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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.

Hospitals, Doctors Face Virtual Care Cliff With Telehealth, Hospital At Home Services On The Line

Medicare beneficiaries stand to lose access to two key virtual care programs that the federal government has offered since the start of the pandemic if the government shuts down Tuesday at midnight. The Medicare telehealth waivers and Acute Hospital at Home programs are set to expire Oct. 1 unless Congress passes a short-term government funding ...

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As Trump Punts on Medical Debt, Battle Over Patient Protections Moves to States

With the Trump administration scaling back federal efforts to protect Americans from medical bills they can’t pay, advocates for patients and consumers have shifted their work to contain the nation’s medical debt problem to state Capitols. Despite progress in some mostly blue states this year, however, recent setbacks in more conservative legislatures underscore the persistent ...

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CMS: Average MA Premiums Are Set To Decline For 2026 Plan Year

The Trump administration projects average Medicare Advantage (MA) premiums will decline slightly for the 2026 plan year. The Centers for Medicare & Medicaid Services (CMS) announced Friday that the average monthly premium across all types of MA coverage is set to be $14, down from $16.40 in 2025. This includes MA plans with prescription drug coverage as ...

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PBMs Draft Voluntary Changes To Stave Off Federal Action

Pharmacy middlemen are working on a proposal to voluntarily change some of their business practices in an effort to avoid new regulation from the Trump administration, according to people familiar with the discussions. The main lobbying group that represents so-called pharmacy benefit managers, the Pharmaceutical Care Management Association, has drafted proposals to bring to the ...

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Bill To Avert Government Shutdown Stalls In Senate As Democrats Demand Talks

The House passed a Republican-backed measure, largely along party lines, that would push the shutdown deadline to Nov. 21. But then the Senate rejected a Democrat-led proposal that would keep the government open through Oct. 31, as well as implement several Democratic priorities.

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Word & Brown Launches Smarter Search in Forms & Docs

Word & Brown has released an upgrade to the Forms & Docs search tool on wordandbrown.com, giving brokers a faster, more intuitive way to find what they need. The updated tool scans the content of each PDF – not just file titles – delivering more complete and relevant search results. The upgrade is designed to ...

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States Are Cutting Medicaid Provider Payments Long Before Trump Cuts Hit

Every day for nearly 18 years, Alessandra Fabrello has been a medical caregiver for her son, on top of being his mom. “It is almost impossible to explain what it takes to keep a child alive who should be dead,” said Fabrello, whose son, Ysadore Maklakoff, experienced a rare brain condition called acute necrotizing encephalopathy ...

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Inside Sutter Health’s New Epic-Connected Devices For Chronic Care

Sacramento, Calif.-based Sutter Health is rolling out new medical devices co-designed with Epic that connect directly to the EHR, a move the health system says will make it easier for patients to manage chronic conditions at home. The proprietary blood pressure cuff, scale and glucometer automatically transmit data to Epic’s MyChart app and into a patient’s health ...

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COVID Vaccine Guidance Gets More Confusing After CDC Panel. Here’s What We Know

Advisors to the Centers for Disease Control and Prevention (CDC) voted unanimously on Sep. 19 to recommend that people who want a COVID-19 vaccine must consult with a healthcare provider, a process called “shared clinical decision-making.” The advisory panel voted down an initial proposal to require a prescription for COVID vaccines. However, the meeting seemed ...

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As Costs Soar, Employers Plan ‘Disruptive’ Changes To Health Plans

As the cost of health care in the United States rises to the highest point in more than two decades, companies are preparing for disruptive changes to their health care plans, according to a new survey by global advisory, broking, and solutions company WTW. WTW’s “2025 Best Practices in Healthcare Survey” finds that U.S. employers ...

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