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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.

Facing Funding Losses, States Call Out Big Businesses With Employees on Medicaid

As the Trump administration’s January deadline looms for states to enforce new Medicaid work requirements, some state lawmakers are turning the tables by pushing to publicly name the largest companies that have employees enrolled in the government program covering low-income and disabled people. California lawmakers seek to revive an expired law that would require the state to ...

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Federal Judge Temporarily Blocks Key Provisions Of Final ACA Exchange Rule Days Before Set To Take Effect

A federal judge in the U.S. District Court of Maryland temporarily blocked several provisions of a recently finalized rule that would change Affordable Care Act (ACA) marketplaces beginning July 20. The lawsuit was filed in June by a group of municipalities: Columbus, Ohio; Chicago; Baltimore and Pima County, Arizona—as well as Doctors for America and the Main Street Alliance. ...

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UnitedHealthcare Exec Says ‘Ineffective’ No Surprises Act IDR Process Demands Reform

Industry giant UnitedHealthcare is adding its voice to the chorus of insurers criticizing the current state of the No Surprises Act’s independent dispute resolution process. During the company’s earnings call on Thursday morning, company executives pointed to IDR as a drag on its commercial business. Dan Kueter, CEO of UnitedHealthcare Employer and Individual, said during ...

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CMS Proposal To Block Third-Party Vendors Will Upend Remote Monitoring Services, Health Tech Leaders Say

The Trump administration proposed major changes to Medicare payment policies that will block third-party vendors from remote patient monitoring. The changes, health tech leaders say, will significantly disrupt services that help patients manage conditions like diabetes and hypertension. The policy change, tucked inside a hefty Medicare physician pay draft rule released this week, marks a shift with ...

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Insurers Hedge on Trump-Backed Pledge To Improve Denials Process

One year after the Trump administration announced that dozens of health insurers had signed a six-part pledge promising to reduce barriers to doctor-recommended care, some insurers now say they won’t implement all the promised initiatives. Meanwhile, patients, their advocates, and clinicians say little has improved. “It has never been this bad for patients,” said U.S. Rep. Greg ...

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A Deep Dive into California “Single Payer”

In 2021, the California Assembly introduced a new bill, AB 1400, which – if passed – would have eliminated health care in California, as we know it today. Instead, all health care in California would be provided by one new “Single Payer” system called “CalCare” – with no other options for Californians. The move would have eliminated all existing ...

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Brokers Need To Pay Attention To Patients’ Trust In Health AI

Patients are not waiting for health care to modernize. They are already using artificial intelligence to ask questions about symptoms, medications, diagnoses, treatment options, bills, benefits, and where they should seek care. The debate about whether consumers will adopt AI in health care is effectively over. The more important question for brokers and benefits advisors ...

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California Insurance Commissioner OKs Upping Workers’ Comp Pure Premium 10.4%

California Insurance Commissioner Ricardo Lara approved workers’ compensation advisory pure premium rates that average 10.4% than last year. The Workers’ Compensation Insurance Rating Bureau of California submitted a pure premium rate filing in May to the commissioner proposing September 1, 2026 advisory pure premium rates that average 10.4% higher than the average of the approved September 1, ...

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ACA Marketplace Insurers Propose 14% Premium Hike For 2027

ACA Marketplace insurers are proposing a median premium increase of 14% for 2027 — indicating a likely second consecutive year of double-digit increases. If these hold, typical premiums for insurers participating in the ACA Marketplaces would jump by more than one-third between 2025 and 2027.

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Graham’s Death Creates New Uncertainties For GOP Health Agenda

The sudden death of Sen. Lindsey Graham has removed a longtime opponent of the Affordable Care Act’s major medical insurance provisions from the Senate and changed the gameboard for efforts to pass “Reconciliation 3.0” legislation this year. Graham, 71, died Saturday shortly after returning home from a trip to Ukraine. The cause of death was ...

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