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Industry Updates

This broad category includes articles concerning health insurance costs, carrier and health plan news, changing benefits technology, and surveys by the Kaiser Family Foundation and others on employee benefits.

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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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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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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Why Millions Are Trying FDA-Authorized Alternatives to Big Pharma’s Weight Loss Drugs

Pharmacist Mark Mikhael has lost 50 pounds over the past 12 months. He no longer has diabetes and finds himself “at my ideal body weight,” with his cholesterol below 200 for the first time in 20 years. “I feel fantastic,” he said. Like millions of others, Mikhael credits the new class of weight loss drugs. ...

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Drug Middlemen Are Pushing Patients To Pay For More Expensive Drugs, House Investigation Found

Pharmacy-benefit managers (PBMs) are steering patients toward more expensive drugs and limiting where they can get them, according to a new report from the House Committee on Oversight and Accountability. The report, viewed by the Wall Street Journal, followed a 32-month investigation by the committee ahead of a hearing on PBMs involving executives from the nation’s largest ...

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Health System’s Tech Vulnerabilities Exposed Again

The CrowdStrike internet meltdown that wrecked havoc with some health systems’ procedures and billing on Friday could be a harbinger of future threats and disruptions to medical facilities, experts said. Why it matters: The U.S. health system is still dealing with fallout from the massive Change Healthcare ransomware attack and other incidents that have underscored the sector’s reliance on a few key ...

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U.S. News Releases 2024-2025 Best Hospitals Rankings, Adds MA, Outpatient Outcomes To Methodology

U.S. News & World Report is out with its latest ranking of the country’s best hospitals, this time with the addition of data on Medicare Advantage-covered patients and much more outpatient care encounters than in years past. The closely watched 2024-2025 list, which reviews data for over 4,500 of the nation’s hospitals, designates 466 of these ...

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