2+ hour, 48+ min ago  (875+ words) In healthcare, partnerships between insurers and physicians are often announced with optimism and framed as transformative, yet many fail to achieve sustained alignment due to competing incentives. In 2024, Independence Blue Cross and Philadelphia-based Rothman Orthopaedic Institute extended their value-based care…...

1+ day, 6+ min ago  (195+ words) Smith+Nephew has agreed to settle a potential class-action lawsuit regarding the managed account fees for its 401(k) plans." In an amendment complaint, the plaintiffs alleged that Smith+Nephew improperly utilized forfeited 401(k) plan assets, paid unreasonable compensation for plan's planning and…...

2+ mon, 3+ day ago  (654+ words) Spine surgeons are bracing for a shift after Democratic proposal and a Republican alternative addressing ACA subsidies recently failed to pass a Senate vote. Senate Democrats advocated for a three-year ACA tax credit extension, and Republicans" alternative focused on health…...

2+ mon, 1+ week ago  (162+ words) New York City-based Hospital for Special Surgery has entered into a new agreement with EmblemHealth." With the New York City Employees PPO health plan set to go live Jan. 1, the agreement will allow eligible employees to receive care at HSS,…...

4+ mon, 1+ week ago  (294+ words) Some Aetna members who had lumbar disc replacement coverage denied could be entitled to up to $55,000 after the insurer reached a settlement in a yearslong class-action case, according to court documents filed Oct. 8. The settlement stems from a 2019 lawsuit that…...

4+ mon, 3+ week ago  (417+ words) At an average of $543,000 per year, orthopedic surgeons lead the physician pay scale in 2025 " but pay fell 3% year over year, signaling the specialty's longheld lead may be beginning to recede." A key factor is Medicare's 2.83% physician fee schedule cut for…...

6+ mon, 1+ week ago  (183+ words) Healthcare real estate company Montecito Medical has acquired an orthopedic medical office building and surgery center in Warwick, R.I. The 67,186-square-foot center is leased to Ortho Rhode Island, a physician-owned orthopedic practice, and Spire Orthopedics, the largest orthopedic platform in the…...

7+ mon, 4+ day ago  (525+ words) CMS is floating changes to the physician fee schedule for 2026, including two separate conversion factors and a 3.6% increase in physician pay. The July 14 proposal includes a conversion factor for qualifying alternative payment model participants and another for non-QPs. The QP…...