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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.

GOP Rep Says Trump ‘Does Not Want’ Agenda Bill ‘To Be A Health Care Bill’

House Ways and Means Chair Jason Smith (R-Mo.) said Sunday that President Trump “does not want” the “one big, beautiful bill” encompassing his agenda “to be a health care bill.” “Medicaid … all falls underneath the Energy and Commerce Committee, not Ways and Means,” Smith said when asked about cuts to Medicaid via the bill on “The Hill Sunday” by NewsNation’s ...

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Once All-Powerful, Pharma’s Allies In Washington Are Fleeting

Big Pharma isn’t sure how to handle Donald Trump’s Republican Party. Trump is pledging to impose tariffs on drug imports, while Health Secretary Robert F. Kennedy Jr. has vilified the drug industry’s profits and questioned the safety of its products. Long a lobbying powerhouse in Washington, pharma’s struggling to settle on a strategy for defending ...

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Luigi Mangione Pleads Not Guilty To Federal Death Penalty Charge In UnitedHealthcare CEO’s Killing

Luigi Mangione pleaded not guilty Friday to a federal murder charge in the killing of UnitedHealthcare CEO Brian Thompson. Prosecutors formally declared their intent to seek the death penalty, and the judge warned Justice Department officials to refrain from making public comments that could spoil his right to a fair trial. Mangione, 26, stood between his ...

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Supreme Court Appears Willing To Save ACA Preventive Services Task Force

Following oral arguments Monday, legal onlookers are giving the edge to the federal government in a lawsuit against employer Braidwood Management as the company tries to overturn a provision requiring private insurers to cover certain cost-free preventive services through the Affordable Care Act (ACA) marketplace or in employer-based coverage.

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Strong Bipartisan Majority Backs Extension Of Health Care Tax Credits

Although Americans are divided on many issues, nearly 8 in 10 support extending health care tax credits. These credits will expire at the end of 2025 unless Congress votes to extend them.

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HHS Eyes Stricter Hospital Cost Report Audits

Health systems would be subject to greater oversight under a White House proposal to expand hospital cost report audits. The White House Office of Management and Budget is seeking information from the Centers for Medicare and Medicaid Services as it weighs whether to increase funding for hospital cost report auditing, according to a leaked draft ...

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California Calls For Ban To ‘Rein In’ Pharmacy Benefit Managers Owning Pharmacies

Dozens of state attorneys general, including California, are calling for Congress to end a practice they say has “exacerbated the problem of manipulated prices and unavailability of certain prescription medications.” The 39 attorneys generals, which includes those representing United States territories and the District of Columbia, urge Congress to pass an act prohibiting pharmacy benefit ...

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Mark Cuban Praises Trump’s PBM Executive Order, Predicts ‘Hundreds Of Billions’ In Savings

The executive order was praised by an unlikely source – Mark Cuban, who started Cost Plus Drugs in 2022 in an attempt to control prices through direct-to-consumer transparency.

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Eli Lilly’s New GLP-1 Weight Loss Drug, In Pill Form, Would Be More Affordable Than Ozempic

A new experimental GLP-1 drug, in pill form, could transform the weight loss drug boom. Eli Lilly’s new experimental pill called orforglipron, helped patients shed weight and control blood sugar as well as blockbuster drug Ozempic in a trial of diabetes patients, and the company said it expects to seek regulatory approvals by the end ...

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Leaked HHS Budget Signals $40B In Cuts, Assumes ACA Subsidies Expire

Department of Health and Human Services (HHS) reorganization plans appear to have been revealed through a leaked Office of Management and Budget (OMB) document.

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