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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.

Aetna To Exit The ACA Exchanges In 2026

Aetna will exit the individual markets in 2026, less than five years after making a return to this space.

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Pharmacist Group Tells Elon Musk’s Team To Probe Pharmacy Benefit Managers

The National Community Pharmacists Association wants Elon Musk’s Department of Government Efficiency to help it fight the pharmacy benefit managers. The pharmacist group announced Friday that it had sent a letter encouraging DOGE to search for waste, fraud and abuse at PBMs. The PBMs contend that they fight to hold down prescription drug costs for employer health plan ...

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Wegovy Telehealth Push Launched As Compounding Pharmacies Face Restrictions

Wegovy, the popular weight-loss drug from Novo Nordisk, will be available through several leading telehealth providers, beginning this week. The company’s announcement comes as many compounding pharmacies have been restricted from making unapproved, less-expensive versions of GLP-1 medications. “We felt it was really important to work hard to establish a collaboration with telehealth companies so that ...

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FDA Chief Says They’re Looking At Whether To Approve COVID Shots For Next Winter

The head of the Food and Drug Administration said Tuesday that the agency is now looking at whether it will still approve COVID-19 vaccines for next winter, citing a lack of data on booster shots.”We’re taking a look. I can’t comment on any particular application. As you know, we have a bunch of applications for those booster shots,” FDA Commissioner Dr. ...

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Fitch Ratings: How Higher Tariffs Could Impact Health Insurers

While health plans are not likely to feel the most acute effects from the Trump administration's tariffs, they face downhill impacts from market volatility and rising costs, according to a new analysis from Fitch Ratings.

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Supreme Court’s Bold Move To Save Part Of ACA Preventive Services Package

The U.S. Supreme Court implied Friday that the outcome of a big Affordable Care Act preventive services benefits case may depend on legal issues that are unrelated to health insurance.

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When Hospitals Ditch Medicare Advantage Plans, Thousands of Members Get To Leave, Too

For several years, Fred Neary had been seeing five doctors at the Baylor Scott & White Health system, whose 52 hospitals serve central and northern Texas, including Neary’s home in Dallas. But in October, his Humana Medicare Advantage plan — an alternative to government-run Medicare — warned that Baylor and the insurer were fighting over ...

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GOP Rep Says Trump ‘Does Not Want’ Agenda Bill ‘To Be A Health Care Bill’

House Ways and Means Chair Jason Smith (R-Mo.) said Sunday that President Trump “does not want” the “one big, beautiful bill” encompassing his agenda “to be a health care bill.” “Medicaid … all falls underneath the Energy and Commerce Committee, not Ways and Means,” Smith said when asked about cuts to Medicaid via the bill on “The Hill Sunday” by NewsNation’s ...

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Once All-Powerful, Pharma’s Allies In Washington Are Fleeting

Big Pharma isn’t sure how to handle Donald Trump’s Republican Party. Trump is pledging to impose tariffs on drug imports, while Health Secretary Robert F. Kennedy Jr. has vilified the drug industry’s profits and questioned the safety of its products. Long a lobbying powerhouse in Washington, pharma’s struggling to settle on a strategy for defending ...

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Luigi Mangione Pleads Not Guilty To Federal Death Penalty Charge In UnitedHealthcare CEO’s Killing

Luigi Mangione pleaded not guilty Friday to a federal murder charge in the killing of UnitedHealthcare CEO Brian Thompson. Prosecutors formally declared their intent to seek the death penalty, and the judge warned Justice Department officials to refrain from making public comments that could spoil his right to a fair trial. Mangione, 26, stood between his ...

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