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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.

Newsom Leads Resistance to RFK Jr.’s Public Health Upheaval

California Gov. Gavin Newsom (D) is making California the front line in the resistance to the Trump administration’s revamped health care policies under Health and Human Services Secretary Robert F. Kennedy Jr., in what experts see as a politically savvy move that previews what a “Balkanized” public health landscape could look like as states lose faith in federal agencies. ...

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Artificial Intelligence Begins Renewing Prescriptions Without Doctors

Utah has become the first state in the United States to allow artificial intelligence, instead of a doctor, to renew certain medical prescriptions. The programme is part of a new pilot initiative, which was rolled out last month in partnership with health-tech start-up Doctronic. It allows an AI system to handle prescription renewals for patients ...

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Luigi Mangione Latest: Death Penalty Off the Table, Judge Rules

A federal judge in New York on Friday dismissed the death-eligible counts from Luigi Mangione’s indictment, clearing the way for his federal trial to begin in October. “Tortured and strange” though she said her conclusion may be, U.S. District Judge Margaret Garnett ruled stalking is not a crime of violence and, therefore, not a predicate ...

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Insurers Warn Flat 2027 MA Rates Could Drive Benefit Cuts, Market Exits

Health insurers are warning that flat Medicare Advantage rates, as proposed by the Trump administration late Monday, would likely force them to take a deep look at the benefits they offer. Chris Bond, spokesperson for AHIP, the key lobbying organization for the insurance industry, said in a statement that the organization and its members “welcome reforms ...

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Insurers Point To Providers, Drugmakers For Driving Up Health Costs

Health insurance CEOs testifying before Congress about whether they’re to blame for soaring health care costs have a plan: pass the buck. Five CEOs of major insurers will make the case that the health care premiums they set are rising because of prices charged by other health care players — like hospitals and drugmakers — ...

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Partial Government Shutdown Looms, Threatening To Stall Health Funding Package, Telehealth Extensions

Six annual spending bills for the current budget year are awaiting action in the Senate this week, including a key appropriations package that would fund the Department of Health and Human Services through Sept. 30. But the sweeping government funding package is now in peril as Senate Democrats vowed to oppose it in the wake ...

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House Passes Health Funding Package, Including PBM Reform

The House passed a key appropriations package that would fund the Department of Health and Human Services through Sept. 30, including a step toward reforms for pharmacy benefit managers. The package passed by a 341-88 vote, and it includes elements that would prevent PBMs from tying compensation in Part D to the list price of ...

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House Hearings Highlight Need For ‘Systemic’ Change In Healthcare

The House Ways and Means Committee hearing has concluded, bringing a long day of questioning for major health insurance executives to an end. More than nine hours of total questioning across two hearings touched on a slew of factors impacting the affordability of healthcare: the Affordable Care Act, claims denials, prior authorization and consolidation. Paul ...

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Congress Pitches Bipartisan Health Package: 8 Things To Know

Hospital leaders are getting long-awaited clarity from Congress this week as lawmakers unveil a bipartisan healthcare deal tied to a broader government funding package. The 771-page proposal includes major wins for providers, including a multiyear delay of Medicaid DSH cuts, key Medicare payment extensions for rural hospitals and permanent hospital-at-home authority. It also preserves pandemic-era telehealth flexibilities ...

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Republicans Will Be Hard-Pressed To Pass Trump’s ‘Great Healthcare Plan’

A lack of Democratic cooperation and strict Senate rules threaten the legislative viability of the White House framework.

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