DOL’s New Fiduciary Rule On Hold, As Judge Grants Insurer Groups’ Request For Injunction

A preliminary injunction, granted Thursday by a federal judge, puts the implementation of the Labor Department's controversial new Retirement Security Rule, set to take effect September 23, on hold until further order of the court.

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Even Slightly Elevated Systolic Blood Pressure Pushes Up Stroke Risk By 20%

If your systolic blood pressure — the top number of your blood pressure reading — consistently edges above normal, new research from the University of Michigan suggests you’re at an increased risk for stroke. A study published in JAMA Open Network found that if a person’s systolic blood pressure hovers 10 points above the 120 mmHg threshold ...

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PBMs Defend Business Practices — But Lawmakers Aren’t Convinced

Lawmakers bashed the business practices of pharmacy benefit managers during a House Committee on Oversight and Accountability hearing Tuesday. When they were asked repeatedly about steering patients, increased drug prices and pharmacy closures, the company executives largely refuted claims thrown at them. Lawmakers were overwhelmingly frustrated with the perceived non-answers given and at one point reminded the ...

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CMS: Insurers To Make $10.3B In 2023 Risk Adjustment Payments

The Centers for Medicare & Medicaid Services (CMS) has released new data on risk adjustment payments for 2023. The agency said (PDF) insurers participating on the Affordable Care Act’s exchanges will pay $10.3 billion as part of the risk adjustment program. Risk adjustment state transfers as a percent of premiums declined from 2022, according to the report. ...

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Poll Reveals Older Americans’ Top Health Care Fear

What weighs most heavily on older adults’ minds when it comes to health care? The cost of services and therapies, and their ability to pay. “It’s on our minds a whole lot because of our age and because everything keeps getting more expensive,” said Connie Colyer, 68, of Pleasureville, Kentucky. She’s a retired forklift operator who ...

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Group Medical Cost Trend To Hit 8% In 2025: PwC

The underlying medical cost trend for employers' group health coverage could stay high in 2025, according to PwC analysts. The analysts are predicting that the medical cost trend will be 8%.

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IRS Finalizes RMD Regulations: Key Takeaways and the 10-Year Rule for Beneficiaries

The IRS issued its highly anticipated final regulations for required minimum distributions on July 19, 2024. These regulations incorporate rules from both the Secure and Secure 2.0 acts.

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Biden’s Fragile Legacy On Health Care

President Biden — who was propelled into office in no small part by his health care agenda — realized Democrats' decades-long dream of allowing Medicare to negotiate prescription drug prices, and came closer to achieving his party's equally elusive goal of universal health coverage than any other Democratic president before him.

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Medical Stop-Loss Premiums Rise 11.5% For Self-Funded Plans

Expensive specialty drugs and ordinary severe claims are pushing the cost of protecting a self-funded employer health plan against catastrophic risk higher.

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Misleading Ads Play Key Role in Schemes to Gin Up Unauthorized ACA Sign-Ups, Lawsuit Alleges

The government is giving away money! So say ads on a variety of social media platforms. Consumers, the ads claim, can qualify for $1,400 or even $6,400 a month to use on groceries, rent, medical expenses, and other bills. Some mention no-cost health insurance coverage. But that’s not the whole story. And here’s the spoiler — no one ...

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