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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.

RFK Jr.’s Report Had A Surprise Target: Your Doctor

From food to pharma, Health Secretary Robert F. Kennedy Jr. took on all the suspects he’s long maligned in a report on health threats to kids — along with one unexpected one: Doctors. Laced throughout the report from Kennedy’s Make America Healthy Again Commission are accusations against doctors — for reportedly being influenced by the ...

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House Budget Committee Overcomes Conservative Pushback To Advance Reconciliation Package

A key House panel has signed off on the GOP’s massive reconciliation package, after overcoming some intra-party pushback on the provisions. The House Budget Committee advanced the proposal late Sunday after several Republicans joined Democrats in rejecting the proposal in a 16-21 vote on Friday. Four GOP representatives sided against the bill, arguing that the included spending ...

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Concerns Rise Over Medical Coverage Losses From ‘Big, Beautiful Bill’

Doctors, patients and health experts are bracing for massive coverage losses as House Republicans are poised to impose Medicaid work requirements as part of the “big, beautiful bill” encompassing many of President Trump’s legislative priorities. They are warning that a blizzard of red tape and administrative hurdles will strip people of needed health care. The ...

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Double Blow: Drug Tariffs and Wage Hikes Threaten California’s Pharmacies

In the dim basement of a Salt Lake City pharmacy, hundreds of amber-colored plastic pill bottles sit stacked in rows, one man’s defensive wall in a tariff war. Independent pharmacist Benjamin Jolley and his colleagues worry that the tariffs, aimed at bringing drug production to the United States, could instead drive companies out of business ...

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California Medical Association Condemns Governor’s Plan To Divert Voter-Approved Health Care Funds

Governor Newsom’s revised budget proposal diverts funding from voter-approved Prop 35 and Prop 56 health care funds to backfill the state’s deficit—violating voter intent and threatening access to care for millions of Medi-Cal patients. CMA is urging legislators to reject the proposal.

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Hospitals Cheer Judge’s 340B Rebate Ruling But Still Await HHS’ Final Say

Hospital groups are celebrating a federal judge’s initial ruling against pharmaceutical makers who contended a government block on 340B Drug Pricing Program rebate models was unlawful. Judge Dabney Friedrich, of the U.S. District Court for the District of Columbia, on Thursday denied motions for summary judgment brought by drugmakers Eli Lilly, Bristol Myers Squibb and ...

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UnitedHealth Under Criminal Probe For Possible Medicare Fraud, WSJ Reports

The U.S. Department of Justice is carrying out a criminal investigation into UnitedHealth Group (UNH.N), opens new tab for possible Medicare fraud, the Wall Street Journal reported on Wednesday. UnitedHealth said it had not been notified by the DOJ about the “supposed criminal investigation reported,” and the company stood by “the integrity of our Medicare Advantage program.” ...

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Republican Senator Demands Congress Break Up Insurer-PBM Combinations

Sen. Josh Hawley, R-Mo., demanded Tuesday that Congress move to stop insurance companies from owning pharmacy benefit managers. CVS Health owns Aetna and the Caremark PBM, Cigna owns Express Scripts and UnitedHealth owns Optum Rx. Juan Carlos Scott, chief executive officer of the Pharmaceutical Care Management Association, a PBM group, said at a Senate Judiciary ...

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After Promising Universal Health Care, Gov. Newsom Must Reconsider Immigrant Coverage

The second-term governor faces a tough political decision: renege on his promise to achieve universal health care and strip coverage from millions of immigrants who lack legal status or look elsewhere for budget cuts.

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House E&C Committee Unveils Budget Reconciliation Proposal, Including Steep Medicaid Cuts

The House Energy & Commerce Committee has released a hotly anticipated budget reconciliation bill that aims to thread the needle between policymakers who want to see Medicaid funding slashed and those who view steep cuts as a political flashpoint. The committee was tasked with cutting approximately $880 billion in federal outlays, and early estimates (PDF) from the Congressional Budget ...

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