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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.

U.S. Delays Small Imports Rule That Raised Alarm Over Prescription Drug Costs

The US government has delayed by 90 days implementation of new customs requirements for small international ‌mail shipments, a move that should forestall higher prices for imported prescription drugs and other products for inflation-weary Americans until after the November midterm elections. The US Customs and Border Protection rule targets the de minimis tariffs exemption, which ...

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NABIP Seeks Injunctive Relief Against HHS and CMS Over Marketplace Moratorium Affecting Nearly 19,000 Agents and Brokers

The NABIP today filed suit against the Department HHS and CMS, challenging a new rule and policy that, together, prevent thousands of health insurance agents and brokers from participating in the ACA Marketplace during the Open Enrollment period beginning next month.

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Nevada Health Link Plans Will See Double-Digit Rate Increases … Again

Healthcare costs are continuing to rise. Nevadans who get insurance through Nevada Health Link, the state-based Affordable Care Act marketplace, can expect to see an average rate increase of 17% for 2027 coverage. The Nevada Division of Insurance announced the approval of the rate increases last week. It marks the second year of double-digit rate ...

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IRS Moves To Tighten ACA Subsidy Access

A new draft regulation would tighten access to health insurance exchange subsidies as federal agencies continue implementing President Donald Trump’s tax law. The IRS issued a proposed rule Wednesday that would set stricter definitions of who qualifies for tax credit subsidies, toughen eligibility verification requirements and narrow access to financial assistance for noncitizens. This regulation ...

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Cutting Pharmacy Costs At Prescribing

The high cost of prescription drugs is one of the factors driving up U.S. employer health care costs. Employers have spent years adjusting formularies, negotiating pharmacy contracts and introducing programs meant to manage utilization. Those efforts still matter, but many of them come into play after a treatment decision has already been made. An employer ...

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Can California Fix Its Insurance Crisis? Candidates Debate As Election Day Nears

State Sen. Ben Allen, D-Santa Monica, and former San Francisco Supervisor Jane Kim both agree that California’s property insurance market needs fixing. But in a debate Thursday, the candidates for the state’s next insurance commissioner showcased what is a defining difference in their race: How far they want that change to go. “The truth is ...

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The Cost Of Drugs From Canada Is Set To Soar For Millions Of Americans Because Of A Federal Rule

Millions of Americans who buy cheap drugs from Canada could soon lose access when a customs rule goes into effect later this month, a change that has sparked opposition from Democrats and some Republicans with the cost of living a top issue for voters ahead of midterm elections. The rule applies to a swath of ...

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FTC Cracks Down On Hidden Hospital Fees

Hospitals that comply with federal price transparency rules could still violate consumer protection law if the information they provide leaves patients with a misleading understanding of their costs, the Federal Trade Commission warned. FTC Chairman Andrew Ferguson sent letters Oct. 5 to 24 of the nation’s largest health care services companies, urging them to review ...

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AI, Tech Leaders Are Lobbying Trump Health Officials in a Government-Run Chat Room

A cadre of elite techies, financiers, and high-level Trump administration officials have spent a year quietly charting an extraordinary and rapid campaign to persuade Americans to use apps and other artificial intelligence-powered tools to manage their healthcare and medical records. As that campaign has unfolded, administration officials have granted tech companies an unusual opportunity to ...

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Why Insurers See Risk In The New Price Transparency Rule

Federal regulators finalized a rule requiring insurers to clean up their pricing files in as soon as five months. Compliance will cost insurers nearly $400 million upfront, though HHS projects $174.5 million in annual savings after that.

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