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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.

HHS Eyes Stricter Hospital Cost Report Audits

Health systems would be subject to greater oversight under a White House proposal to expand hospital cost report audits. The White House Office of Management and Budget is seeking information from the Centers for Medicare and Medicaid Services as it weighs whether to increase funding for hospital cost report auditing, according to a leaked draft ...

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California Calls For Ban To ‘Rein In’ Pharmacy Benefit Managers Owning Pharmacies

Dozens of state attorneys general, including California, are calling for Congress to end a practice they say has “exacerbated the problem of manipulated prices and unavailability of certain prescription medications.” The 39 attorneys generals, which includes those representing United States territories and the District of Columbia, urge Congress to pass an act prohibiting pharmacy benefit ...

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Mark Cuban Praises Trump’s PBM Executive Order, Predicts ‘Hundreds Of Billions’ In Savings

The executive order was praised by an unlikely source – Mark Cuban, who started Cost Plus Drugs in 2022 in an attempt to control prices through direct-to-consumer transparency.

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Eli Lilly’s New GLP-1 Weight Loss Drug, In Pill Form, Would Be More Affordable Than Ozempic

A new experimental GLP-1 drug, in pill form, could transform the weight loss drug boom. Eli Lilly’s new experimental pill called orforglipron, helped patients shed weight and control blood sugar as well as blockbuster drug Ozempic in a trial of diabetes patients, and the company said it expects to seek regulatory approvals by the end ...

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Leaked HHS Budget Signals $40B In Cuts, Assumes ACA Subsidies Expire

Department of Health and Human Services (HHS) reorganization plans appear to have been revealed through a leaked Office of Management and Budget (OMB) document.

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Trump Order Seeks Changes To Medicare Drug Price Negotiation Program, PBM Reform

The wide-ranging order requires the Department of Health and Human Services to seek public comment on the drug price negotiation program, which effectively requires manufacturers to agree to lower prices for certain drugs, for potential changes in upcoming years.

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The Administrations Directive To Agencies Could Chop Healthcare Regulations Faster Than Expected

Starting in 5 days, the Department of Health and Human Services (HHS) may begin slashing regulations it considers to be unlawful or to exceed the agency’s authority, according to a memorandum sent by the president on Wednesday.

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The Administration Launches National Security Investigation Into Pharmaceuticals, Paving Way For Tariffs

An investigation into the national security implications of pharma imports has been underway for two weeks, the Trump administration disclosed Monday.

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States Ranked By Potential Coverage Losses Under Medicaid Work Requirements, California #1

California is projected to experience the largest potential losses in Medicaid coverage if federal work requirements are enacted.

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Health Insurance Stocks Soar After Boost To Medicare Reimbursement Rates

Shares of U.S. health insurers jumped on Tuesday after a bigger-than-expected increase in the government’s reimbursement rates for Medicare Advantage plans in 2026 signaled some relief for a sector burdened with steep medical costs. Medicare-focused insurer Humana (HUM.N), opens new tab led gains with a 16% jump, while other health insurers including UnitedHealth Group (UNH.N), opens new tab, ...

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