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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

August 12, 2026
Image shows the letters, PBM.
Examiners say PBMs are stonewalling their inquiries. (AI-generated image)

‘You’ll never get that information’: Inside the brutal PBM exam process

PBM examiners describe a hostile response and a pattern of delays, obfuscations and persistent legal threats.

August 11, 2026
Image shows the Genworth logo
Genworth is without CEO Tom McInerney while he deals with a health issue. (AI-generated image)

Genworth leans on mortgage unit, CareScout to offset Q2 LTC liabilities

Interim President and Chief Executive Officer Jerome T. Upton is leading the company during CEO Tom McInerney’s medical leave.

August 10, 2026
Image shows a number 4 and a wooden man in a wheelchair
Americans are making too many common mistakes when it comes to long-term care, experts say. (AI-generated image)

4 common LTC missteps older Americans must avoid

Why it’s crucial for advisors to address the realities of planning for and paying for care.

More Stories

PRIOR AUTHORIZATION METRICS PROVIDE NEW INSIGHTS INTO INSURER PRACTICES, BUT GAPS REMAIN

14 minutes ago

The following information was released by the Henry J. Kaiser Family Foundation:. Authors: Michelle Long, Jeannie Fuglesten Biniek, Justin Lo, Rayna Wallace, Jada Raphael, Allison Kim, and Kaye Pestaina. In 2024, the Centers for Medicare and Medicaid Services published a final rule aimed at streamlining and automating the prior authorization process for almost…

Healthcare costs are a potent political issue in Georgia, but more for Democrats than Republicans

29 minutes ago

Conducted in June for the Georgia Health Initiative, the survey found that more than 90% of Democrats and Republicans who responded had health insurance coverage. Yet concerns about rising costs crossed party lines, with 54% of Democrats and 38% of Republicans saying they were very or somewhat worried about being able to afford their monthly premiums over…

Sources say Mangione expected to plead guilty

1 hour ago

Luigi Mangione, the man accused of shooting and killing a health insurance executive on a Manhattan sidewalk, is expected to plead guilty in a federal case charging him with stalking, the New York Times reported Thursday, citing two people with knowledge of the matter. A guilty plea, which is not guaranteed, would avert a trial in the closely watched case over the…

NEW YORK STATE DEPARTMENT OF FINANCIAL SERVICES INTRODUCES GUIDANCE AND PROPOSED REGULATION TO STRENGTHEN NEW YORK'S SURPRISE MEDICAL BILL RESOLUTION PROCESS

5 hours ago

The following information was released by the New York State Department of Financial Services:. New York State Department of Financial Services Acting Superintendent Kaitlin Asrow today issued new guidance to health insurers, health care providers, and independent dispute resolution entities implementing improvements to the IDR process signed into…

Luigi Mangione, facing stalking charges in federal court, is expected to plead guilty

7 hours ago

NEW YORK- Luigi Mangione is expected to plead guilty Friday in federal court in Manhattan, where he faces charges of stalking resulting in the death of a health insurance executive in 2024, according to two people with knowledge of the matter. When asked at an unrelated news conference Wednesday about a potential plea, Jamie McDonald, the top federal prosecutor…

Healey announces campaign to help residents hold onto their healthcare coverage

11 hours ago

Maura Healey stopped in Haverhill on Tuesday morning to announce a new statewide effort to help Medicaid recipients who could be at risk of losing their healthcare coverage simply because they missed a letter, deadline or new requirement. Andy Vargas and Ryan Hamilton, Health Care For All Executive Director Jennifer Lemmerman, Community Action Inc. CEO…

Reports from Duke University Describe Recent Advances in Managed Care (The South Had the Lowest Rates of Hospice and Palliative Medicine-certified Providers In the Us, 2024): Managed Care

15 hours ago

Funders for this research include US Department of Veterans Affairs, Duke University, US Department of Veterans Affairs, Durham Center of Innovation to Accelerate Discover and Practice Transformation at the Durham Veterans Affairs Health Care System. The news reporters obtained a quote from the research from Duke University,“ We describe variation in the…

Recent Findings in Managed Care Described by Researchers from University of Washington (Improving Dental Care Access for Medicaid-enrolled Adults Through a Dental Clinic Co-located Within a Rural Health Center: a Mixed-methods Study): Managed Care

15 hours ago

2026 AUG 13– By a News Reporter-Staff News Editor at Insurance Daily News– Investigators publish new report on Managed Care. We evaluated outcomes of a dental clinic co-located within a health center in Jefferson County, a rural Health Professional Shortage Area in Washington state.”. Our news journalists obtained a quote from the research from the University…

Researchers from University of Michigan Report Recent Findings in Managed Care (Interhospital Variation in 180-Day Infections and Associated Medicare Spending after Cardiac Surgery): Managed Care

15 hours ago

2026 AUG 13– By a News Reporter-Staff News Editor at Insurance Daily News– Data detailed on Managed Care have been presented. The news correspondents obtained a quote from the research from the University of Michigan,“ Hospitals were categorized into terciles of 180- day postoperative inpatient infection rates. Among 239,039 procedures at 1,007 hospitals,…

Findings from Hannover Medical School in the Area of Clinical Trial Research Described [Clinical-pharmacological Medication Reviews for Insurants of a German Statutory Health Insurance Fund (<i>kaufmannische Krankenkasse</i> (Kkh)): a 5-year …]: Clinical Trial Research

15 hours ago

2026 AUG 13– By a News Reporter-Staff News Editor at Health Policy and Law Daily– Current study results on Clinical Trial Research have been published. According to news originating from Hannover, Germany, by NewsRx correspondents, research stated,“ This study sought to evaluate the characteristics of clinical-pharmacological medication reviews conducted…

Investigators from University of Nevada Have Reported New Data on Pediatrics (Integrating Data To Examine Policy and Complex Equity Issues: an Illustrative Case In Special Education): Pediatrics

15 hours ago

Financial support for this research came from National Center for Special Education Research, Institute of Education Sciences. For more information on this research see: Integrating Data To Examine Policy and Complex Equity Issues: an Illustrative Case In Special Education. Journal of Disability Policy Studies, 2026. Journal of Disability Policy Studies…

Healthcare costs a still a political issue

18 hours ago

Conducted in June for the Georgia Health Initiative, the survey found that more than 90% of Democrats and Republicans who responded had health insurance coverage. Yet concerns about rising costs crossed party lines, with 54% of Democrats and 38% of Republicans saying they were very or somewhat worried about being able to afford their monthly premiums over…

Healthcare costs are a potent political issue in Georgia

19 hours ago

Conducted in June for the Georgia Health Initiative, the survey found that more than 90% of Democrats and Republicans who responded had health insurance coverage. Yet concerns about rising costs crossed party lines, with 54% of Democrats and 38% of Republicans saying they were very or somewhat worried about being able to afford their monthly premiums over…

Cuts to healthcare access harm us all

19 hours ago

Like 155 million other Americans, I get my health insurance coverage through my employer. The millions like me who are not on Medicaid or Medicare may not be closely tracking massive changes coming to public insurance programs because of H.R.1. In California, the uninsured rate dropped from 18% before the ACA to below 6% in 2024.

AG Clark sues over effort to undermine Affordable Care Act protections

August 13, 2026

"Vermonters are already facing significant barriers to afford and access the health care they need, and the Trump Administration's proposed rule will only make these challenges worse," said Attorney General Clark. Congress enacted the ACA to expand access to affordable health insurance, and more than 23 million Americans currently receive coverage through…

Trump administration finalizes restrictions on Medicaid and CHIP funding for youth gender-affirming care

August 13, 2026

The Trump administration is finalizing a rule restricting Medicaid and the Children's Health Insurance Program from covering gender-affirming care for trans youth, according to a document set to be published by the Department of Health and Human Services. The White House first proposed the rule last December under HHS Secretary Robert F. Kennedy, Jr, who…

Drugmakers, health insurers battle over coupons for high-cost medicine

August 13, 2026

If you ask New Jersey state Sen. Jon Bramnick which industry exerts the most influence in Trenton, the answer is a no-brainer: health insurers. With the new law, New Jersey joined roughly half the country in restricting use of accumulators, an issue that doesn’ t dominate headlines but is a major fault line in the battle between drugmakers, which say insurers are…

Idaho lawmakers look into a hospital insurance dispute

August 12, 2026

BOISE— A group of legislators on Tuesday assembled at the Idaho Capitol for the first meeting of the Idaho Health Insurers Working Group, created this year to examine a range of issues including rates of claim denial, medical provider reimbursement rates and treatment delays stemming from prior authorization. Though the task force’ s emphasis is…

Manatee County man faces felony charge after $34k disability fraud, deputies say

August 12, 2026

Willie Nathan Young Sr., 38, is charged with scheme to defraud involving between $20,000 and $50,000, a second-degree felony. If convicted, Young faces up to 15 years in prison and a $10,000 fine under Florida law. Investigators allege Young failed to disclose that he was actively running his business, Blessed Movers LLC, while collecting benefits, despite the…

August 12, 2026
Image shows the letters, PBM.
Examiners say PBMs are stonewalling their inquiries. (AI-generated image)

‘You’ll never get that information’: Inside the brutal PBM exam process

PBM examiners describe a hostile response and a pattern of delays, obfuscations and persistent legal threats.

Pagination

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