Month: August 2025
Voya has bad news for employers with fully insured health plans that want to avoid big cost increases by shifting to self-insured plans: Rates for stop-loss insurance will also go up. A lot.
In response to recent federal legislation that cuts billions of dollars to Medicaid, Santa Clara County supervisors on Thursday unanimously voted to add a ballot measure to November’s special election that would increase local sales tax by five-eighths of a cent (0.625%) for five years to try to backfill some of the projected lost federal ...
Kaiser Permanente closed its second quarter of the year with a billion dollars of operating income and a $3.3 billion bottom line—but operating headwinds on the horizon have leadership taking a hard look at the health system’s cost structure and potential efficiencies. The quarter’s performance is a step ahead of last year, when the integrated ...
When President Donald Trump signed a law adding work requirements for some Medicaid recipients, he may have undercut lawmakers in at least 14 states who were designing their own plans, according to health industry observers. Georgia is the only state with a work requirement in place for Medicaid, but several states have been pursuing such ...
The drug price negotiation program has withstood another procedural effort in striking down one of the Inflation Reduction Act’s most significant provisions. In the U.S. Court of Appeals for the 6th Circuit, a panel of judges upheld (PDF) a lower court’s decision to dismiss the lawsuit. A judge dismissed the lawsuit last year, saying most of the ...
A new analysis from KFF and Health Management Associates takes a dive into prior authorization practices for Medicaid managed care organizations. The study polled state programs on policies in place as of July 2024 and found that more than half of the 36 states that responded required that insurers make “standard” prior auth determinations within seven days ...
House Democrats are sounding the alarm and demanding more information about a new Department of Health and Human Services (HHS) demonstration they say will increase red tape by adding prior authorization requirements in Medicare. Led by Reps. Suzan DelBene (D-Wash.) and Ami Bera (D-Calif.), a group of 17 Democrats questioned why HHS would want to test adding prior authorization ...
Bread has been getting a bad “wrap.” Blamed for inflammation, blood sugar spikes, weight gain, type 2 diabetes and even poor mental health, bread has been left behind by many people. But experts say there can be room for it in our diets – and that it can even be beneficial. “You can enjoy a sandwich and ...
Nevadans who get medical insurance through Nevada Health Link may see their premiums rise dramatically next calendar year, new data released by the state suggests. Nevada Health Link, formally known as the Silver State Health Insurance Exchange, is the state’s Affordable Care Act marketplace. The Nevada Division of Insurance on Thursday announced that carriers offering ...
A new study by Madaket Health found that insured Americans delay or skip essential health care due to rising costs and complexity of coverage. Many younger Americans are actually going out of their way to pay for care themselves.