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News You Need to Know Today
CMS sued by more insurers over Medicare Advantage ratings | 5 questions for healthcare policymakers | $18M malpractice award
Thursday, July 16, 2026
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Today's News and Trends

Two more insurers sue CMS over Medicare Advantage star rating methodology

The lawsuits come days after Elevance Health filed a complaint of its own, asking a court to compel the Centers for Medicare & Medicaid Services to remain consistent in how it doles out stars.

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Two more insurers sue CMS over Medicare Advantage star rating methodology

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quality excellence star stethoscope
The lawsuits come days after Elevance Health filed a complaint of its own, asking a court to compel the Centers for Medicare & Medicaid Services to remain consistent in how it doles out stars.
READ MORE >

5 of 10 questions policy researchers—and all healthcare stakeholders—should be asking this year and next

In healthcare policymaking, priorities are like flaming swords to a circus juggler. It’s easy to take on one too many—and overlook the overreach until a burn or laceration halts the show. The word picture is suggested between the lines of a peer-reviewed paper published this month. 

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framework for regulating healthcare artificial intelligence
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5 of 10 questions policy researchers—and all healthcare stakeholders—should be asking this year and next

Share on Twitter Share on Facebook Share on Linkedin
framework for regulating healthcare artificial intelligence
In healthcare policymaking, priorities are like flaming swords to a circus juggler. It’s easy to take on one too many—and overlook the overreach until a burn or laceration halts the show. The word picture is suggested between the lines of a peer-reviewed paper published this month. 
READ MORE >

Jury awards family $18.2M after ‘never maneuver’ leaves child paralyzed for life

The incident happened in 2019 at a WakeMed hospital in Raleigh, North Carolina. Both the facility and the physician who performed the maneuver during the birth of Naqah Lake were found by a jury to be liable for the boy’s injuries. The verdict sets a record for the county.

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Jury awards family $18.2M after ‘never maneuver’ leaves child paralyzed for life

Share on Twitter Share on Facebook Share on Linkedin
medical malpractice money
The incident happened in 2019 at a WakeMed hospital in Raleigh, North Carolina. Both the facility and the physician who performed the maneuver during the birth of Naqah Lake were found by a jury to be liable for the boy’s injuries. The verdict sets a record for the county.
READ MORE >

Featured Articles

About that baby who ‘came back to life’ in a hospital morgue: 5 representative reactions

Forensic pathologist watching from afar: “It’s possible that the doctor didn’t have much experience with the ‘warm and dead’ rule for child drowning cases, or that hospital protocols for declaration of death were not followed—or both.”

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morgue
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About that baby who ‘came back to life’ in a hospital morgue: 5 representative reactions

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morgue
Forensic pathologist watching from afar: “It’s possible that the doctor didn’t have much experience with the ‘warm and dead’ rule for child drowning cases, or that hospital protocols for declaration of death were not followed—or both.”
READ MORE >

5 informal identities essential to success for the modern med-school dean

Leaders of academic hospitals and deans of their affiliated medical schools often rely heavily on each other, and theirs is not a relationship of convenience. 

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5 informal identities essential to success for the modern med-school dean

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college dean
Leaders of academic hospitals and deans of their affiliated medical schools often rely heavily on each other, and theirs is not a relationship of convenience. 
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FTC settles with Caremark as lawsuit against ‘big three’ PBMs winds down

Much like the agreement the agency made with Express Scripts, CVS Health’s Caremark will be required to recognize purchases made through TrumpRx, the federal government’s direct-to-consumer pharmaceutical marketplace.

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FTC settles with Caremark as lawsuit against ‘big three’ PBMs winds down

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Federal Trade Comission FTC Sign logo
Much like the agreement the agency made with Express Scripts, CVS Health’s Caremark will be required to recognize purchases made through TrumpRx, the federal government’s direct-to-consumer pharmaceutical marketplace.
READ MORE >

Let’s say you witness—or experience—a psychiatric emergency. Who you gonna call?

Pop quiz. What 3-digit number would you call if a mental-health crisis were unfolding right in front of you? 

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Let’s say you witness—or experience—a psychiatric emergency. Who you gonna call?

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suicide prevention depression
Pop quiz. What 3-digit number would you call if a mental-health crisis were unfolding right in front of you? 
READ MORE >

In Case You Missed It

Clinical practice guidelines lack value-conscious considerations

Most medical societies urge their clinical-guidance developers to include cost data alongside care recommendations. Yet less than a quarter of published advisements—22.5%—contain evidence-based discussions on economic considerations or resource consumption. 

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cost value
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Clinical practice guidelines lack value-conscious considerations

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cost value
Most medical societies urge their clinical-guidance developers to include cost data alongside care recommendations. Yet less than a quarter of published advisements—22.5%—contain evidence-based discussions on economic considerations or resource consumption. 
READ MORE >

Is the No Surprises Act working? Government watchdog is uncertain

The nonpartisan Congressional Budget Office said it needs more data to determine what savings the 2020 law is bringing to the U.S. healthcare system—but early data indicate it falls short of expectations.

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hospital pricing rand corporation
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Is the No Surprises Act working? Government watchdog is uncertain

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hospital pricing rand corporation
The nonpartisan Congressional Budget Office said it needs more data to determine what savings the 2020 law is bringing to the U.S. healthcare system—but early data indicate it falls short of expectations.
READ MORE >

In Other News

Physician lawmakers introduce bipartisan fix for radiologist Medicare pay woes

Members of the Democratic and GOP Doctors Caucuses are proposing the Patients First Act, bolstering incentives to save independent practices and “reversing decades of consolidation.” 

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Congress Senate Washington D.C. DC
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Physician lawmakers introduce bipartisan fix for radiologist Medicare pay woes

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Congress Senate Washington D.C. DC
Members of the Democratic and GOP Doctors Caucuses are proposing the Patients First Act, bolstering incentives to save independent practices and “reversing decades of consolidation.” 
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The crisis continues: Nearly 90% of deaths from ischemic heart disease could have been prevented

There has been progress over the years, researchers noted, but there is still a lot of work to do. 

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women doctors
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The crisis continues: Nearly 90% of deaths from ischemic heart disease could have been prevented

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women doctors
There has been progress over the years, researchers noted, but there is still a lot of work to do. 
READ MORE >

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