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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.

Cigna Closes $3.3B Sale Of Medicare Plans To HCSC

Cigna has officially sealed the deal on the $3.3 billion sale of its Medicare business to Health Care Service Corporation. HCSC acquired Cigna’s Medicare Advantage, Part D, supplemental benefits and CareAllies units as part of the deal. While it will no longer operate the Medicare unit directly, Cigna said it will continue to provide pharmacy ...

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Actual Small-Group Health Premiums Rise 6.1%

Small-group health insurance premiums are still going up at about the same rate as before, and the enrollee count continues to fall. The average monthly premium increased 6.1% in 2024, to $659. The rate of increase was down, slightly, from 6.2% in 2023.

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GLP-1 Drugs Need Price Cuts To Be Financially Viable, Researchers Say

The new-generation weight-loss drugs work very well at preventing obesity, diabetes and death, but they are still much too expensive to be a good financial value for employer plans or other payers, researchers report in a new paper published by JAMA Health Forum. Semaglutide, the GLP-1 agonist drug that powers Wegovy, could cost less than $100,000 per ...

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Congress Must Reject Taxing Employer-Provided Health Care Coverage

As the new Congress and administration are settling in, all eyes in Washington are focused on the trillion-dollar question: whether and how to pay for the expiring provisions of the 2017 Tax Cuts & Jobs Act (TCJA), signed into law in President Trump’s first term. Among the various revenue-generating proposals emerging from GOP circles — ...

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ACA Changes Could Impact Employer Plans, Individual Coverage Reimbursements

Managers of the Affordable Care Act public exchange system want HealthCare.gov and the state-based exchanges to tighten up. The Centers for Medicaid and Medicaid Services, the federal agency that oversees the ACA exchange system, hopes to make all ACA public exchanges start their annual open enrollment periods Nov. 1 and end the open enrollment periods ...

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No Data, Higher Premiums: Insurance Industry Braces For Fallout From Government Cuts

The insurance industry relies on a steady flow of publicly available data to predict losses, price policies, and mitigate financial exposure. What happens when those data streams dry up? We’re on the verge of finding out. Recent governmental workforce reductions, agency closures and “streamlining” initiatives fostered by President Donald Trump, his unelected advisor, Elon Musk, ...

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Blue Shield Of California CEO Exits After 2 Months

Blue Shield of California CEO Lois Quam is stepping down after two months on the job. The nonprofit health plan will begin a search for a permanent CEO and has appointed CFO Mike Stuart as interim president and CEO, according to a March 11 news release. Mr. Stuart was appointed Blue Shield’s CFO in 2022 and previously ...

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Dr. Oz, With A TV Host’s Flair, Promises Simple Solutions For America’s Health Care Ills

Dr. Mehmet Oz, President Donald Trump’s pick to oversee Medicare, Medicaid and Obamacare, told senators a combination of investments, technology, and regulatory changes could both bring down costs and make America healthy again. “We have a generational opportunity to fix our health care system and help people stay healthy for longer,” Oz told senators on ...

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White House Says Trump Won’t Cut Social Security, Medicare After Musk Remarks

The White House on Tuesday asserted President Trump would not cut Social Security or Medicare after tech billionaire Elon Musk’s comments about the need to examine entitlement spending gained traction. Musk, a top Trump adviser leading the effort to overhaul the federal workforce through the Department of Government Efficiency, appeared on Fox Business Network on Monday for a rare television interview, where he noted that most ...

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Trump Health Care Proposal Billed as Consumer Protection but Adds Enrollment Hoops

The Trump administration issued its first major set of proposed changes to the Affordable Care Act on Monday that federal officials said are intended to crack down on fraud in the program. Policy experts said they will make it harder for consumers to sign up for coverage, potentially reducing enrollment.

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