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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.

Health Systems Sharpen Focus On Outpatient Safety

Efforts to improve quality and patient safety have historically focused on the inpatient setting. But as more care moves outside of hospital walls, health systems are beginning to craft structures and processes to better measure and improve safety in ambulatory settings. “We have to focus on outpatient safety because it’s just going to come up ...

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CVS Taps Ed Devaney To Lead Its Caremark PBM

CVS Health has named Ed DeVaney as president of its pharmacy benefit manager, CVS Caremark. DeVaney has served as interim president of Caremark since December 2024. The president’s role was vacated when David Joyner took over as CEO of CVS Health in October. CVS said that DeVaney joined the company in 2005 and held roles ...

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Trump Creates MAHA Commission On Chronic Disease, Chaired By RFK Jr.

President Donald Trump has signed a new executive order to establish a Make America Healthy Again Commission, just hours after Robert F. Kennedy Jr. was confirmed as the Department of Health and Human Services (HHS) Secretary. Kennedy will chair the task force, focused on investigating the “root causes of America’s escalating health crisis.” First, the commission will ...

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UnitedHealth, HAC Study Examines How Obesity Is Impacting Employer Health Costs

As obesity rates rise across the U.S., a new study from UnitedHealthcare and the Health Action Council examines the financial costs that this growing “epidemic” may cause for employers. The report (PDF) notes that 75% of adults in U.S. are either overweight or obese, up from 50% in 1990. Obesity rates grew fastest among younger adults, according ...

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Private Plans Pay 84% Of Emergency Room Appendicitis Bills, Researchers Find

Employers and benefits advisors could use a new database to find places where kidney care or diabetes care costs a lot more than it should.

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Health Care Spending Varies Dramatically Across U.S. Counties

In 2023, U.S. health expenditures surged by 7.5%, reaching $4.9 trillion, or an average of $14,570 per person, according to the Centers for Medicare & Medicaid Services.

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DOGE Working With Two Trump Health Appointees To Examine Medicare And Medicaid Books

The Trump administration has tasked two top political appointees with monitoring the Department of Government Efficiency’s access to key systems inside the health agency responsible for managing Medicare and Medicaid, according to internal emails obtained by POLITICO. The appointees, Kim Brandt and John Brooks, are leading the Centers for Medicare and Medicaid Services’ “collaboration” with ...

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New House Bill Would Expand HSAs To Help Workers Pay For Direct Primary Care

A lawmaker has brought back a frequently introduced bill that could help workers use their health savings accounts to pay for direct primary care — and this time it might have a decent chance to become law. Rep. Lloyd Smucker, R-Pa., has introduced a version of the Primary Care Enhancement Act for the 119th Congress. Workers can ...

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California Carrier Partner Updates

Here is an overview of updates from our California carrier, health plan, and administrator partners. For details, click on the related link (if any). Bonus Updates Health Net 2025 Large Group Incentive: Health Net brokers can earn 2% of paid premiums for 12 months for each new Large Group employer sold. Download the Health Net flyer ...

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Consumer Financial Protection Bureau Shake-Up Leaves Medical Debt Reform In Limbo

The fate of a Biden-era rule that would keep medical debt from consumers’ credit reports is up in the air amid reported stoppages within the Consumer Financial Protection Bureau (CFPB) and the new administration’s broader hold on recently finalized regulations. Jan. 7, the bureau issued a final rule on consumer protection, which also prohibits lenders from considering ...

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