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Health/Employee Benefits News

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

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Veterans defend nonprofit exec accused of theft

January 6, 2026

Carlos Fernandez, 65, and Patricia Parrott, 60, were indicted in mid-November for theft by unlawful taking or disposition of property– worth more than $10,000 but less than $1 million. Smith said he met Fernandez after the nonprofit helped three of his employees with their VA disability claims. At the time I met him, my interaction with Carlos was about helping…

Allowing Medicare buy-ins would generate competition

January 6, 2026

Private insurance premiums for millions of families are due to dramatically rise at the end of this year for those who sign up for health insurance through the Affordable Care Act due to the expiration of subsidies. The Democrats want the subsidies extended, while the Republicans want to give money directly to individuals in the form of health savings…

MILLIONS OF CALIFORNIANS NOW HAVE HEALTH PLAN COVERAGE FOR INFERTILITY AND FERTILITY SERVICES

January 6, 2026

The following information was released by California State Senator Caroline Menjivar:. SACRAMENTO- Senate Bill 729, authored by Senator Caroline Menjivar, which requires state regulated large employer health insurance to cover the diagnosis and treatment of infertility, including IVF, goes into effect for contracts issued or renewed on or after January…

Several new laws to take effect this year

January 6, 2026

WILLIMANTIC— In the new year, several laws are set to take effect, from health insurance policies to housing policies. Each year, new laws and policies take place on January 1 and October 1. By January 1, towns in the state must submit plans to increase the number of housing in each of their zip codes.

CT Senator, Health Care Advocate Push For Action On Health Insurance Costs

January 5, 2026

HARTFORD, CT— Just days after the special subsidies included in the Affordable Care Act expired, State Healthcare Advocate Kathleen Holt already is seeing the effect on people's day-to-day lives, she said. "We all know people impacted by Congressional failure to extend the enhanced premium tax credits on the Affordable Care Act plans," she said.

Study Results from Kristi Martin and Colleagues Broaden Understanding of Managed Care and Specialty Pharmacy (Drugs anticipated to be selected for Medicare price negotiation in 2026 for implementation in 2028): Drugs and Therapies – Managed Care and Specialty Pharmacy

January 5, 2026

2026 JAN 05– By a News Reporter-Staff News Editor at Insurance Daily News– Investigators discuss new findings in Drugs and Therapies- Managed Care and Specialty Pharmacy. According to news reporting originating from Washington, District of Columbia, by NewsRx correspondents, research stated,“ The 2028 incorporation of Part B drugs into the Medicare Drug Price…

Amid rising health care costs, Maryland officials to boost ‘Easy Enrollment’

January 5, 2026

Maryland officials and health care advocates announced on Monday a $100,000 media advocacy campaign for the state’ s Easy Enrollment health insurance program, betting that increased awareness will lead to broader coverage. The University of Maryland, the Horizon Foundation, LifeBridge Health, and the Maryland Hospital Association are among the sponsors…

POLICY CHANGES BRING RENEWED FOCUS ON HIGH-DEDUCTIBLE HEALTH PLANS

January 5, 2026

The following information was released by the Henry J. Kaiser Family Foundation:. Authors: Michelle Long, Justin Lo, Rayna Wallace, and Kaye Pestaina. The expiration of the Affordable Care Act's enhanced premium tax credits, along with the passage of the budget reconciliation law, implementation of new Marketplace regulations, and other administrative changes,…

PAYMENT RATES FOR MEDICAID HOME CARE AHEAD OF THE 2025 RECONCILIATION LAW

January 5, 2026

The following information was released by the Henry J. Kaiser Family Foundation:. Authors: Alice Burns, Maiss Mohamed, and Molly O'Malley Watts. Such shortages could increase as states will face tough choices about how to absorb Medicaid cuts stemming from the 2025 reconciliation law, which is estimated to reduce federal Medicaid spending by $911 billion over…

Are you choosing to go without health insurance in 2026?

January 5, 2026

Open enrollment for individual health insurance closes on Jan. 15. Still, many people in Washington remain on the fence about coverage in 2026. Some are deciding between plans.

My thoughts on Medicare Advantage

January 5, 2026

OPINION– Paradise Valley residents should not be fooled by the name Medicare Advantage. Congress and George W. Bush enacted Medicare Advantage to give the insurance industry a piece of the senior healthcare pie, not because it provides better healthcare for seniors. Conversely, for-profit insurers like Humana, Aetna and UnitedHealthcare pay millions in…

Aetna to cover IVF treatments for same-sex couples in national settlement

January 5, 2026

Like many young girls, Mara Berton and June Higginbotham both knew from an early age they wanted families and to become mothers. Instead, like many other same-sex couples, Berton and Higginbotham, who live in Santa Clara County, had to pay $45,000 out of pocket to conceive while heterosexual colleagues with the same insurance plan had many of those costs covered.

‘Egregious’: Idaho insurer says planned hospital’s practices could drive up costs

January 4, 2026

Unchecked, that could drive up health care costs for self-insured groups— or even push health insurance premiums higher, say officials with the insurer, Blue Cross of Idaho. Nutex Health, based in Houston, operates boutique hospitals providing what it calls a“ concierge” level of around-the-clock emergency care, plus some“ specialty” services, according to its…

D.C. DIGEST

January 4, 2026

Democrats did after the 2024 election, and now it's Republicans turn as the New Year begins with a big spike in health insurance premiums for many Americans. While Democrats try to keep voters' attention focused on health care, Republicans are reminding them of the new tax cuts and the old temporary ones made permanent by the bill. "The press does a great job of…

Medicaid agencies stepping up outreach

January 4, 2026

ORANGE, Calif.— Carmen Basu, bundled in a red jacket and woolly scarf, stood outside the headquarters of her local health plan one morning after picking up free groceries. It marked the start of a $20 million campaign by the Medicaid health insurer to help low-income residents get and maintain health coverage and food benefits as federal restrictions under…

D.C. Digest: 'One Big Beautiful Bill' rebranded 'Working Families Tax Cut'

January 4, 2026

Democrats did after the 2024 election, and now it's Republicans turn as the New Year begins with a big spike in health insurance premiums for many Americans. While Democrats try to keep voters' attention focused on health care, Republicans are reminding them of the new tax cuts and the old temporary ones made permanent by the bill. "The press does a great job of…

State employees got insurance without premiums

January 4, 2026

Topline: Maryland gave paychecks to some employees no longer working for the state, and health insurance to employees who had not paid their premiums for up to five years, according to a Dec. 9 report from the Office of Legislative Audits. Key facts: Maryland's Office of Personnel Services and Benefits is in charge of the state's payroll, but the office does "not have…

EDITORIAL: Eliminate CON Laws, lower healthcare costs

January 3, 2026

But that is not the case when it comes to providing health care for state employees, both active and retirees, and the rest of North Carolina's citizens who are underwriting the state's health plan. David Beasley, writing for The Center Square, noted that efforts to work with a third party medical provider for similar services had previously failed but that the…

Thousands in CT face higher health insurance costs after federal subsidies expired at start of 2026

January 3, 2026

Jan. 3— With federal lawmakers unable to come to an agreement to extend COVID-era health insurance subsidies, thousands of Connecticut residents are expected to see higher costs beginning this month. More than 148,000 Connecticut residents are enrolled in qualified health plan coverage through Access Health CT— the state's health insurance market— for this…

Medicaid agencies stepping up outreach

January 3, 2026

ORANGE, Calif.— Carmen Basu, bundled in a red jacket and woolly scarf, stood outside the headquarters of her local health plan one morning after picking up free groceries. It marked the start of a $20 million campaign by the Medicaid health insurer to help low-income residents get and maintain health coverage and food benefits as federal restrictions under…

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