Insurers Point To Providers, Drugmakers For Driving Up Health Costs

Health insurance CEOs testifying before Congress about whether they’re to blame for soaring health care costs have a plan: pass the buck. Five CEOs of major insurers will make the case that the health care premiums they set are rising because of prices charged by other health care players — like hospitals and drugmakers — ...

Read More

Partial Government Shutdown Looms, Threatening To Stall Health Funding Package, Telehealth Extensions

Six annual spending bills for the current budget year are awaiting action in the Senate this week, including a key appropriations package that would fund the Department of Health and Human Services through Sept. 30. But the sweeping government funding package is now in peril as Senate Democrats vowed to oppose it in the wake ...

Read More

Thousands Of Kaiser Workers Walk Out As Labor Dispute Escalates

More than 31,000 Kaiser Permanente nurses and other health care workers walked off the job early Monday, launching an open-ended strike across California and Hawaii that could disrupt operations at dozens of hospitals and hundreds of clinics. The workers, represented by the United Nurses Associations of California/Union of Health Care Professionals, say the strike was triggered by ...

Read More

House Passes Health Funding Package, Including PBM Reform

The House passed a key appropriations package that would fund the Department of Health and Human Services through Sept. 30, including a step toward reforms for pharmacy benefit managers. The package passed by a 341-88 vote, and it includes elements that would prevent PBMs from tying compensation in Part D to the list price of ...

Read More

House Hearings Highlight Need For ‘Systemic’ Change In Healthcare

The House Ways and Means Committee hearing has concluded, bringing a long day of questioning for major health insurance executives to an end. More than nine hours of total questioning across two hearings touched on a slew of factors impacting the affordability of healthcare: the Affordable Care Act, claims denials, prior authorization and consolidation. Paul ...

Read More

DMHC Issues Guidance In Response To CMA Concerns On COVID-19 Cost Shifting

On January 15, 2026, the California Department of Managed Health Care (DMHC) issued new guidance in All-Plan Letter (APL) 26-002 clarifying the obligation of health care service plans, including Medi-Cal managed care plans, to reimburse providers for COVID-19 testing and immunizations. California Medical Association (CMA)-sponsored Senate Bill 510 (2021) requires health plans and insurers to reimburse providers ...

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