Employer, Consumer Groups Urge Lawmakers To Reform No Surprises Act’s IDR

Employer and consumer organizations are urging lawmakers to address “loopholes” in the No Surprises Act. In a letter (PDF) submitted to House and Senate leaders on both sides of the aisle, nearly 70 groups representing employers, patients and labor unions argue that while the law has successfully averted millions of surprise medical bills, flaws in ...

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AI’s Growing Role in Medical Care Raises Concerns

The expanding role of artificial intelligence in medical care in the United States has raised concerns, even as the Trump administration said it is taking a "responsible, evidence-based approach" that maintains safeguards for patients.

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Healthcare Costs Are Rising. Here’s How States Are Tamping Down

A growing number of states are implementing healthcare cost controls to curb excess spending among providers and payers. Several states have established programs for annual cost growth benchmarks, setting spending limits based on economic measures such as gross state product, wage growth or median household income. However, some regulators are taking this tactic a step ...

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Medicare Advantage Plans Appear To Be Cutting Benefits In 2027

Next year is shaping up to be tumultuous for Medicare Advantage as insurers continue to shore up their profits. Why it matters: Benefit cuts and insurer exits from certain markets mean more upheaval for seniors — and right before the midterm elections. Driving the news: Based on insurance broker commentary, “it appears 2027 sets up ...

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Drugs for Autoimmune Diseases are Pricey. This Bill Could Switch Patients to a Cheaper One

Nearly 25,000 Californians could see their medication switched next year. Doctors can object, but insurers would gain new power over prescriptions.

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UnitedHealth, CVS Eye Acquisitions

UnitedHealth Group and CVS Health are exploring the possibility of adding to their vast enterprises, executives said at the Wells Fargo Annual Healthcare Conference Wednesday. Both conglomerates see acquisitions as part of their future as they rebound after a tough few years, company leaders said. UnitedHealth Group expects to deploy stock buybacks more aggressively and ...

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