CEO Mark Bertolini: Oscar Health To Exit California’s ACA Exchange In 2024

Oscar Health will pull out of California’s individual market for the 2024 plan year, CEO Mark Bertolini told investors Tuesday. “We’re announcing today that we have decided to pause our participation in the California individual market for plan year 2024, as the plan has not met our targets,” Bertolini said on the insurtech’s earnings call. ...

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California’s Governor Says State’s Budget Deficit Has Grown To Nearly $32 Billion

California's budget deficit has grown to nearly $32 billion, Gov. Gavin Newsom announced Friday, saying the state's challenges are partly due to high federal inflation rates and the state's decision to let some people delay filing their taxes after winter storms.

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Senate Panel Advances Drug Pricing Bills, Including PBM Reforms

A key Senate panel advanced a package of bipartisan bills aimed at improving generic drug competition and reforming the business practices of pharmacy benefit managers (PBMs).

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Medicaid Unwinding And The Impact On Group And Individual Health Insurance Markets

The Families First Coronavirus Response Act (FFCRA), signed into law in March 2020, created the first major lifeline for Americans during the onset of the COVID-19 pandemic. It particularly addressed the immediate needs of working Americans who had suddenly lost their paychecks and/or their jobs – and their subsequent eligibilities for health insurance. Now that ...

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Million Dollar Claims Increasing Among Employer Plans

Million dollar claims per million covered employees rose 15% in the past year and 45% over the past four years, according to a new report from Sun Life. And one-fifth of employers had at least one member with more than $1 million in claims from 2018 through 2021. For self-funded employers, average cost is a good starting ...

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As COVID-19 Recedes, Payers Face Changed Coverage Landscape

There will never be a return to a pre-pandemic normal in terms of what health insurers, self-insured employers and other payers must cover, but they will in some ways be less burdened as COVID-19 recedes, according to Jeff Levin-Scherz, M.D., the population health leader for health and benefits in North America at Willis Towers Watson. ...

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More Companies Try To Lure Workers With Benefits

Over a year of rapid wage growth has U.S. companies turning to enhanced benefits to attract and retain workers. Mentions of employee benefits in job postings on ZipRecruiter soared to the highest rates on record, according to an analysis by the jobs site. A greater share of positions offered benefits like health insurance, paid time off and ...

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Union Workers At 5 California HCA Hospitals Vote To Strike

About 3,000 union healthcare workers have authorized a strike for May 22 across five HCA Healthcare facilities in California, according to an announcement from their union released Friday afternoon. The demonstrations are scheduled to run for five days at HCA Good Samaritan Hospital and HCA Regional Medical Center, both of which are in San Jose; ...

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Medicare Spending Could Increase $2 To $5 Billion If Coverage Expands For Lecanemab

Medicare annual spending on lecanemab's medication costs alone would place it among the most expensive Part B medications.

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Sorry, The Government’s Not Paying For Your Therapy App

New treatments for chronic conditions like opioid addiction, ADHD and insomnia are here and they’re on your smartphone — not in a pill bottle. But the government won’t pay for them, even as tech entrepreneurs insist to Congress and the Biden administration that their digital therapeutics are the next big thing. Though the Food and ...

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