Industry Updates Category Banner

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.

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 ...

Read More

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 ...

Read More

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.

Read More

Considering a Life Change? Brace for Higher ACA Costs

People thinking about starting a business or retiring early — before they’re old enough for Medicare — may want to wait until November, when they can see just how much their Affordable Care Act health insurance will cost next year. Sharp increases are expected. Premiums for ACA health plans, also known as Obamacare, which many early retirees ...

Read More

Employers Shifting To Self-Insurance Will Still Face Soaring Costs, Voya Says

Voya has bad news for employers with fully insured health plans that want to avoid big cost increases by shifting to self-insured plans: Rates for stop-loss insurance will also go up. A lot.

Read More

Kaiser Permanente Notches 3.2% Operating Margin, $3.3B Net Income In Q2 2025

Kaiser Permanente closed its second quarter of the year with a billion dollars of operating income and a $3.3 billion bottom line—but operating headwinds on the horizon have leadership taking a hard look at the health system’s cost structure and potential efficiencies. The quarter’s performance is a step ahead of last year, when the integrated ...

Read More

Drug Price Negotiation Program Sidesteps Latest Legal Obstacle

The drug price negotiation program has withstood another procedural effort in striking down one of the Inflation Reduction Act’s most significant provisions. In the U.S. Court of Appeals for the 6th Circuit, a panel of judges upheld (PDF) a lower court’s decision to dismiss the lawsuit. A judge dismissed the lawsuit last year, saying most of the ...

Read More

A Look At The State Of Prior Authorization In Medicaid

A new analysis from KFF and Health Management Associates takes a dive into prior authorization practices for Medicaid managed care organizations. The study polled state programs on policies in place as of July 2024 and found that more than half of the 36 states that responded required that insurers make “standard” prior auth determinations within seven days ...

Read More

Nevada Health Insurance Premiums Expected To Rise 17.5% Next Year

Nevadans who get medical insurance through Nevada Health Link may see their premiums rise dramatically next calendar year, new data released by the state suggests. Nevada Health Link, formally known as the Silver State Health Insurance Exchange, is the state’s Affordable Care Act marketplace. The Nevada Division of Insurance on Thursday announced that carriers offering ...

Read More

Nearly Half Of Americans Say They Put Off Health Care Due To Barriers Of Cost

A new study by Madaket Health found that insured Americans delay or skip essential health care due to rising costs and complexity of coverage. Many younger Americans are actually going out of their way to pay for care themselves.

Read More
arrowcaret-downclosefacebook-squarehamburgerinstagram-squarelinkedin-squarepauseplaytwitter-squareyoutube-square