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

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Reports from Kaiser Permanente Northern California Advance Knowledge in Managed Care (Trends in Infertility Treatments by Race, Ethnicity, Socioeconomic Status, and Region in U.S. Birth Certificates from Live Births: 2011-2022): Managed Care

July 14, 2026

2026 JUL 14– By a News Reporter-Staff News Editor at Insurance Daily News– Investigators publish new report on Managed Care. We examined age-standardized rates of infertility treatment utilization and specific treatment modalities among birthing individuals in the U.S. from 2011 to 2022, and assessed differences by race/ethnicity, socioeconomic status,…

Research from University of Pennsylvania School of Nursing Reveals New Findings on Managed Care (Association of intervention fidelity and outcomes in implementation of the Thrive transitional care program for Medicaid-insured individuals): Managed Care

July 14, 2026

2026 JUL 14– By a News Reporter-Staff News Editor at Insurance Daily News– Researchers detail new data in Managed Care. Financial support for this research came from Agency for Healthcare Research and Quality. Our news journalists obtained a quote from the research from the University of Pennsylvania School of Nursing,“ To evaluate the coverage, content, dose,…

Researchers at University Gadjah Mada Report Research in Machine Learning (Landscape of Machine Learning for Health Insurance Fraud Detection: Global Evidence and Lessons for Indonesia): Machine Learning

July 14, 2026

2026 JUL 14– By a News Reporter-Staff News Editor at Health Policy and Law Daily– Researchers detail new data in artificial intelligence. According to news originating from Yogyakarta, Indonesia, by NewsRx correspondents, research stated,“ Fraud in health insurance claims threatens the sustainability of health financing systems and the quality of…

CA state workers’ and retirees’ premiums to increase 5% on average next year

July 14, 2026

California state employees will see smaller increases to their healthcare premiums compared to last year’ s rate hikes following Tuesday’ s approval of CalPERS’ 2027 health insurance rates. The California Public Employees’ Retirement System board of administration approved a weighted average increase of 5% to healthcare rates during a Tuesday board…

Anthem Blue Cross and Blue Shield Establishes Commercial Coverage for LucentAD® Complete; Quanterix to Present New Data Highlighting Multi-Analyte Advantages

July 14, 2026

Quanterix Corporation, a global leader in precision biomarker science, today announced a series of milestones that significantly advance the clinical adoption of blood-based Alzheimer’ s testing. Anthem Blue Cross and Blue Shield eligible members will be the first commercially insured patients in the United States to benefit from medical policy…

Blue Cross NC awarded 2 State Health Plan contracts

July 14, 2026

–Third-party administrator and pharmacy benefit manager contracts have been awarded to to Blue Cross Blue Shield of North Carolina effective January 2028. Also in its meeting Friday, the North Carolina State Health Plan Board of Trustees voted on preferred provider hospital systems, benefit changes and premiums for 2027.. "Blue Cross NC is grateful to be…

2.6 million Americans lost health insurance in 2025 after ACA subsidies expired, leading to real health consequences

July 14, 2026

Millions of Americans who buy their own health insurance coverage through the Affordable Care Act marketplaces faced a stark choice this year: pay more than twice as much to keep the same plan or go without. Many did not keep their coverage. Federal data released on June 26, 2026, shows that marketplace enrollment fell from 21.8 million people in February 2025 to…

Anthem Establishes Coverage of C2N Diagnostics’ Blood Test for Alzheimer’s Disease Evaluation

July 14, 2026

Anthem Blue Cross and Blue Shield will cover C2N Diagnostics’ PrecivityAD2 blood test for Alzheimer’s disease evaluation starting Oct 1, 2026, expanding access to the diagnostic tool for adults with cognitive decline.

Blue Cross NC awarded 2 State Health Plan contracts

July 14, 2026

–Third-party administrator and pharmacy benefit manager contracts have been awarded to to Blue Cross Blue Shield of North Carolina effective January 2028. Also in its meeting Friday, the North Carolina State Health Plan Board of Trustees voted on preferred provider hospital systems, benefit changes and premiums for 2027.. It further states that Blue Cross…

Tips for life, health insurance for military members, families

July 14, 2026

Finding the right health or life insurance plans can feel like you're navigating a minefield, whether you're active duty, a reservist or a military family member. If you're in the market for one of these policies, here are a few things to consider:. If you are on active duty for more than 30 days, you and your dependents should be covered by military health care.

2026 MEDICAL LOSS RATIO REBATES

July 14, 2026

The following information was released by the Henry J. Kaiser Family Foundation:. Authors: Matt McGough, Jared Ortaliza, and Cynthia Cox. This analysis, using preliminary data reported by insurers to state regulators and compiled by Mark Farrah Associates, finds that insurers estimate they will issue a total of just over $759 million in MLR rebates across all…

WHY DO DEMOCRATS HATE MEDICARE ADVANTAGE? IT'S THE BEST PROGRAM IN THE ENTIRE U.S. HEALTHCARE SYSTEM, INCLUDING EVEN EMPLOYER-SPONSORED PLANS.

July 14, 2026

The following information was released by the Independent Institute:. Lloyd Doggett and co-sponsored by more than 40 House Democrats would sharply reduce government payments to Medicare Advantage plansprivate policies for Medicare enrollees. It is no secret that many congressional Democrats dislike private health insurance even though private…

Efforts to reform federal drug pricing program 340B continue with new report, proposed CMS rule

July 14, 2026

The federal drug pricing program 340 B helps hospitals and clinics in Virginia and across the nation care for underserved patients by requiring pharmaceutical companies to offer prescription discounts to qualifying providers. This summer, federal officials are seeking public feedback on congressional legislation drafted by a workgroup that Virginia…

They harvest the nation's food, but a new rule may strip them of health insurance

July 14, 2026

It's a heightened concern for the estimated million-plus farmworkers who are U.S. citizens or legal permanent residents, as new work requirements kick in for the federal-state healthcare program that serves low-income and disabled Americans. "Having a work requirement— having to create more paperwork and more proof— is certainly extremely challenging for…

Gov. candidates differ on healthcare

July 14, 2026

Ned Lamont and Hamden state Rep. Josh Elliott are offering Democratic primary voters two vastly contrasting visions on healthcare for all. To Elliott, the health insurance industry should not exist, and he is proposing what he calls "a real public option" that gradually moves Connecticut to a single-payer system by first slowly bringing more working people…

Agendia Announces Definitive Mandatory Swiss Health Insurance Reimbursement for MammaPrint

July 14, 2026

IRVINE, Calif.& AMSTERDAM—- Agendia ®, Inc., a leader in precision oncology for breast cancer, today announced the official ruling by the Swiss Federal Office of Public Health to grant definitive, mandatory health insurance coverage for multigene expression tests, including MammaPrint ® for eligible patients with early-stage breast cancer.

2.6 million Americans lost health insurance in 2025 after ACA subsidies expired, leading to real health consequences

July 13, 2026

Millions of Americans who buy their own health insurance coverage through the Affordable Care Act marketplaces faced a stark choice this year: pay more than twice as much to keep the same plan or go without. Many did not keep their coverage. Federal data released on June 26, 2026, shows that marketplace enrollment fell from 21.8 million people in February 2025 to…

Telehealth navigator program improves blood pressure control among Black patients at federally qualified health centers: Harvard Pilgrim Health Care Institute

July 13, 2026

2026 JUL 13– By a News Reporter-Staff News Editor at Insurance Daily News– Key Takeaways. Boston, MA- A new study led by researchers at Harvard Pilgrim Health Care Institute, with researchers from Boston University and Boston Medical Center, shows that a telehealth navigator program can significantly improve blood pressure control among Black patients with…

2.6 million Americans lost health insurance in 2025 after ACA subsidies expired, leading to real health consequences

July 13, 2026

Interruptions in health insurance coverage can interfere with care and leave people with medical bills they can't pay. Pressmaster/iStock via Getty Images Plus. Federal data released on June 26, 2026, shows that marketplace enrollment fell from 21.8 million people in February 2025 to 19.2 million in February 2026, a decline of about 2.6 million people, or 12%.

DURBIN VISITS CHESTNUT HEALTH DENTAL CLINIC IN BLOOMINGTON, TALKS IMPROVING ACCESS TO DENTAL CARE FOR ILLINOISANS AMID CRITICAL SHORTAGES

July 13, 2026

The following information was released by Illinois Senator Richard J. Durbin:. Illinois is facing a shortage of dentists who accept Medicaid despite 3.4 million Illinoisans relying on the program for health insurance coverage. In total, there are about 8,500 dentists in Illinois, which is a gap of nearly 400 dentists to adequately serve the more than two…

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