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Health/Employee Benefits News

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The latest news, regulation and trends in health and employee benefits.

Top Stories

May 13, 2026

Rethinking the ways employers manage benefits risk

Employers who are waiting for benefits costs to stabilize may be misunderstanding what is happening in the market.

May 12, 2026

GLP-1s: Rewriting the relationship between pharmacy benefits and stop-loss

GLP-1s are forcing the conversations about pharmacy benefits and stop-loss strategy.

May 7, 2026

Big health systems blamed for affordability crisis

America’s health care affordability crisis is driven by unchecked health care consolidation, particularly among hospitals, according to a report released by Families USA.

More Stories

SSM HEALTH, SAINT LOUIS UNIVERSITY PARTNER ON RN-TO-BSN PROGRAM

2 hours ago

SSM Health has selected Saint Louis University as its preferred provider of online RN-to-BSN education for its nurses, expanding educational pathways across one of the nation's largest health systems. The partnership enables eligible SSM Health registered nurses nationwide to complete a Bachelor of Science in Nursing degree through SLU's Trudy Busch…

10 STATES WITH THE LEAST COMPETITIVE HEALTH INSURANCE MARKETS

2 hours ago

The following information was released by the American Medical Association:. The report's authors analyzed 2024 data across 384 metropolitan areas, all 50 states, and the District of Columbia. They reviewed data on health-insurance enrollment from the Decision Resources Group, identifying the two largest insurers in each market and using2023 federal…

MEDICAID MENTAL HEALTH AND SUBSTANCE USE: EXPANSION TRENDS AND THE FISCAL PRESSURE AHEAD

2 hours ago

The following information was released by the Henry J. Kaiser Family Foundation:. Authors: Heather Saunders and Elizabeth Hinton. Medicaid is a major source of financing for mental health and substance use disorder care.

NCPA ENDORSES REINTRODUCED PATIENTS BEFORE MONOPOLIES ACT

2 hours ago

The following information was released by the National Community Pharmacists Association:. The National Community Pharmacists Association is pleased to support the Patients Before Monopolies Act, which would force companies that own health insurers or pharmacy benefit managers to divest their pharmacy businesses within three years.

MEDICARE BIRTHDAY RULE AND NEW ENROLLMENT PROTECTIONS NOW IN EFFECT

2 hours ago

The following information was released by the State of Delaware:. These reforms empower Delaware seniors with greater flexibility and protection, said Commissioner Navarro. Beginning January 1, 2026, existing Medicare Supplement policyholders in Delaware have the right to a Special Enrollment Period annually.

US freezes Medicare enrollments for new home health care and hospice providers

3 hours ago

The moratorium will temporarily bar new providers in those categories from signing up for reimbursement from Medicare, a U.S. government health insurance program for Americans aged 65 and older and those with disabilities. The U.S. government has for years tried to tackle fraudulent payments from Medicare to hospice and home health care providers.

Trump administration will withhold $1.3B in in Medicaid payments to California

5 hours ago

WASHINGTON- The Trump administration will withhold $1.3 billion in federal Medicaid payments from California, Vice President JD Vance announced on Wednesday, saying the state had failed to combat fraud in the public health insurance program. "The state of California has not taken fraud very seriously," Vance said at a White House news conference.

Data from Massachusetts General Hospital Provide New Insights into Managed Care (Utilization by high-cost, high-need Medicaid patients receiving social worker care coordination): Managed Care

13 hours ago

2026 MAY 13– By a News Reporter-Staff News Editor at Insurance Daily News– Research findings on Managed Care are discussed in a new report. According to news originating from Boston, Massachusetts, by NewsRx correspondents, research stated,“ Office-based care coordination programs are increasingly utilizing social work-trained care coordinators to manage…

Study Results from Johns Hopkins University Bloomberg School of Public Health Provide New Insights into Managed Care and Specialty Pharmacy (Medicaid access to Most Favored Nation through the Pfizer agreement: The unanswered issues): Drugs and Therapies – Managed Care and Specialty Pharmacy

13 hours ago

2026 MAY 13– By a News Reporter-Staff News Editor at Insurance Daily News– Current study results on Drugs and Therapies- Managed Care and Specialty Pharmacy have been published. The news reporters obtained a quote from the research from the Johns Hopkins University Bloomberg School of Public Health,“ Using different data sources, we provide a preliminary…

Gabriel Bosslet: Stewardship over profit — why Indiana must rethink the Medicaid middle

13 hours ago

Editor's note: Gabriel Bosslet is professor of clinical medicine in the Department of Pulmonary, Critical Care, Sleep and Occupational Medicine at Indiana University. He also is president of the Good Trouble Coalition. His column first appeared on The Indiana Capital Chronicle website.

SHOP SMART FOR HEALTH INSURANCE

16 hours ago

"When shopping for coverage, it is important to use the Health Insurance Marketplace or an insurance agent or company that you have verified is licensed. Only licensed insurance companies and agents are authorized to sell insurance in Michigan, so it is important to verify a company's legitimacy before making a purchase. Michiganders can purchase…

CMS announces moratorium on new Medicare hospice/home health enrollment

17 hours ago

The moratorium will not impact current enrollments, and existing providers can continue to deliver services to Medicare beneficiaries.

EXPANDING MEDICAID COVERAGE LOWERED DEATH RATES FOR YOUNG ADULTS WITH KIDNEY FAILURE

18 hours ago

The following information was released by Brown University:. A study led by Brown University researchers suggests that expanded health insurance coverage may significantly improve survival and care quality in this high-risk population. Among young adults with kidney failure, the expansion of Medicaid following the Affordable Care Act signed into law in…

Insurance won’t cover Ozempic? WA court sparks discrimination debate

May 13, 2026

Washington Court of Appeals this month revived a legal fight against health insurers' blanket refusals to cover weight loss medications like Ozempic and Wegovy. The drugs are approved by the Food and Drug Administration for the treatment of obesity among other conditions. The recent ruling stems from a lawsuit filed by Ellensburg resident Jeannette…

Illinois Quick Hits: Gas tops $5 a gallon

May 13, 2026

–AAA says the average price for a gallon of regular unleaded gasoline is now $5.03 in Illinois, up from $4.97 on Tuesday. Illinois imposes a fuel tax of 48.3 cents per gallon. The Illinois House Insurance Committee has unanimously passed legislation to expand health insurance coverage that includes rehabilitative and habilitative services for children…

Humana Invests More Than $1 Million to Advance Health Outcomes Across Louisiana

May 13, 2026

Humana’ s Medicaid managed care plan, Healthy Horizons in Louisiana, has committed more than $1 million in strategic investments to expand access to care, address chronic disease, and strengthen behavioral and maternal health supports across Louisiana. “Louisiana families deserve opportunities for better health— no matter where they live,” said Michelle…

State Officials Mark Mental Health Awareness Month, Cite 2025 Parity Law

May 13, 2026

HARTFORD, CT— State officials marked Mental Health Awareness Month Monday by restating Connecticut's commitment to ensuring that health insurers provide their customers with equitable access to mental health treatment Tuesday during a news conference at the state Capitol. Ned Lamont, Attorney General William Tong, Comptroller Sean Scanlon, and state Rep.

40,000 pregnant Texans faced monthlong wait for Medicaid application to be processed

May 13, 2026

More than 40,000 pregnant people in Texas waited more than a month for the state to process their Medicaid applications— which an advocacy group said could delay vital prenatal care. Medicaid covers almost half of all births in Texas— representing more than 185,000 births in 2023. Texas is one of 10 states that hasn't expanded Medicaid to include low-income…

May 13, 2026

Rethinking the ways employers manage benefits risk

Employers who are waiting for benefits costs to stabilize may be misunderstanding what is happening in the market.

PARENTS FIGHT INSURANCE CAPS ON HOME NURSING CARE IN COMMERCE CONFERENCE COMMITTEE

May 13, 2026

The following information was released by the Minnesota House of Representatives:. However, parents told the House Commerce Finance and Policy Committee in March that they were notified by their health insurance providers, some after open enrollment closed for 2026, that they would be limited to 120 home care nursing visits, leaving them to solely care for…

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