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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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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…

State Health Plan brings back Blue Cross NC, approves Novant and UNC Health deals

July 13, 2026

The Board of Trustees for the State Health Plan approved Friday sweeping management and beneficiary changes that include bringing back Blue Cross Blue Shield NC as its third-party administrator in January 2028. The SHP is North Carolina's largest purchaser of medical and pharmaceutical services. The board approved preferred provider contracts with…

July 13, 2026
Image shows a pair of hands holding health plan items
For those who hire independent agents, a health plan like the one offered by Integrity may be the secret to growth. (This image was created with AI)

Could health plans be the next crucial benefit for independent agents?

Integrity recently announced a health plan designed for its independent agents and advisors in a breakthrough offering.

SWBC’s Joan Cleveland Reappointed to Texas Association of Life & Health Insurers (TALHI) Board of Directors

July 13, 2026

SWBC is proud to announce that Joan Cleveland, President and CEO of SWBC Life Insurance Company and Executive Vice President of SWBC Property and Casualty Insurance Company, has been reappointed to the Texas Association of Life& Health Insurers Board of Directors. TALHI represents life and health insurers across Texas and advocates for economic,…

Newsom wants to increase an obscure tax for millions. He needs Trump’s help | Opinion

July 13, 2026

Gavin Newsom and the Democrats in the California Legislature have just increased a tax you have likely never heard of, but which could cost you hundreds next year. If California happens to tax its managed care organizations more, we can generally get more money out of the federal government to help pay for low-income Californians who need care through the state’…

Letters: Readers vent about Big Beautiful Bill, Standing Bear movie and more.

July 13, 2026

As a family rancher whose sole income is cattle, my monthly health insurance premium went from about $1,300 a month in 2025 to $2,100 a month this year. That’ s an increase of roughly $10,000 a year. Citizenship by birth is widely associated with the United States.

Auburn council to vote on amending Haines' contract as city manager

July 13, 2026

AUBURN— An added retirement provision and increased health insurance contributions are among the changes to Auburn City Manager Jenny Haines' contract that will be voted on by the City Council this week. The Citizen's review of Haines' contract and the amended version found two noticeable changes. The rates will increase to 23.4% on July 1, 2027, and 25% on July…

July 13, 2026
Articial intelligence creates efficiency for carriers, disruption for agents (AI-generated image)

AI’s dual reality: Efficiency for insurers, disruption for agents

Artificial intelligence is no longer a buzzword reserved for technology conferences and corporate strategy decks.

State budget helps 200,000 afford insurance

July 12, 2026

The State Corporation Commission estimates 100,000 Virginians lost health insurance coverage this year after Congress failed to extend the enhanced federal premium tax credits. STATEWIDE: Fifteen people were killed in fourteen different crashes in Virginia over the Independence Day holiday weekend, according to state police. Crashes occurred in the…

State Health Plan brings back Blue Cross NC

July 12, 2026

The Board of Trustees for the State Health Plan approved Friday sweeping management and beneficiary changes that include bringing back Blue Cross Blue Shield NC as its third-party administrator in January 2028. The SHP is North Carolina's largest purchaser of medical and pharmaceutical services. The board approved preferred provider contracts with…

Here's how Connecticut's candidates for governor differ on healthcare plans as costs rise

July 12, 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…

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