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Moody’s Ratings downgraded its assessment of the health insurance sector from "stable" to "negative" on Friday. High medical costs and utilization are expected to continue challenging Medicare Advantage, Medicaid and commercial insurance carriers this year, Moody’s Ratings projects. A report published Friday cites inflation, pharmaceutical spending and higher mental health utilization as headwinds. (Berryman, 2/4)

Baystate Health has eliminated 98 corporate positions, or less than 1% of its workforce, as part of a larger cost-cutting initiative, the system said Tuesday. The Springfield, Massachusetts-based system also eliminated 134 leadership roles in November as part of an overall six-year, $1.2 billion investment plan. In both rounds of job cuts, some of the affected positions were vacant. (DeSilva, 2/4)

Some health providers across the Tricare East Region have gone unpaid since the beginning of the year, leading them to wonder whether they can continue to treat military members or their families. Mental health counselors, physical therapists, autism specialists and others say they haven't been paid since Dec. 31, when Humana Military, the contractor for Tricare East, switched claims processing companies. (Kime, 2/4)

Testing results show elevated levels of Legionella bacteria at a Catonsville psychiatric hospital, a spokesman for the Maryland Department of Health confirmed Tuesday. Some of the hospital’s showers are shut down pending treatment for the bacteria. (Bazos, 2/4)

New ambulatory facilities are a hot ticket among hospitals and health systems of all sizes, and providers are tapping into a variety of sources to foot the bill. Providers have for years sought to meet patient demand for lower-cost ambulatory services, and the need for facilities to house those services has only grown with an aging population. To stay relevant, providers need to funnel their capital toward ambulatory care. (Hudson, 2/4)

In a boost for one of the largest clinical research organizations in the U.S., the officials who oversee an international treaty governing endangered species voted to defer a recommendation to suspend shipments of long-tailed macaques — which are regularly used in medical research — from Cambodia. (Silverman, 2/4)