19 control efforts. A coalition of municipalities is suing to lift the block. 

READ MORE >
Robert F. Kennedy Jr. RFK HHS secretary
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HHS sued over RFK’s $11B cuts to infectious disease control

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Robert F. Kennedy Jr. RFK HHS secretary
The Department of Health and Human Services is refusing to allocate funds meant to support state and local healthcare initiatives, as the money stemmed from now-defunct COVID-19 control efforts. A coalition of municipalities is suing to lift the block. 
READ MORE >

In Other News

Radiologists’ inpatient workload increases significantly despite dip in disease severity

“Substantial” growth in CT and MRI is replacing lower-cost modalities such as X-ray and ultrasound, experts write in JACR. 

READ MORE >
maya kowalski case
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Radiologists’ inpatient workload increases significantly despite dip in disease severity

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maya kowalski case
“Substantial” growth in CT and MRI is replacing lower-cost modalities such as X-ray and ultrasound, experts write in JACR. 
READ MORE >

Robotic PCI confirmed to be both safe and effective in new comprehensive analysis

Researchers reviewed years of data from two different Corindus systems, highlighting the consistently high clinical and technical success rates.

READ MORE >
robotic PCI Corindus CorPath GRX
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Robotic PCI confirmed to be both safe and effective in new comprehensive analysis

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robotic PCI Corindus CorPath GRX
Researchers reviewed years of data from two different Corindus systems, highlighting the consistently high clinical and technical success rates.
READ MORE >

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