California 2026 Governor Hopefuls Come Out Strong For Single-Payer Health Care

Four California governor hopefuls made big promises on single-payer health care but skimped on details Sunday during a candidate forum at a health workers’ union conference in San Francisco.

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California’s New Pet Insurance Law Adds Some Tough Coverage Requirements

California now has a new pet health insurance law that could serve as a laboratory showing what happens when the government adds coverage requirements to what has been a largely unrelated market. Gov. Gavin Newsom, a Democrat, today signed a pet insurance bill introduced by state Sen. Steven Glazer, D-Orinda, Calif., that’s based heavily on a model developed by the ...

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California Governor Signs Law Banning Medical Debt From Credit Reports

Californians with medical debt will no longer have to worry about unpaid medical bills showing up on their credit reports under legislation signed Tuesday by Gov. Gavin Newsom, adding the nation’s most populous state to a growing effort to protect consumers squeezed by unaffordable medical bills. The bill, by Sen. Monique Limón (D-Santa Barbara) and backed by ...

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Employer Group Calls For Pharmacy Benefit Managers To Be Fiduciaries

The ERISA Industry Committee, a group for employers with self-funded benefit plans, says Congress should make pharmacy benefit managers fiduciaries. ERIC notes that its own employer members have been fiduciaries for decades.

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Employees Prioritize Better Health Benefits Over Higher Salary, Survey Finds

Nearly 3 in 4 employed Americans would accept a job with a slightly lower salary if it offered better health care and medical coverage, including lower premiums and out-of-pocket costs, a new Voya Financial survey found.

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Understanding ACA Medical Loss Ratio (MLR) Rebate Requirements and Employer Option

MLRs are calculated based on calendar year spending. If insurers fail to meet the required thresholds, they must rebate premiums to policyholders by September 30th of the following year.

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IRS Updates Affordable Care Act Premium Tax Credit Guide

The Internal Revenue Service has updated an important employee benefits tax compliance document: a list of answers to frequently asked questions about how to apply the rules for the Affordable Care Act premium tax credit.

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Analysts Say Market Forces Will Lower Cost Of Obesity Drugs

The CEO of Novo Nordisk is set to appear before a Senate panel Tuesday to be grilled on the high cost of Ozempic and Wegovy, the popular drugs used to treat diabetes and obesity. But health economists say it’s unlikely that congressional pressure will be the driving force to get the prices down. Sen. Bernie ...

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Challenge To U.S. Drug Price Negotiation Program Revived By Appeals Court

A U.S. appeals court revived a lawsuit on Friday by healthcare and drug industry groups challenging the first-ever U.S. law requiring pharmaceutical companies to negotiate drug prices with the government’s Medicare health insurance program that covers 66 million people. The decision from the New Orleans-based 5th U.S. Circuit Court of Appeals did not address the ...

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Federal Trade Commission Sues Largest Drug Middlemen For Allegedly Inflating Insulin Prices

The Federal Trade Commission took action Friday against the nation’s three largest pharmacy benefit managers, accusing the companies of artificially inflating insulin list prices that resulted in patients paying more for the medications. The agency alleges that CVS Health’s Caremark Rx, Cigna’s Express Scripts and UnitedHealth Group’s Optum Rx and their affiliated group purchasing organizations ...

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