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.
Amazon has tapped digital health executive Roy Schoenberg, M.D., to lead its healthcare business as Neil Lindsay plans to step away from Amazon after 15 years. Lindsay, who led global marketing for Kindle and was a top executive in Amazon’s Prime business, shifted over to the online retail giant’s healthcare business in late 2021. At that time, ...
The affordability crisis for many people who have health insurance under the Affordable Care Act came into sharper focus Tuesday, with a new analysis projecting that higher premiums will cause millions more people to lose insurance this year. Another sign of economic distress: Average deductiblesfor policyholders are now the highest ever, a result of people ...
Secondary (comorbid) conditions, long inpatient hospitalizations and injectable drugs are the biggest drivers of expensive claims, according to the latest High-Cost Claims and Injectable Drug Trends report from Sun Life U.S. Other contributing factors include congenital anomalies, complicated surgeries and gene therapies, an analysis of more than 70,000 high-dollar claims medical claims from self-funding employers found. ...
The Trump administration has fired the two leaders of an influential health group that determines when insurance must provide free preventive care, like mammograms and colonoscopies, for millions of Americans. In letters dated May 11, Health Secretary Robert F. Kennedy Jr. notified the two doctors who chaired the U.S. Preventive Services Task Force that he was terminating ...
The Trump administration has proposed a “sweeping crackdown” on Medicaid payments that implements, and goes beyond, the reductions directed by last year’s sweeping One Big Beautiful Bill Act. Under a proposed rule, the Centers for Medicare & Medicaid Services takes aim at state-directed payments, aiming to bring Medicaid payments more in line with Medicare. The ...
The Trump administration recently finalized a major regulation governing the Affordable Care Act’s marketplaces, and community health plans are raising concerns about the impact the changes could have on consumers. Heather Foster, vice president for marketplace policy at the Association for Community Affiliated Plans (ACAP), told Fierce Healthcare in an interview that one of the biggest challenges ...
Employer benefits are often an important deciding factor for employees considering a job offer. Employers who review their benefits can attract qualified employees, especially with today’s focus on financial wellness. Although health insurance and retirement plans remain valuable, employers who add less common benefits to their packages can rise to the top of strong candidates’ ...
GLP-1 drugs are a double-edged sword for the nation’s employers. Although they are having a demonstrable effect on workplace health, the high cost is putting a strain on their budgets. GLP-1s, known by brand names such as Ozempic, Wegovy, Mounjaro or Zepbound, originally were developed to help regulate blood sugar in people with Type 2 ...
Several academic and nonprofit health systems have filed lawsuits against CVS Health, accusing the company and its subsidiaries of improperly pocketing about $250 million of 340B Drug Pricing Program savings from 2020 to 2025. The providers’ legal complaints were filed earlier this week in New York, Kansas and Michigan federal courts. Among the plaintiffs are ...
Editor’s Note: Covered California is a State-Based Marketplace (SBM). For details on how these new rules will impact Covered California and other SBMs we recommend the following Princeton University linked report: (Broker rule changes appear at the bottom of the Princeton analysis.) https://shvs.org/wp-content/uploads/2025/06/SHVS_2025-Final-Marketplace-Integrity-Rule.pdf. The Trump administration on Friday finalized a major rule reshaping the ...