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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.

How Health Systems Are Bracing For Tariffs

As the Trump administration moves forward with sweeping tariffs aimed at increasing U.S. manufacturing, health systems are ramping up efforts to protect patients from potential effects. At Renton, Wash.-based Providence, COO Darryl Elmouchi, MD, said the health system has implemented a supply chain risk management program to help prepare for challenges with respect to tariffs. ...

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Armed With Pricing Data, Employers May Confront New Legal Obligations When Selecting Health Plans

National pricing data show the cost of healthcare services varies greatly by payer, geography, setting and facility, presenting new fiduciary considerations for employers. Since 2022, health plans have been required to release machine-readable files disclosing negotiated rates of healthcare services with providers. Hospitals are also required to release the costs of shoppable services. Data analytics ...

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Big Pharma Has a New Vision for Selling Drugs. It’s Going to the Mattresses

Amid pressure from the White House, U.S. drug companies are experimenting with direct-to-consumer sales models that cut out the middlemen.

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GoodRx and Novo Nordisk: A Strategic Alliance Reshaping Diabetes Drug Pricing and Market Access

The partnership between GoodRx and Novo Nordisk represents a seismic shift in the diabetes drug sector, redefining pricing power and market access for GLP-1 receptor agonists (GLP-1RAs). By slashing the cash price of Ozempic and Wegovy to $499 per month for self-paying patients, the collaboration not only addresses affordability gaps but also positions both firms ...

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Trump Orders Stockpiling Of Advanced Drug Ingredients

President Trump on Wednesday ordered his health officials to secure a six-month supply of advanced pharmaceutical ingredients for drugs the administration determines are critical for national health and security. Why it matters: The move continues efforts started during the Biden administration to reshore the medical supply chain and reduce the reliance on overseas manufacturers, especially China. The government ...

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Chase Study: How Small Businesses Are Thinking About Health Benefits In An Uncertain Economic Environment

As small businesses navigate an uncertain economic environment, many are still looking to expand or maintain their health benefit offerings, according to a new report from Chase. The report surveyed 563 small business owners in June for the annual midyear check-in on their business and found that 80% currently offer health coverage for their employees, with half ...

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Insurers Vow To Speed Up Prior Authorizations With AI, New Data Standards

Employers have been asking health insurers for years to speed up and simplify efforts to screen workers’ requests for coverage for CAT scans, specialty drugs and stomach operations. Insurers told state insurance regulators Tuesday that, this time around, they think they really can make prior authorization processes work better. New data standards and new artificial ...

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Hospitals’ Net Operating Revenue Rises 7%: What It Means For Employer Health Costs

U.S. hospitals’ revenue and operating margins looked a lot better in the first half of this year than in the first half of 2024, according to Strata Decision Technology hospital financial system data compiled by Kaufman Hall, a Vizient company. Hospitals’ overall revenue was 7% higher in the first half than in the comparable period in ...

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It’s Almost Flu Season. Should You Still Get a Shot, and Will Insurance Cover It?

For parents of school-aged children, the fall to-do list can seem ever-growing. Buy school supplies. Fill out endless school forms. Block off parent-teacher nights. Do the kids’ tennis shoes still fit? Somewhere, at some point, you might remember flu shots. Get your flu shot. Get their flu shots. Or should you? Can you? Is that still a ...

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ACA Premiums Set To Spike

People who buy health insurance through the Affordable Care Act (ACA) are set to see a median premium increase of 18 percent, more than double last year’s 7 percent median proposed increase, according to an analysis of preliminary filings by KFF.

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