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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.

Uninsured Rate Rises To 11% Ahead Of Medicaid Work Requirements

Cuts to federal programs and the loss of enhanced subsidies on the exchanges could deepen an existing healthcare affordability crisis, according to a new report from the Commonwealth Fund.

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CMS Proposes Heightened Standards For ACA Financial Assistance

Enrollees must jump through more hoops to verify information about their income and residency status.

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Many Medicare Patients Could Lose Access to Remote Monitoring Devices

Dianne Williams said she lost weight and lowered her blood pressure thanks to quarterly doctor appointments, monthly phone calls with a nurse, and a blood pressure cuff she uses at home that transmits data to her care team. “It’s good to have somebody talk to you and tell you what your progress is like. And ...

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Next Governor To Face Thorny Choices After California’s Rapid Medicaid Expansion

In March 2025, when California ran out of Medicaid funds to pay doctors and hospitals, the state borrowed $3.4 billion to keep the program afloat. It was, as a spokesperson for Gov. Gavin Newsom insisted, nothing new. Indeed, a handful of times over the years, the state had taken out internal, short-term loans to sustain ...

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Three-Quarters Of Americans Disillusioned With Costs, Say Healthcare Is Defining Voting Issue

Three-quarters of Americans across party lines say healthcare will be one of the top three issues deciding their vote, finds a new survey. The People’s Health Care Survey, USofCare’s annual survey that captures people’s experiences with and challenges in healthcare, reached over 2,700 registered voters from June 12 through July 16. It was designed to be ...

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Marketers Sue CMS, HHS Over New Sales Freeze For Exchanges

The lawsuit alleges the agencies lack the authority to impose the freeze and violated the Administrative Procedure Act by skipping public comment. The trade group is seeking to vacate the interim rule and force CMS to immediately open sales training to new agents and brokers.

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After Booting 760K People From ACA Plans, Trump Administration Has Added Some Back

Late last month, the Trump administration announced that it had cut 760,000 people from the Affordable Care Act rolls, claiming fraud and improper enrollments and touting billions in potential taxpayer savings. Not all of those kicked off were fraudulently enrolled, KFF Health News has learned. Insurance industry sources said the Centers for Medicare & Medicaid ...

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Epic Teams Up With Amazon Pharmacy, LillyDirect And Mark Cuban To Launch Prescription Drug Pricing Tool

Epic is partnering with Amazon Pharmacy, Mark Cuban Cost Plus Drugs, Costco and Eli Lilly’s LillyDirect to develop a tool that lets clinicians and patients compare prescription drug prices. Through the prescription marketplace, slated to launch next summer, clinicians and patients at health systems using Epic will compare medication costs at different pharmacies—patients’ insurance prices ...

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Trump Administration Revamps Health Care Transparency Rules

Last week, the Trump administration revamped regulations intended to increase health care transparency. “Greater transparency drives competition, reduces price disparities and helps lower health care costs, a key priority for the Trump administration,” Dr. Mehmet Oz, administrator of the Centers for Medicare & Medicaid Services, said in a statement. At the heart of this rule ...

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UnitedHealth Sees Commercial Plan Cost Increases Rising Over 11%

UnitedHealth Group executives say conditions for commercial health insurance are still challenging. Tim Noel, the chief executive officer of the company’s UnitedHealthcare health insurance unit, told securities analysts Tuesday that UnitedHealthcare went into 2026 thinking that the underlying cost of care might be 11% higher this year than in 2025. “As we previously noted, trends ...

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