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Florida’s PBM crackdown | Healthcare spending to reach $9T | AI startups challenge big firms | $82M out-of-network judgment

News You Need to Know Today
Florida’s PBM crackdown | Healthcare spending to reach $9T | AI startups challenge big firms | $82M out-of-network judgment
Thursday, June 25, 2026
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Today's News and Trends

Florida probes CVS Health in latest crackdown on PBMs

State Attorney General James Uthmeier is forcing the company to hand over thousands of documents related to its pharmacy contracts and reimbursement policies to see if the retail giant is abusing its position in the market as both a pharmacy benefit manager and a retail chain of drug stores. 

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Florida Attorney General James Uthmeier
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Florida probes CVS Health in latest crackdown on PBMs

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Florida Attorney General James Uthmeier
State Attorney General James Uthmeier is forcing the company to hand over thousands of documents related to its pharmacy contracts and reimbursement policies to see if the retail giant is abusing its position in the market as both a pharmacy benefit manager and a retail chain of drug stores. 
READ MORE >

CMS projection: 90% of Americans will still have health insurance in 2034—when healthcare spending reaches $9T

Legislative changes, demographic shifts and growing demand will combine to drive national health spending to almost $9 trillion by 2034.

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Economics
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CMS projection: 90% of Americans will still have health insurance in 2034—when healthcare spending reaches $9T

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Economics
Legislative changes, demographic shifts and growing demand will combine to drive national health spending to almost $9 trillion by 2034.
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In 3-game healthcare series, underdog large-language models sweep specialized AI powerhouses

Pitting three multipurpose LLMs against two healthcare-specific AI tools, researchers have discovered the consumer-level AI can beat its purpose-built counterparts in healthcare scenarios—and soundly, at that. 

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Robotic chess
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In 3-game healthcare series, underdog large-language models sweep specialized AI powerhouses

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Robotic chess
Pitting three multipurpose LLMs against two healthcare-specific AI tools, researchers have discovered the consumer-level AI can beat its purpose-built counterparts in healthcare scenarios—and soundly, at that. 
READ MORE >

Kaiser Permanente to pay community hospital over $82M to resolve out-of-network reimbursement dispute

The lawsuit dates back to 2019 but has been stuck in the court process for years. In the end, the health plan will pay Pomona Valley Hospital for emergency care delivered to patients at an out-of-network rate—though the facility didn’t get all of what it was seeking. 

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the-kaiser-permanente-thrive-center-street-telegraph_1300x867.jpg
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Kaiser Permanente to pay community hospital over $82M to resolve out-of-network reimbursement dispute

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the-kaiser-permanente-thrive-center-street-telegraph_1300x867.jpg
The lawsuit dates back to 2019 but has been stuck in the court process for years. In the end, the health plan will pay Pomona Valley Hospital for emergency care delivered to patients at an out-of-network rate—though the facility didn’t get all of what it was seeking. 
READ MORE >

Featured Articles

Why nurses leave and what hospitals can do to incentivize staying

New academic research analyzing data from the National Sample Survey of Registered Nurses drills down into nurses’ self-reported “turnover behaviors.” 

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Nurses and AI artificial intelligence
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Why nurses leave and what hospitals can do to incentivize staying

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Nurses and AI artificial intelligence
New academic research analyzing data from the National Sample Survey of Registered Nurses drills down into nurses’ self-reported “turnover behaviors.” 
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455 individuals charged with perpetrating healthcare fraud to the collective tune of $6.5B+

The defendants include 90 physicians and other licensed medical professionals. 

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2026 healthcare fraud takedown
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455 individuals charged with perpetrating healthcare fraud to the collective tune of $6.5B+

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2026 healthcare fraud takedown
The defendants include 90 physicians and other licensed medical professionals. 
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Lawsuit alleges communication failures at PeaceHealth led to patient’s death

Kathleen Zamudio's spouse claims that treatment failures at two PeaceHealth hospitals contributed to her death after she was transferred from Alaska to Washington for specialized care.

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Former managers of a Tampa Florida-based radiology company Advanced Diagnostic Group (ADG) and its employee stock ownership plan (ESOP) retirement benefit manager GreatBanc Trust Co. will pay $19 million to settle a class action lawsuit. The suit alleges they allowed the ESOP’s value to be diverted to managers, directors and their shell companies and away from employee participants. money gavel court lawsuit legal judge judgement
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Lawsuit alleges communication failures at PeaceHealth led to patient’s death

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Former managers of a Tampa Florida-based radiology company Advanced Diagnostic Group (ADG) and its employee stock ownership plan (ESOP) retirement benefit manager GreatBanc Trust Co. will pay $19 million to settle a class action lawsuit. The suit alleges they allowed the ESOP’s value to be diverted to managers, directors and their shell companies and away from employee participants. money gavel court lawsuit legal judge judgement
Kathleen Zamudio's spouse claims that treatment failures at two PeaceHealth hospitals contributed to her death after she was transferred from Alaska to Washington for specialized care.
READ MORE >

In Case You Missed It

Ascension, FTC reach deal as $3.9B acquisition of Amsurg is finalized

The buyout, announced last summer, drew the attention of federal regulators at the Federal Trade Commission, concerned that competition for ambulatory surgery services would be stifled by the merger. To appease the agency, Ascension has agreed to divest from some centers previously owned by Amsurg.

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healthcare money economics dollar stethoscope acquire merger
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Ascension, FTC reach deal as $3.9B acquisition of Amsurg is finalized

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healthcare money economics dollar stethoscope acquire merger
The buyout, announced last summer, drew the attention of federal regulators at the Federal Trade Commission, concerned that competition for ambulatory surgery services would be stifled by the merger. To appease the agency, Ascension has agreed to divest from some centers previously owned by Amsurg.
READ MORE >

Hospital execs exhorted to lead the affordability movement from the front

The American Hospital Association is out with a set of strategies for making healthcare more affordable—not only within hospitals but also across U.S. healthcare as a whole. The gameplan walks hospital leaders through a number of actionable and achievable aims to which they can contribute.

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executives
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Hospital execs exhorted to lead the affordability movement from the front

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executives
The American Hospital Association is out with a set of strategies for making healthcare more affordable—not only within hospitals but also across U.S. healthcare as a whole. The gameplan walks hospital leaders through a number of actionable and achievable aims to which they can contribute.
READ MORE >

In Other News

Chest pain drug lowers risk of kidney injury after PCI

Treating certain high-risk PCI patients with nicorandil before and after treatment can significantly reduce their risk of contrast-related injuries.

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pills-384846_960_720.jpg
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Chest pain drug lowers risk of kidney injury after PCI

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pills-384846_960_720.jpg
Treating certain high-risk PCI patients with nicorandil before and after treatment can significantly reduce their risk of contrast-related injuries.
READ MORE >

Imaging-related burdens may be keeping some from completing cancer screenings

Targeted interventions could help reduce pre-test anxiety, improve the physical screening experience, and address structural barriers in underserved settings. 

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Lung cancer screening stethoscope
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Imaging-related burdens may be keeping some from completing cancer screenings

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Lung cancer screening stethoscope
Targeted interventions could help reduce pre-test anxiety, improve the physical screening experience, and address structural barriers in underserved settings. 
READ MORE >

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