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 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 ...
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.
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 ...
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 ...
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 ...
States are worried Congress missed its opportunity to extend enhanced ACA subsidies and lower premiums before consumers start picking plans in a few weeks.
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 ...
Health insurance prices for next year under the Affordable Care Act are now available in about a dozen states, giving Americans their first look at the sharp increases many will pay for coverage if Congress does not extend subsidies that have made some plans more affordable. The annual enrollment period for Obamacare is expected to ...
Cost Plus Drugs, the online pharmacy founded by billionaire entrepreneur Mark Cuban, will participate in TrumpRx, the Trump administration’s drug price transparency initiative. Cuban, an outspoken critic of the pharmacy benefit manager (PBM) industry, made the announcement during his keynote address at the HLTH Conference in Las Vegas. TrumpRx, announced last month, is a website set ...
Nevadans who get insurance through Nevada Health Link, the state’s Affordable Care Act marketplace, are facing premium rate hikes of 26%, the state Division of Insurance confirmed to the Nevada Current. The average approved rate increase of 26% is significantly higher than the 17.5% average proposed increase announced by the Nevada Division of Insurance in late July. The ...