Sunday, Nov. 8, 2026
PBM crackdown enters new chapter as new mandates approach
New federal rules and settlements are disrupting leading pharmacy benefit managers, but new requirements will be phased in over many years.
Read more →
Large health systems are feeling the pinch from new federal policy
Health system executives shared their outlook for the rest of the year during last week’s third-quarter earnings calls.
Why CVS is breaking up its pharmacy empire now
CVS is splitting off its retail pharmacies as lawmakers intensify scrutiny of vertically integrated insurers, PBMs and pharmacy owners.
CMS cuts Medicare physician payments for 2027
CMS will reduce Medicare physician payments in 2027 while revising same-day procedure reimbursement and adding incentives tied to accountable care.
Here’s what to expect on healthcare from a Democratic Congress
The Democratic takeover of Congress will revive fights over Medicaid cuts, insurance subsidies and healthcare affordability.
How 3 health systems are exploring new AI use cases
Mass General Brigham, Cleveland Clinic and UH Cleveland Medical Center are exploring new ways to use AI in future clinical care.
Medicare hospital outpatient pay to rise 2.3% in 2027
The outpatient payment rule pairs small Medicare rate increases with deeper 340B drug cuts and broader site-neutral reimbursement policies.
What did you think of today's newsletter? Your feedback helps us improve.
View Online | Customer Service | Privacy Policy | Manage Preferences | Unsubscribe
Crain Communications Inc
130 E. Randolph St. Suite 3200 | Chicago, IL, 60601 | United States
©2026 Modern Healthcare
