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Economy: Big hospitals overpaid by relief fund | ACA enrollment high | Drug discounts | Optum reimbursed more by UnitedHealth

News You Need to Know Today
Economy: Big hospitals overpaid by relief fund | ACA enrollment high | Drug discounts | Optum reimbursed more by UnitedHealth
Monday, December 29, 2025
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Editor's Choice: Economics

Study finds big hospitals overpaid, rural facilities overlooked in Change Healthcare relief

Researchers from University of Minnesota found that more than 300 small, rural hospitals didn't even apply for relief. At the same time, many larger, for-profit systems received hundreds of thousands in overpayments. The findings are published in Health Affairs.

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Study finds big hospitals overpaid, rural facilities overlooked in Change Healthcare relief

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healthcare money economics dollar stethoscope acquire merger
Researchers from University of Minnesota found that more than 300 small, rural hospitals didn't even apply for relief. At the same time, many larger, for-profit systems received hundreds of thousands in overpayments. The findings are published in Health Affairs.
READ MORE >

CMS data shows 5.8M Americans enrolled in ACA coverage in November—more than last year

That number includes signups on both state and federal exchanges. To date, roughly 400,000 new plans have been sold on exchanges, year over year. But the still-unknown details will determine what exactly it all means.

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insurance
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CMS data shows 5.8M Americans enrolled in ACA coverage in November—more than last year

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insurance
That number includes signups on both state and federal exchanges. To date, roughly 400,000 new plans have been sold on exchanges, year over year. But the still-unknown details will determine what exactly it all means.
READ MORE >

California leads coalition of 20 states suing Trump over $100K H-1B visa policy

The plaintiffs argue that the administration has overstepped its authority and that only Congress can levy such hefty fees. As noted in the lawsuit, healthcare relies on skilled labor immigration to bring doctors, nurses and researchers into the country. 

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California leads coalition of 20 states suing Trump over $100K H-1B visa policy

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passport visa foreign international travel
The plaintiffs argue that the administration has overstepped its authority and that only Congress can levy such hefty fees. As noted in the lawsuit, healthcare relies on skilled labor immigration to bring doctors, nurses and researchers into the country. 
READ MORE >

Hospitals providing organs to wealthy international patients, leaving Americans waiting

A new report from the New York Times reveals a system of de facto quid pro quo where wealthy patients from oil-rich nations are sometimes moved to the top of organ transplant lists.

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Stock image of an illegal bribe.
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Hospitals providing organs to wealthy international patients, leaving Americans waiting

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Stock image of an illegal bribe.
A new report from the New York Times reveals a system of de facto quid pro quo where wealthy patients from oil-rich nations are sometimes moved to the top of organ transplant lists.
READ MORE >

Drug discounts for safety-net hospitals up in the air and into the courts

HHS’s 340B drug discount program is set to shift to a rebate model on New Year’s Day. But a lawsuit and temporary restraining order filed by the AHA and others may block the change from going live on time. 

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Drug discounts for safety-net hospitals up in the air and into the courts

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maya kowalski case
HHS’s 340B drug discount program is set to shift to a rebate model on New Year’s Day. But a lawsuit and temporary restraining order filed by the AHA and others may block the change from going live on time. 
READ MORE >

House GOP slaps down ACA subsidies as ‘Lower Health Care Premiums Act’ moves to Senate

A Hail Mary attempt by a bipartisan group to extend Affordable Care Act tax credits failed. The new bill contains some reforms, including new reporting requirements for PBMs and support for association health plans. It now faces the Senate. 

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House GOP slaps down ACA subsidies as ‘Lower Health Care Premiums Act’ moves to Senate

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A Hail Mary attempt by a bipartisan group to extend Affordable Care Act tax credits failed. The new bill contains some reforms, including new reporting requirements for PBMs and support for association health plans. It now faces the Senate. 
READ MORE >

News gems: Hospital price caps, costly drinking water, child-unready hospitals, more

A U.S. state is enjoying $50 million in annual savings after imposing price caps on its hospitals. OK—but what good things (or workers) got sacrificed?

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News gems: Hospital price caps, costly drinking water, child-unready hospitals, more

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AI artificial intelligence in healthcare
A U.S. state is enjoying $50 million in annual savings after imposing price caps on its hospitals. OK—but what good things (or workers) got sacrificed?
READ MORE >

In brief: Hospitals v. pharmacies in court, lights on at all-electric hospital, money-minded nonprofits, more

A new hospital is about to become the largest in the country intended to operate on electricity only. 

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UCI Health Irvine
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In brief: Hospitals v. pharmacies in court, lights on at all-electric hospital, money-minded nonprofits, more

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UCI Health Irvine
A new hospital is about to become the largest in the country intended to operate on electricity only. 
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How US healthcare can win over—or win back—the American people

The American public’s trust in healthcare institutions, long a matter of common courtesy, fell off a cliff after the COVID-19 crisis. Two academic physicians propose a treatment pathway for the injured patient—aka our healthcare system’s reputation for reliability. 

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How US healthcare can win over—or win back—the American people

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4th of July parade
The American public’s trust in healthcare institutions, long a matter of common courtesy, fell off a cliff after the COVID-19 crisis. Two academic physicians propose a treatment pathway for the injured patient—aka our healthcare system’s reputation for reliability. 
READ MORE >

UnitedHealthcare reimburses its Optum providers at a 17% premium, study finds

The findings are from research conducted by the Commonwealth Fund that looked at nationwide provider reimbursement data. While the sample size is small, it shows the insurer tends to favor its own doctors.

READ MORE >
Optum UnitedHealthcare UnitedHealth Group HQ
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UnitedHealthcare reimburses its Optum providers at a 17% premium, study finds

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Optum UnitedHealthcare UnitedHealth Group HQ
The findings are from research conducted by the Commonwealth Fund that looked at nationwide provider reimbursement data. While the sample size is small, it shows the insurer tends to favor its own doctors.
READ MORE >

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