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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.

Senate GOP Chairs Circulate Health Plan As Clock Ticks On ACA Subsidies

Two key Senate Republican chairmen are circulating the outline of a health care plan to Republican offices ahead of a crucial week that could decide the fate of enhanced Affordable Care Act subsidies, multiple sources tell Axios. Why it matters: The plan from Finance Committee chair Mike Crapo (R-Idaho) and health committee chair Bill Cassidy (R-La.) does ...

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Schumer To Force Senate GOP To Vote On Three-Year Extension Of Health Insurance Subsidies

Senate Democratic Leader Chuck Schumer (N.Y.) announced last Thursday that Democrats will force Republican senators to vote this week on a three-year extension of enhanced health insurance premium subsidies that are due to expire in January.

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AHIP Presses For ACA Subsidy Extension, Further Program Integrity Measures

As Congress continues to debate next steps on the Affordable Care Act’s (ACA’s) enhanced subsidies, insurers are urging legislators to consider an extension with additional program integrity measures in place. AHIP said in a statement Wednesday that “common sense” steps to promote integrity can help mitigate the risks related to fraudulent enrollment in ACA plans or subsidies. ...

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Major Public Health PBM Regulation Bill Reintroduced

The Republican and Democratic leaders of the Senate Finance Committee have teamed up to bring back a major pharmacy benefit manager regulation bill. Sen. Mike Crapo, R-Idaho, the committee chairman, and Sen. Ron Wyden, D-Ore., the highest-ranking Democrat on the committee, joined to introduce the “PBM Price Transparency and Accountability Act” bill. The highly popular ...

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Affordable Care Act Enrollment Is Slightly Ahead Of Last Year So Far, Despite Expiring Subsidies

The number of Americans signing up for Affordable Care Act health insurance for 2026 is moderately higher than it was at a similar time last year, initial new federal data shows, even as subsidies set to expire at the end of 2025 will make the coverage more expensive for many. Seen at face value, the data from the Center for Medicare ...

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HDHPs Push Millions With Chronic Conditions Into Dangerous Health Choices

David Garza sometimes feels as if he doesn’t have health insurance now that he pays so much to treat his Type 2 diabetes. His monthly premium payment of $435 for family coverage is roughly the same as the insurance at his previous job. But the policy at his current job carries an annual deductible of ...

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Mark Cuban’s Cost Plus Drugs, Humana Exploring Partnership To Tackle Employer Drug Costs

Mark Cuban’s Cost Plus Drugs and Humana are exploring a potential partnership to help lower the cost of prescription drugs for employers. Cuban, an entrepreneur, businessman and TV personality who co-founded Cost Plus Drugs, said the company is in discussions with Humana to work with its CenterWell healthcare services business to provide a better pharmacy ...

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Insurance Coverage Of Hepatitis B Vaccine Won’t Change, Industry And Officials Say

Parents will still be able to get the hepatitis B vaccine for their children at no cost even though the US Centers for Disease and Control Prevention’s vaccine advisers recommended a major change to the immunization practice. The CDC’s Advisory Committee on Immunization Practices, whose members were chosen by US Health and Human Services Secretary Robert F. ...

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Schumer Announces Health Care Plan

Senate Minority Leader Chuck Schumer officially unveiled Democrats’ plan for a health care vote next week, saying Thursday on the chamber floor his caucus will propose extending soon-to-expire Affordable Care Act subsidies for three years. “This is the bill, a clean three-year extension of ACA tax credits, that Democrats will bring to the floor of ...

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House Votes To Pass 5-Year Hospital At Home Extension, Sending Bill To The Senate

The House of Representatives unanimously voted to pass a bill Monday that extends the Medicare hospital at home program for five years. Hospital at home providers have been mired in uncertainty for years. Though Congress has repeatedly extended hospital at home flexibilities, it often only does so for a handful of months at a time. ...

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