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Economy: 'No Kings' in healthcare | PA 'Medicare for All' | Kaiser strikes | Missouri vs PBMs | Rural uptime challenges

News You Need to Know Today
Economy: 'No Kings' in healthcare | PA 'Medicare for All' | Kaiser strikes | Missouri vs PBMs | Rural uptime challenges
Friday, January 30, 2026
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Editor's Choice: Economics

‘No Kings’ in healthcare: leaders serve patients by following the clinical problem

California’s decision to restrict the use of the title “doctor” in clinical settings underscores a growing disconnect between healthcare policy and the realities of modern care delivery. In an op-ed, health policy professor and former Virginia legislator, Dawn M. Adams, DNP, and Marissa J. Levine, MD, a public health physician and former Virginia health commissioner, argue that rigid physician-centric hierarchies no longer reflect how patients actually receive care.

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‘No Kings’ in healthcare: leaders serve patients by following the clinical problem

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backgrounder_making-sense-of-the-us-health-care-system.jpg
California’s decision to restrict the use of the title “doctor” in clinical settings underscores a growing disconnect between healthcare policy and the realities of modern care delivery. In an op-ed, health policy professor and former Virginia legislator, Dawn M. Adams, DNP, and Marissa J. Levine, MD, a public health physician and former Virginia health commissioner, argue that rigid physician-centric hierarchies no longer reflect how patients actually receive care.
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CMS announces 15 drugs targeted for third round of Medicare price negotiations

The third round of the Medicare Drug Price Negotiation Program includes treatments for HIV and diabetes, among other conditions. The Centers for Medicare & Medicaid Services also released a list of the top 50 medications it deems strong candidates for future negotiations based on current prices and patient utilization.

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Drugs money scam
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CMS announces 15 drugs targeted for third round of Medicare price negotiations

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Drugs money scam
The third round of the Medicare Drug Price Negotiation Program includes treatments for HIV and diabetes, among other conditions. The Centers for Medicare & Medicaid Services also released a list of the top 50 medications it deems strong candidates for future negotiations based on current prices and patient utilization.
READ MORE >

Fans and foes of medical debt relief | Heat on the Hill for payer CEOs | One and done with algorithmic care | and more briefings

Several states use taxpayer dollars to help struggling residents pay down medical debt. One is considered a leader of the movement—by critics as well as proponents. 

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Medical Debt
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Fans and foes of medical debt relief | Heat on the Hill for payer CEOs | One and done with algorithmic care | and more briefings

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Medical Debt
Several states use taxpayer dollars to help struggling residents pay down medical debt. One is considered a leader of the movement—by critics as well as proponents. 
READ MORE >

‘Medicare for All’ bill proposed in Pennsylvania after ACA subsidies expire

The bill announced by two Democratic members of the state House of Representatives would guarantee coverage to everyone in the commonwealth—but many of the details have yet to be revealed. 

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Medicare Money
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‘Medicare for All’ bill proposed in Pennsylvania after ACA subsidies expire

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Medicare Money
The bill announced by two Democratic members of the state House of Representatives would guarantee coverage to everyone in the commonwealth—but many of the details have yet to be revealed. 
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31K Kaiser Permanente employees prepare to strike, citing staffing issues and low pay

The health system said it offered a “historic” 21.5% raise as part of a new contract, but it’s been unable to reach an agreement with union officials. Workers are expected to walk off the job starting Jan. 26. 

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Mayo clinic surgery workers
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31K Kaiser Permanente employees prepare to strike, citing staffing issues and low pay

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Mayo clinic surgery workers
The health system said it offered a “historic” 21.5% raise as part of a new contract, but it’s been unable to reach an agreement with union officials. Workers are expected to walk off the job starting Jan. 26. 
READ MORE >

CMS releases ‘improper payment’ data, showing a small rise for Medicare Advantage

Traditional fee-for-service Medicare saw a slight dip in improper payments, which are usually associated with documentation errors and now outright fraud. CMS also released data on Medicaid and the CHIP program. 

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Medicare Advantage Part C clipboard payment
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CMS releases ‘improper payment’ data, showing a small rise for Medicare Advantage

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Medicare Advantage Part C clipboard payment
Traditional fee-for-service Medicare saw a slight dip in improper payments, which are usually associated with documentation errors and now outright fraud. CMS also released data on Medicaid and the CHIP program. 
READ MORE >

Missouri becomes latest plaintiff in lawsuits against PBMs, drug companies over skyrocketing insulin prices

The Missouri complaint mirrors those brought by the Federal Trade Commission, the state of Texas and Philadelphia-based Jefferson Health, among others, in that it’s focused on alleged collusion between pharmacy benefit managers and drug companies to control the price of insulin. 

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Missouri state house capitol Jefferson City
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Missouri becomes latest plaintiff in lawsuits against PBMs, drug companies over skyrocketing insulin prices

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Missouri state house capitol Jefferson City
The Missouri complaint mirrors those brought by the Federal Trade Commission, the state of Texas and Philadelphia-based Jefferson Health, among others, in that it’s focused on alleged collusion between pharmacy benefit managers and drug companies to control the price of insulin. 
READ MORE >

Rural hospitals face equipment uptime challenges—here's how to overcome them

Rural hospitals face greater challenges than their metropolitan counterparts in keeping medical equipment operational, because there's rarely a vendor technician around when they need one. 

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Chris Espinosa, CBET, a biomedical engineer and regional service manager from InterMed, outlines some of the issues facing rural hospitals and why they can have longer downtime for equipment than larger metropolitan area hospitals.
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Rural hospitals face equipment uptime challenges—here's how to overcome them

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Chris Espinosa, CBET, a biomedical engineer and regional service manager from InterMed, outlines some of the issues facing rural hospitals and why they can have longer downtime for equipment than larger metropolitan area hospitals.
Rural hospitals face greater challenges than their metropolitan counterparts in keeping medical equipment operational, because there's rarely a vendor technician around when they need one. 
READ MORE >

ACA enrollment on the skids as Americans face higher premiums

As of January 3, 2026, data from the Centers for Medicare & Medicaid Services shows that, while 22.8 million Americans used Affordable Care Act exchanges to buy medical coverage, that’s 1.2 million fewer enrollees than last year. 

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ACA
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ACA enrollment on the skids as Americans face higher premiums

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ACA
As of January 3, 2026, data from the Centers for Medicare & Medicaid Services shows that, while 22.8 million Americans used Affordable Care Act exchanges to buy medical coverage, that’s 1.2 million fewer enrollees than last year. 
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Cash prices frequently undercut insurance rates at Texas hospitals, study finds

Research from healthcare data analytics firm Trilliant Health found that negotiated rates carry a higher price tag for common services, calling into question the value of transparency regulations.

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scale money prices shopping transparency reimbursement dollar coins
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Cash prices frequently undercut insurance rates at Texas hospitals, study finds

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scale money prices shopping transparency reimbursement dollar coins
Research from healthcare data analytics firm Trilliant Health found that negotiated rates carry a higher price tag for common services, calling into question the value of transparency regulations.
READ MORE >

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