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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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Investigators at University of Pennsylvania Target Managed Care [How Should We Identify Home- and Community-Based Services (HCBS) in Medicaid Claims Data? An Evaluation and Synthesis of Algorithms]: Managed Care

September 29, 2026

2026 SEP 29– By a News Reporter-Staff News Editor at Insurance Daily News– Investigators publish new report on Managed Care. According to news reporting from Philadelphia, Pennsylvania, by NewsRx journalists, research stated,“ To assess existing algorithms for measuring Home- and Community-Based Services in Medicaid claims, and to develop and evaluate a…

Is Jackson'S Plan Another Attempt To Kick Medicaid Expansion Can Down The Road?

September 29, 2026

Georgians strongly support Medicaid expansion to provide health insurance to their lowerincome neighbors, and they have done so for years. We also know Medicaid expansion is popular because for several years now, Republicans have offered lip service to some form of expansion, but without actually ever delivering it. Brian Kemp's Georgia Pathways to…

Recent Studies from University of New Hampshire Add New Data to COVID-19 (Role of Ssa Disability Programs In the Covid-19 Pandemic: Ssdi/ssi-protected Families From Poverty During the Covid-19 Pandemic): Coronavirus – COVID-19

September 29, 2026

Financial support for this research came from National Institute for Disability, Independent Living, and Rehabilitation Research, in the Administration for Community Living, at the US Department of Health and Human Services. For more information on this research see: Role of Ssa Disability Programs In the Covid-19 Pandemic: Ssdi/ssi-protected Families…

Now you know: Marylanders are paying more for healthcare year after year

September 29, 2026

Sixteen years later, Maryland families are paying more and more for health insurance, and health care costs are becoming unaffordable. For 2027, Maryland has approved another major increase in individual health insurance premiums. Wes Moore's administration points to Washington for the latest increases, citing the expiration of enhanced federal…

HealthPartners and Essentia to merge, creating one of Minnesota’s largest health systems

September 29, 2026

HealthPartners and Essentia Health are proposing a merger that would create one of Minnesota’ s largest health systems amid a wave of industry consolidation in the state. HealthPartners and Essentia say a merger will help them withstand government funding cuts and rising costs while investing in better care. North Memorial Health merged into South Dakota-…

Troup adopts 2026-2027 budget, tax rate

September 29, 2026

The Troup City Council adopted its 2026-2027 budget and tax rate during its Sept. 21 meeting. “One of the main drivers of this year's budget increase is an over $5,000 increase for each police officer and a 28% increase in health insurance premium,” City Manager Gene Cottle stated.“ The city had been reimbursing employees $1,000 per year for the past couple of years,…

Medicaid panel voices concerns as work to overhaul Idaho’s system continues

September 29, 2026

BOISE— The Idaho Legislature’ s Medicaid Review Panel met Thursday to discuss the state’ s overhaul of Medicaid. Preliminary stages for a competitive bidding process are slated to begin in the coming months before a full, multi-year transition sees private organizations playing a primary role in administering the federal health program in Idaho.

NEW REPORT: "MIKE ROGERS VOTED AGAINST CHILDREN'S HEALTH COVERAGE OVER AND OVER" [DETROIT METRO TIMES] – MICHIGAN DEMOCRATIC PARTY

September 29, 2026

LANSING New reporting from the Detroit Metro Times reveals how corrupt multimillionaire Mike Rogers "repeatedly voted against expanding health insurance for low-income children, opposing legislation that Michigan officials could help tens of thousands of uninsured kids get care." Detroit Metro Times: Mike Rogers Voted Against Children's Health…

Two big Minnesota health care providers want to merge

September 29, 2026

HealthPartners and Essentia Health are proposing a merger that would create one of Minnesota’ s largest health systems amid a wave of industry consolidation in the state. North Memorial Health merged into South Dakota- based Sanford Health on Sept. 1, and Minneapolis- based Allina Health has proposed becoming a division of California- based Sutter Health.

HealthPartners, Essentia propose merger to create one of Minnesota’s largest health systems

September 29, 2026

HealthPartners and Essentia Health are proposing a merger that would create one of Minnesota’ s largest health systems amid a wave of industry consolidation in the state. North Memorial Health merged into South Dakota- based Sanford Health on Sept. 1, and Minneapolis- based Allina Health has proposed becoming a division of California- based Sutter Health.

Lawmakers updated on major enrollment change in state health plan covering public employees and retirees

September 29, 2026

While lawmakers use the legislative interim to prepare for the next legislative session, we also use the time to monitor how state programs are serving Kentuckians. At the September meeting of the Public Pension Oversight Board, members received an update on an important enrollment change coming to the Kentucky Employees Health Plan that covers more than…

What will California’s next governor do about healthcare? Here are Becerra and Hilton’s plans

September 29, 2026

Angela Chang says sticker shock never gets easier. But Chang, chief strategy officer at KCAL Insurance, also knows there's only so much left in people's pockets, especially with food and gas prices rising too. Nearly two in three Californians worry about unexpected medical bills, and six in 10 report they or a family member skipped care due to cost, according to a…

As health insurance costs soar, healthcare workers also feel the pinch

September 29, 2026

BOISE, Idaho— Joshua and Ashley Durham run a family medicine practice, and for the first time in their lives, they have no health insurance. "It’ s nerve-racking," said Joshua Durham, 47. "It just takes, you know, one little accident, and then you got a big fat bill." Nationwide, 7% of all healthcare workers were uninsured in 2024, compared with 11% of all adults under 65,…

UNDERSTANDING THE ROLE OF MEDICAID FRAUD CONTROL UNITS (MFCUS)

September 29, 2026

Authors: Jessica Mathers and Elizabeth Hinton. In May 2026, CMSannouncedthe HHS Office of the Inspector General would be initiating areview of every state's MFCUbefore its next annual recertification. In June 2026, the HHS-OIG denied recertification and suspended federal funding for Hawaii's and New York's Medicaid Fraud Control Units.

PRESSLEY, MURRAY, COLLEAGUES REINTRODUCE BILL TO EXPAND COVERAGE OF BIRTH CONTROL AND SOUND ALARM ON TRUMP'S RELENTLESS ATTACKS ON CONTRACEPTION AND FAMILY PLANNING

September 29, 2026

The Affordability is Access Act would require insurers to fully cover over-the-counter birth control without any fees or out-of-pocket costs, once it's FDA- approved. The legislation also includes a new provision to require health insurance to cover every FDA- approved contraceptive drug or drug-led combination product without cost sharing unless the…

Doctors and hospitals to see lower Medicaid payments in three dozen states

September 29, 2026

"It means that more of these hospitals, a few nursing homes that are wrapped up in our academic medical centers, are going to start limiting the numbers of Medicaid patients that they see," said Debra Lipson, the independent health policy researcher who authored the report. But in the years since, federal and state spending on these so-called state-directed…

Poll: Do you agree with Auburn City Council rejecting firefighters union contract?

September 28, 2026

In a surprising development, Auburn City Council on Thursday rejected a proposed three-year contract with the city's firefighters union. Mayor Jimmy Giannettino and Councilors Craig Diego and Rhoda Overstreet-Wilson each cited the contract's language on contributions to health insurance premiums as part of the reason for their vote, believing they…

Reports on Managed Care Findings from Brigham and Women’s Hospital and Harvard Medical School Provide New Insights (Most-favoured-nation pricing for prescription drugs in US Medicare: a cohort study): Managed Care

September 28, 2026

2026 SEP 28– By a News Reporter-Staff News Editor at Insurance Daily News– Investigators discuss new findings in Managed Care. According to news reporting out of Boston, Massachusetts, by NewsRx editors, research stated,“ The prices of new medicines in the USA are among the highest in the world. Our news journalists obtained a quote from the research from Brigham…

Researchers from Mayo Clinic Arizona Report Findings in Managed Care (Implementation of Ultra-Low-Dose CT for Renal Stone Surveillance Was Associated With Reduced Ultrasound and Radiography Use: A Multidisciplinary Quality Improvement Initiative): Managed Care

September 28, 2026

2026 SEP 28– By a News Reporter-Staff News Editor at Insurance Daily News– Investigators discuss new findings in Managed Care. According to news reporting originating in Phoenix, Arizona, by NewsRx journalists, research stated,“ Renal stone surveillance often relies on ultrasound and radiography of the kidney, ureter, and bladder because of concerns about CT…

Investigators at University of Wisconsin Madison Release New Data on Managed Care (Determinants of Length of Stay Variations in Post-Acute Care Within an Inpatient Rehabilitation Facility): Managed Care

September 28, 2026

2026 SEP 28– By a News Reporter-Staff News Editor at Insurance Daily News– Current study results on Managed Care have been published. According to news originating from Madison, Wisconsin, by NewsRx correspondents, research stated,“ To examine factors associated with variation between actual length of stay and expected LOS in inpatient rehabilitation…

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