UnitedHealthcare To Exit Certain Medicare Advantage Markets As Costs Balloon, Impacting 600K Enrollees

UnitedHealthcare CEO Tim Noel offered investors a deeper look at the medical cost spike that’s plaguing the insurance giant’s finances. He said during the company’s earnings call Tuesday morning that pricing assumptions set by the company “were well short of actual medical costs” for 2025. UHC’s current outlook, he said, instead reflects an additional $6.5 ...

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Dental Insurance Sticker Shock? Some Employers May Face Big Premium Hikes

Some dental insurance issuers might be attracting employer customers with first-year prices that are too low to last. Amy Friedrich, president of the Benefits & Protection business at Principal Financial Group, talked about dental plan competition earlier this week during a conference call with securities analysts. “We are definitely seeing new-sales rates that are competitive,” Friedrich said. ...

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HHS Will Demo Drugmakers’ 340B Rebate Model In Limited Pilot Program

The Trump administration is now accepting applications for a pilot program to demo rebates for 340B drugs that drugmakers have said are necessary to reduce abuse of the decades-old subsidy program. Announced Thursday by the Department for Health and Human Services (HHS) Health Resources and Services Administration (HRSA), the pilot would swap out traditional upfront ...

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Americans Say Prior Authorizations Are A Major Problem, Insurers Vow To Reduce Burden

The prior authorization process is in the spotlight as the majority of Americans say delays and denials of services and treatments by health insurance companies are a major problem. This sentiment is shared across demographic groups, political affiliations and income levels, according to a KFF survey. About half of insured adults have had to get ...

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Nearly 39M Americans Now Enrolled In HSA-Eligible Health Plans

HSAs accounted for nearly 18% of total commercial health plan enrollment in 2024, including group health plans and individual health insurance.

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Aetna Takes ‘Disciplined Approach’ To Pricing Fully Insured Plans

CVS Health, the parent of Aetna, likes its employer health plan business but is taking a tough approach to pricing, a company executive said Friday.

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