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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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October 13, 2026
Image shows the UnitedHealthcare logo
UnitedHealth Group reported a very strong third quarter. (AI-generated image)

UnitedHealth beats Q3 expectations, hikes 2026 guidance

UnitedHealth Group raised its 2026 adjusted earnings forecast for the third time this year after reporting strong Q3 results.

October 13, 2026
What are the odds your client will need long-term care? (AI-generated image)

What 70% doesn’t tell you

Is the long-term care statistic real?

October 12, 2026
Michigan’s lawsuit challenges Blue Cross rules governing competition among member plans and alleges its market power has hurt employers, patients and health care providers. (AI-generated image)

Blue Cross faces Michigan lawsuit over alleged monopoly and pricing practices

Michigan’s lawsuit challenges Blue Cross rules governing competition among member plans and alleges its market power has hurt employers, patients and health care providers.

SMH, UnitedHealthcare wrangle over coverage

October 12, 2026

SARASOTA— Sarasota Memorial Health Care System has notified its patients with UnitedHeathcare Medicare Advantage plans that they may not have coverage for treatment rendered after Dec. 31. All of SMHCS' providers— its two hospitals, in Sarasota and Venice; its outpatient and urgent care centers; and all First Physicans Group practices— would be considered out…

Millions lose private Medicare plans and face rising costs

October 12, 2026

Major insurers, like UnitedHealth, Centene and state Blue Cross plans, have shuttered plans that they viewed as unprofitable in certain markets, leaving some people with fewer choices of policies, and even more limited choices of doctors in 2027. In some rural counties from Oregon to New Hampshire, older Americans shopping for private Medicare Advantage plans…

State announces rates for 2027 small group health insurance market

October 12, 2026

The New Mexico Office of Superintendent of Insurance has approved 2027 health insurance premium rates for the small group health insurance market. The carriers offering small group coverage in New Mexico in 2027 are:. ·Blue Cross Blue Shield of New Mexico· Presbyterian Health Plan· Presbyterian Insur- ance Company· UnitedHealthcare of New Mexico·…

October 12, 2026
Too many consumers automatically re-enroll in health coverage instead of investigating their options (AI-generated image)

Rethinking the status quo can lead to long-term savings on healthcare

Benefit enrollment season is an ideal time to overcome this bias by systematically evaluating healthcare benefits to reduce costs and make long-term financial plans more efficient.  

October 9, 2026
Congress was urged to address the underlying causes of high healthcare costs (AI-generated image)

NABIP urges Congress to address underlying healthcare costs

A health agents’ association told Congress this week that health coverage cannot become meaningfully more affordable without addressing healthcare’s underlying cost.

Understanding health insurance: What fraud, waste, and abuse mean for your healthcare

October 9, 2026

Imagine receiving a phone call reminding you about a doctor's appointment you never scheduled or seeing a charge for medical equipment you never received. Situations like these can be warning signs of fraud and reminders that healthcare resources must be protected. Behind every healthcare dollar is a real person seeking care, filling a prescription,…

Fairview sues UnitedHealthcare over 2027 Medicare plan info

October 8, 2026

Fairview Health Services is suing UnitedHealthcare, saying the nation’ s largest insurer is wrongly telling seniors the health system’ s hospitals and clinics will be part of its Medicare Advantage network for 2027.. Minneapolis- based Fairview has asked a federal judge to issue a temporary restraining order to stop the insurer from including the health…

October 8, 2026
Image shows a woman with her hand on the back of another, older woman.
One of the biggest issues for women who want to put LTCi coverage in place is figuring out how they will pay for it. (AI-generated image)

Women can face challenges in obtaining LTCi

Although women often have a critical need for long-term care insurance, it’s often not easy for them to get it.

Health affordability task force considers utility model

October 7, 2026

CHEYENNE— The Health Insurance Affordability Task Force discussed models Tuesday that could reduce the cost of health insurance in Wyoming, in addition to unanimously agreeing that the task force should continue its work after next year’ s legislative session. The model presented by Wyoming Department of Health Deputy Director Franz Fuchs would be a major…

AM Best Maintains Stable Outlook on Indonesia’s Non-Life Insurance Segment

October 7, 2026

According to the Best’ s Market Segment Report,“ Market Segment Outlook: Indonesia Non-Life Insurance,” regulatory measures continue to strengthen the segment’ s financial resilience and risk management while specific steps aimed at managing medical inflation are expected to benefit the country’ s domestic health insurance sector. “We expect prospective…

Study explores insurance coverage for nutrition therapy in older cancer patients

October 7, 2026

2026 OCT 07– By a News Reporter-Staff News Editor at Hospital& Nursing Home Daily– Research findings on cancer are discussed in a new report. The news reporters obtained a quote from the research from University of Edinburgh:“ Medical nutrition therapy can translate nutrition screening into individualized dietary counseling, symptom-responsive support,…

Fairview sues UnitedHealthcare over false advertising

October 7, 2026

Minneapolis- based Fairview Health Services is suing UnitedHealthcare, alleging the nation's largest health insurer is falsely advertising its 2027 Medicare Advantage plans by including Fairview hospitals and clinics in its network. The lawsuit, filed in federal court in Minnesota, comes after Fairview chose not to renew its contract with…

Federation of American Hospitals names Paul Eiting vice president of policy

October 7, 2026

The following information was released by the Federation of American Hospitals:. The Federation of American Hospitals today announced that Paul Eiting has joined the organization as Vice President, Policy, where he will help lead FAH's advocacy on critical health coverage and payment issues affecting hospitals and the patients they serve.

Most Americans support switch to Medicare for all health insurance

October 7, 2026

Two-thirds of U.S. adults— up from 53% in 2020— said they are in favor of universal U.S. health insurance, often referred to as "Medicare for all," according to a poll conducted by health policy research firm KFF released on Tuesday. Medicare is the U.S. government program that provides health coverage to about 70 million people aged 65 and older or with disabilities.

East Hartford woman charged with double-dipping from Medicaid caregiver programs

October 7, 2026

Carmen Rivera-Rivera, 52, was arrested last week by inspectors from the Medicaid Fraud Control Unit of the Office of the Chief State’ s Attorney and charged with health insurance fraud and first-degree larceny by defrauding a public community. On May 20, the fraud control unit received a complaint that Rivera-Rivera, an employee of the AFL program, had enrolled…

GLP-1 users choose between medication and retirement saving

October 7, 2026

GLP-1 medications are giving Americans greater optimism about living longer, healthier lives, but their cost is also creating a new retirement challenge.

As immigrant Medicaid cuts take effect, some in WA can keep their coverage

October 7, 2026

Roughly 10,000 immigrants in Washington are losing their Medicaid health coverage due to federal cuts Republicans in Congress approved last year. On Thursday, a provision in President Donald Trump's signature tax cut and spending law stripped Medicaid coverage for refugees, asylees and other lawfully present immigrants, including people who fled the war…

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