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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.

Wages Haven’t Kept Pace With Premium Hikes: Study

Wages have not been able to offset the rising costs of premiums for workers with employer-sponsored coverage over the last three decades, with Black and Hispanic employees hit particularly hard by this development, according to a study in JAMA Network Open. One possible remedy would be for companies to base premiums on how much individuals get paid; with those ...

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Top Trends For Payers, Providers And Health Tech Companies To Watch

We’ve closed the books on another hectic J. P Morgan Healthcare Conference where investors, executives, startup founders and reporters all battle rain, hail, and in this year’s case, flight disruptions to be at one of the top industry events. The conference included presentations from industry incumbents like Mayo Clinic, Walgreens, CVS and Cigna as well as smaller ...

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Obamacare Enrollment Breaks Record For Third Consecutive Year

Health insurance enrollment through the Affordable Care Act’s (ACA) insurance marketplace has reached a record for the third consecutive year, according to the latest update from the Centers for Medicare and Medicaid Services (CMS).

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Insurers Ask CMS To Press Pause On Increased Limits To Non-Standardized ACA Plans

Enrollment in individual market coverage continues to grow, and insurers are expressing concern about their ability to tailor coverage to different populations given limits on nonstandard plan options. For the 2024 plan year, the Centers for Medicare & Medicaid Services finalized regulations that limit insurers to offering four non-standardized plan designs per tier in a ...

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Even $1 Premium Discourages Some Low-Income Individuals From Coverage: Study

Even charging a dollar premium for healthcare benefits can discourage some low-income individuals from getting coverage, but price isn’t the only factor involved, according to a study in Health Affairs. The administrative burden—filling out the forms on time, for instance—involved in paying even a small monthly premium might discourage some from getting coverage, especially if they didn’t have to ...

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What To Expect From Big Pharma (And Biden’s Push To Lower Drug Prices) In 2024

A look at new legal battles and drug regulations, including the administration’s new initiatives to reduce drug costs and next steps in the FTC’s attempt to address improperly listed patents in the FDA’s Orange Book.

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Congress Faces Pressure To Reverse Doctors’ Payment Cuts — Again

Congress is once again being urged to reverse a cut to physicians’ Medicare payments, prompting calls for a broader overhaul of how the program reimburses doctors. Why it matters: Congress is still stuck in an annual dance of being pressured to increase physician payments, even after Washington nearly a decade ago put an end to the despised “doc fix” that ...

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The High Cost Of Weight-Loss Drugs Is Threatening Coverage Altogether

With the price of GLP-1s reaching well over $1000 a month, local officials are warning that rising costs threaten to quickly drain government spending accounts.

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CVS To Close Some Pharmacies Within Target Stores

CVS Health (CVS.N), opens new tab said on Thursday it will close some pharmacies that operate inside Target (TGT.N), opens new tab stores during the first several months of the year. The closures will begin in February and be completed by the end of April, a company spokesperson said. Prescriptions will be transferred to a nearby CVS Pharmacy prior ...

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What Employees Want In Their Health Care Benefits (And Could Be A Deal Breaker)

In a competitive job market, access to a certain primary care doctor or mental health benefits may be the determining factor when it comes to someone accepting your job offer or choosing to work somewhere else.

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