Health Exec

Health Exec Health Exec is an information resource providing strategic planning intelligence for C-suite hospital executives.

HealthExec.com is an information resource providing strategic planning intelligence for C-suite hospital executives.

White House official promises announcement in ‘coming days’ on healthcare, as Trump preps for nationwide tour. ...
11/19/2025

White House official promises announcement in ‘coming days’ on healthcare, as Trump preps for nationwide tour.

The source told Reuters an announcement is coming but provided no specifics. Meanwhile, Republican senators have begun drafting legislation to distribute payments directly to Americans for the purpose of buying insurance—an idea Trump floated in a social media post.

Colorado law barring medical debt from credit reports faces federal challenge from trade lobby. The group argues that th...
11/18/2025

Colorado law barring medical debt from credit reports faces federal challenge from trade lobby. The group argues that their First Amendment rights are being violated.

While the law sunsets in 2028, ACA International and the debt collector Creditors Bureau USA are not waiting. They filed a lawsuit in federal court arguing that Colorado is illegally restricting free speech, in violation of the First Amendment.

Former COO of UnitedHealthcare Subsidiary Optum Health Promoted to CEO in leadership reshuffle.
11/18/2025

Former COO of UnitedHealthcare Subsidiary Optum Health Promoted to CEO in leadership reshuffle.

Krista Nelson made the official announcement on LinkedIn. She replaces Patrick Conway, MD, CEO of the broader Optum, who had held dual roles. Nelson has been with UnitedHealthcare since 2017.

Nebraska’s lawsuit against UnitedHealth, Optum and Change Healthcare can move forward, judge rules.
11/17/2025

Nebraska’s lawsuit against UnitedHealth, Optum and Change Healthcare can move forward, judge rules.

The UnitedHealth Group subsidiaries had attempted to have the case dismissed. However, a court rejected the motion. Nearly half of Nebraskans were impacted by the infamous February 2024 data breach on Change Healthcare.

Fabric acquires UMC Digital Health to expand its virtual care customer base, which includes 400 payers health systems an...
11/17/2025

Fabric acquires UMC Digital Health to expand its virtual care customer base, which includes 400 payers health systems and employers.

The financial terms were not disclosed. The acquisition adds 400 new payers, health systems and employers who offer virtual care benefits to Fabric's portfolio.

Cybersecurity researcher provides more details on $200K ransom pinned on Doctors Alliance. .net
11/14/2025

Cybersecurity researcher provides more details on $200K ransom pinned on Doctors Alliance.

.net

The outlet DataBreaches.net was able to gather more details on the alleged hack on the healthcare billing automation platform, said to be perpetrated by a notorious cybercriminal.

A user calling themselves "Kazu" posted a sample of a stolen data trove on a dark web forum, which was discovered by cyb...
11/13/2025

A user calling themselves "Kazu" posted a sample of a stolen data trove on a dark web forum, which was discovered by cybersecurity researchers. The victim, identified as Doctor Alliance, has not confirmed a data breach occurred. Ransom has been set for $200K.

A user calling themselves "Kazu" posted a sample of the data trove on a dark web forum, which was discovered by cybersecurity researchers. The company has not confirmed a data breach occurred.

House Democrats push for last-ditch amendment to protect ACA subsidies for 3 years. But does it stand a chance? ...
11/12/2025

House Democrats push for last-ditch amendment to protect ACA subsidies for 3 years. But does it stand a chance?

With the U.S. Senate passing a funding agreement to reopen the federal government, the House of Representatives will now have a chance to make changes—though there’s little chance this particular amendment will succeed.

President Donald Trump’s administration argues that their “WISeR” model will eliminate unnecessary testing and save Medi...
11/11/2025

President Donald Trump’s administration argues that their “WISeR” model will eliminate unnecessary testing and save Medicare money. But eight Democrats opposing it think it will only bring Medicare Advantage chaos to Part A and Part B.

President Donald Trump’s administration argues that their “WISeR” model will eliminate unnecessary testing and save Medicare money. But eight Democrats opposing it think it will only bring Medicare Advantage chaos to Part A and Part B.

Republicans win shutdown showdown—Senate agrees to funding deal without ACA subsidy extension.
11/11/2025

Republicans win shutdown showdown—Senate agrees to funding deal without ACA subsidy extension.

With eight Democrats agreeing to the Republican-backed deal that reverses the firings of federal workers, the Senate now has the 60 votes needed for the bill to advance. The rehirings will include the 1,200 workers fired at the Department of Health and Human Services.

UnitedHealthcare ends reimbursement for most remote patient monitoring, despite Medicare’s growing acceptance. The chang...
11/10/2025

UnitedHealthcare ends reimbursement for most remote patient monitoring, despite Medicare’s growing acceptance. The change impacts MA and commercial plans. #2026

Starting in 2026, patients covered by UnitedHealthcare's Medicare Advantage and commercial plans will not have care reimbursed for instances of remote patient monitoring unless they have diagnosed heart failure or are pregnant and experiencing hypertension. The shift stands at odds with traditional....

Health IT company Innovaccer will analyze claims data from over 2 million people enrolled in Medi-Cal. The data will be ...
11/10/2025

Health IT company Innovaccer will analyze claims data from over 2 million people enrolled in Medi-Cal. The data will be used for compliance reporting and to improve patient care coordination.

The company will analyze claims data from over 2 million people enrolled in Medi-Cal. The data will be used for compliance reporting and to improve patient care coordination.

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