U.S. Uninsured Rate Was Stable in 2023, Even as States’ Medicaid Purge Began

The proportion of Americans without health insurance remained stable in 2023, the Census Bureau reported Tuesday, close to the record low the Biden administration achieved in 2022 through expansions of public programs, including the Affordable Care Act. About 8% of Americans were uninsured, a statistically insignificant increase of just 0.1 percentage point from a year earlier. ...

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House Republicans Stand Firm On Association Health Plans

Republicans voted Wednesday morning in favor of a resolution disapproving of a Biden administration rule limiting access to association health plans. With a vote of 23-12, House Committee on Education and the Workforce members offered support for association health plans, a provision that is supported by some organizations such as the National Federation of Independent ...

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Medicare Advantage Customers Face Shrinking Pool of Insurers

Medicare Advantage plans have been successful in enrolling Medicare beneficiaries and delivering to those clients. Despite this, some insurers are downsizing their share of the market and hospitals are canceling or not renewing their contracts to serve plan members – leaving enrollees in the lurch. In recent months, Humana, CVS and some smaller insurers announced ...

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California May Regulate and Restrict Pharmaceutical Brokers

California Gov. Gavin Newsom will soon decide whether the most populous U.S. state will join 25 others in regulating the middlemen known as pharmacy benefit managers, or PBMs, whom many policymakers blame for the soaring cost of prescription drugs. PBMs have been under fire for years for alleged profiteering and anticompetitive conduct, but efforts to ...

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‘Vaccine Fatigue’ Blamed As Roughly Half Of People In U.S. Will Skip COVID And Flu Shots This Year

A growing number of U.S. adults are hesitant to get recommended vaccines this fall, a new survey found. The poll, which included 1,006 people, found that only 43% of respondents have gotten or plan to get the COVID vaccine. Only a slight majority (56%) of adults said they have gotten or plan to get the flu shot this ...

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ERISA Proponents Roll Out Laundry List Of Desired Improvements

More than 50 years after the Employee Retirement Income Security Act (ERISA) was signed into law, a House hearing Sept. 10 delved into ways to protect and improve the legislation. Expert witnesses emphasized the importance of the law and legislation they think would bolster the underlying strength of ERISA. Lawmakers and witnesses approved of ERISA ...

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Hospitals Decry Proposed 2.6% Medicare Pay Bump, Urge CMS To Strike Maternal Health Requirements

Beyond their calls for increased outpatient payments, hospitals are urging the Biden administration to reconsider a plan for new care requirements that they say would “inadvertently reduce access to vital obstetrical services.” In July, the Centers for Medicare and Medicaid Services (CMS) released its Calendar Year 2025 Outpatient Prospective Payment System (OPPS) and ASC Payment ...

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People Who Exercise Have Healthier Belly Fat, New Study Finds

There are lots of good reasons to exercise that have nothing to do with weight loss. Now, science has found yet another one: It turns out that a regular exercise habit can make your fat tissue healthier. And that, in turn, keeps you healthier. To find out how exercise impacts fat tissue, researchers at the University ...

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White House Announces Rule That Would Cut Insurance Red Tape Over Mental Health And Substance Use Disorder Care

The Biden administration announced a final rule on Monday meant to expand access and lower costs for care for mental health and substance use disorders. Most provisions in the rule will apply to group health plans and health insurance issuers for plan years starting January 1 or after. Under this rule, mental health and substance use ...

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57 Million Eligible For GLP-1 Drug Coverage In U.S. And That’s Just Those Under 65

At least two in five U.S. adults — or more than 57 million people – under the age of 65 with “private insurance could be eligible under clinical criteria for GLP-1 drugs,” a new analysis shows. KFF, formerly known as the Kaiser Family Foundation, said that 42% of U.S. adults could be covered by health insurers ...

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