Industry Updates Category Banner

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.

Cassidy’s New Plan To Overhaul 340B: Rebates, Contract Pharmacy Limits And More Changes

After years of investigation, the outgoing chairman of the Senate Health, Education, Labor and Pensions Committee has released his take on new legislation to reform the controversial 340B Drug Pricing Program. Sen. Bill Cassidy, R-Louisiana, unveiled a legislative discussion draft that would stand as the first statutory update to the subsidy program in 15 years ...

Read More

Here’s Why Your Health Insurer Is Sounding More Like RFK Jr.

Insurers and doctors’ groups, often divided over how to rein in health care costs, are now facing off over the Make America Healthy Again movement. The insurance industry is embracing MAHA, while the doctors’ lobby is pushing against the movement’s leader, Health Secretary Robert F. Kennedy Jr., who many physicians see as a danger to public ...

Read More

PBM Lobby Goes On The Offensive

The nation’s top pharmacy benefit manager (PBM) lobbying group is going on the offensive, stepping up its advocacy efforts against the pharmaceutical industry after Congress passed a PBM industry overhaul last winter. The pharmaceutical industry spent years pointing fingers at pharmacy benefit managers as the reason for high drug costs, and Congress finally was able to get ...

Read More

DOJ Announces $6.5B Healthcare Fraud Takedown with Record Medicaid Enforcement

The Department of Justice unveiled charges against 455 people, including 90 doctors and other licensed medical professionals, for their alleged participation in healthcare schemes that involved more than $6.5 billion in false claims and other patient harm. The charges were part of a two-week coordinated fraud takedown headed by the DOJ Criminal Division’s Health Care ...

Read More

U.S. Health Spending Set to Reach $9T by 2034: CMS Report

U.S. healthcare spending is set to climb to $9 trillion by 2034, representing 20.6% of the economy, according to new federal data. The Centers for Medicare & Medicaid Services Office of the Actuary released on Wednesday its annual projections around national health spending. The actuaries said that total health spending in 2024 was $5.3 trillion, ...

Read More

Nevada Hospice Providers Push for Stronger Oversight as State Pauses New Licenses Amid Fraud Concerns

Hospice administrators, clinicians and healthcare advocates gathered Wednesday to discuss a growing problem inside an industry meant to provide comfort at the end of life — and what providers say must change to protect patients. The meeting comes as Nevada and federal officials intensify efforts to crack down on suspected fraud within the hospice industry. ...

Read More

What Brokers Need to Know About the New CMS ACA Marketplace Rule

Enhanced ACA subsidies helped Marketplace enrollment grow from approximately 11.4 million individuals in 2020 to a record 24.3 million plan selections in 2025. As those subsidies expire, the Kaiser Family Foundation (“KFF”) estimates Marketplace enrollment could decline by approximately 4.8 million individuals. KFF also reports that average monthly premium payments for subsidized Marketplace enrollees increased from approximately ...

Read More

Sierra Medical Center Achieves Level III NICU Designation

Sierra Medical Center has achieved Level III Neonatal Intensive Care Unit (NICU) designation from the State of Nevada, the highest level of neonatal care available in the region. This designation marks a significant milestone in Northern Nevada Health System’s commitment to expanding access to high-level compassionate care for growing families in the area. A Level ...

Read More

Cancer Drug Shortages Disrupt Hospital Supply Chains, Raise Rationing Concerns

Shortages of several generic chemotherapy drugs are straining hospital supply chains and raising concerns that cancer centers may need to ration treatment for some patients, according to a June 24 New York Times report. Manufacturing problems, shipping delays and decisions by some companies to stop producing the medications have contributed to shortages of carboplatin, cisplatin, oxaliplatin and ...

Read More

California is Getting Ready to Increase a Health Insurance Tax. Will it Affect Your Premium?

Legislators this week approved a health tax bill meant to continue critical federal funding for the state’s Medicaid program, also known as Medi-Cal. Their approval comes despite warnings from health industry leaders that the tax, as designed, will raise premiums for privately insured Californians. New federal rules are forcing the state to restructure its managed ...

Read More
arrowcaret-downclosefacebook-squarehamburgerinstagram-squarelinkedin-squarepauseplaytwitter-squareyoutube-square