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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.

A Ticking Clock: How States Are Preparing for a Last-Minute Obamacare Deal

As shopping season opens for Affordable Care Act plans in some states, customers are confronting staggering costs for their health insurance next year. The extra federal subsidies put in place in 2021 that made coverage more affordable for millions of people will expire at the end of this year unless a gridlocked and idle Congress acts.

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Weight Loss Drugs Are Bringing Down The Country’s Obesity Rate, A Survey Shows

The number of people using injectable obesity treatments is increasing rapidly, and it is leading to declines in obesity, according to a new survey by the Gallup National Health and Well-Being Index. The obesity rate dropped to 37% of U.S. adults this year, down from a high of 39.9% three years ago, according to the survey. The survey ...

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Why The ACA Needs Young People — And The Looming ‘Death Spiral’ For Health Insurance

Chloe Chalakani has a lot at stake in the health care fight at the heart of the government shutdown. Chalakani runs a small culinary business with her partner in the coastal town of Thomaston, Maine. As temperatures drop and the height of her busy tourist season winds down, she’s hitting her list of fall administrative ...

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Insurer Report Argues Providers Are ‘Flooding’ IDR Process With Ineligible Claims

A new report from the country’s two leading insurance industry organizations alleges providers are “flooding” the No Surprises Act dispute process to score higher payments. The report was released Friday by AHIP and the Blue Cross Blue Shield Association and estimates that as many as 39% of the out-of-network claims submitted to the independent dispute resolution, or ...

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California Hospitals Are Suing Over The State’s Efforts To Curb Their Spending

Hospitals argue that spending caps imposed by an affordability office will result in layoffs, cuts in health care services and reduced access to care for Californians.

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Governor Newsom Signs Major Benefit Mandates, Vetoes Others To Protect Health Plans

California Gov. Gavin Newsom signed a major state major medical insurance benefits bill into law this week. The Democrat also vetoed some health benefits bills, arguing that those bills would do too much to weaken health plan care utilization management efforts and increase plan costs. The new EHB package law could have a direct effect on ...

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Trump’s $150 Ozempic? Oz Cautions It’s Not A Done Deal, But Patients And Doctors Say It Could Be A Gamechanger

Janet McCaskill was on vacation in Arizona with her husband and best friend when she heard that President Donald Trump had suggested he might be able to bring the cost of popular weight-loss drugs down to $150 a month. “The thought of it going to $150 a month is dramatic,” said McCaskill, a grandmother from ...

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White House Announces IVF Drug Pricing Deal For ‘TrumpRx’ Site

President Donald Trump on Thursday announced an agreement to sell common fertility drugs at steeply reduced prices on TrumpRx, a direct-to-consumer drug platform the White House plans to launch in January 2026. Under the plan, cost to patients for three in vitro fertilization (IVF) drugs made by EMD Serono, the US arm of German company ...

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It’s ‘Too Late’ To Extend ACA Subsidies Without Major Disruptions, Some States And Lawmakers Say

States are worried Congress missed its opportunity to extend enhanced ACA subsidies and lower premiums before consumers start picking plans in a few weeks.

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Kaiser Healthcare Worker Strike Ends After Five Days. Bargaining Resumes This Week

A five-day strike that affected hundreds of Kaiser Permanente clinics and hospitals in California and Hawaii came to an end after the union representing workers said it had “new momentum” to head back to the bargaining table, but no apparent agreement has been reached. “This strike may be over — but the fight for patient ...

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