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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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This Miami health system could go out-of-network with United. What it means for you

July 16, 2026

South Florida patients insured through UnitedHealthcare could be locked out of in-network care at the University of Miami Health System as soon as August if a deal isn’ t made soon. This is the latest South Florida hospital versus health insurer dispute to go public. Broward Health and Memorial Health have accused Florida Blue of not paying them enough for care,…

Health benefit premiums for NJ school workers expected to rise by 34%

July 16, 2026

Active school workers' health insurance premiums on a beleaguered state-run plan should rise by 34% in 2027, state actuaries told the School Employees Health Benefits Commission on Wednesday. "Public schools and public school employees cannot continue absorbing annual increases of this magnitude without consequences," New Jersey Education Association…

Atrium’s WakeMed acquisition faces new hurdle after State Health Plan decision

July 16, 2026

The State Health Plan's decision not to choose Atrium Health as a preferred provider healthcare system could derail Atrium's plan to acquire WakeMed. The Wake County Board of Commissioners will have the final say on Atrium's bid to acquire WakeMed, the N.C. Justice Center said on Wednesday. Although Atrium and WakeMed had been in talks for at least two years, the…

July 16, 2026
Image shows the UnitedHealth logo
UnitedHealth Group far exceeded analysts' expectations for second quarter earnings. (This image was created with AI)

Fewer members, more profit: UnitedHealth shares surge on Q2 earnings beat

UnitedHealth Group on Thursday became the second major health insurer in as many days to report strong second-quarter profits.

ARE SURVIVAL RATES FOR ADULTS WITH CONGENITAL HEART DISEASE LINKED TO SPECIALIZED CARDIAC CARE ACCESS?

July 16, 2026

The following information was released by the American Heart Association:. People with congenital heart disease living in states with lower average household incomes and higher percentages of uninsured residents had increased rates of death and disability, according to a new study in the Journal of the American Heart Association. People with congenital…

THIRTY-TWO YEARS, ZERO RESULTS: NRSC CHARGES SHERROD BROWN SOLD OUT TO BIG INSURANCE

July 16, 2026

In a June 23, 2026 press release, the NRSC charged that Brown spent his 32- year career in Washington accepting contributions from big health insurance lobbyists while failing to deliver meaningful reform for Ohio families. The NRSC also charges that Brown is now opposing what Republicans are calling the largest investment in history to bolster Ohio's…

July 16, 2026
Image shows the words "Retention" and "cost"
The vast majority of employers surveyed – 94% - said controlling medical costs was important to them in 2026, up from 91% last year. (This image was created with AI)

Employers weigh retention, costs in developing benefits strategies

Employers are focusing on employee retention and well-being, while keeping an eye on costs, as they develop their workplace benefits strategies.

As beer strike continues, community stands behind workers

July 15, 2026

Teamsters Local 175 leaders say negotiations stalled over more than 100 proposed contract changes, including health insurance premium increases, possible changes to spouse coverage and reductions to retirement benefits. The Beverage Market, owned by Theresa and Martin Johnson of Hazard, Kentucky, distributes beer to more than 1,900 customers statewide.

Researchers at RTI International Report New Data on Managed Care (Tobacco Cessation Treatment in Pregnancy: Insights from Florida Medicaid Claims Data): Managed Care

July 15, 2026

2026 JUL 15– By a News Reporter-Staff News Editor at Insurance Daily News– Fresh data on Managed Care are presented in a new report. According to news reporting originating in Research Triangle Park, North Carolina, by NewsRx journalists, research stated,“ Tobacco use increases risk for serious pregnancy complications, increasing infant and maternal morbidity…

Investigators from Medical University of South Carolina Have Reported New Data on Managed Care (Risk Factors Driving “no-shows” Across Orthopaedic Subspecialty Outpatient Clinics): Managed Care

July 15, 2026

2026 JUL 15– By a News Reporter-Staff News Editor at Health Policy and Law Daily– A new study on Managed Care is now available. Our news journalists obtained a quote from the research from the Medical University of South Carolina,“ Clinic appointments labeled as‘ completed’ or‘ no-show’ between January 1, 2021 and June 30, 2023, were retrospectively collected from an…

New law provides clarity for firefighters’ health insurance

July 15, 2026

PHOENIX– State lawmakers have decided that firefighters in Arizona should not have to go through the hassles that Matthew O'Reilly had with his insurance company. O'Reilly, a firefighter in Sun City, got diagnosed with a type of cancer after a routine screening. Kevin Payne, there should have been a comma after adenocarcinoma which would have made it clear that…

July 15, 2026
Image shows the UnitedHealth Group logo.
A federal appeals court cleared UHG in a lawsuit over Medicare benefits. (This image was created with AI)

Appeals court tosses lawsuit accusing UnitedHealth of misleading seniors

A federal appeals court sided with UnitedHealthcare Tuesday on a lawsuit over how the insurer markets its Medicare Advantage plans.

REP. ANGIE CRAIG INTRODUCES LEGISLATION TO CREATE A PUBLIC OPTION, LOWER HEALTH INSURANCE COSTS FOR MINNESOTANS

July 15, 2026

The bill would also permanently extend the ACA enhanced premium tax credits that Congressional Republicans allowed to expire at the end of 2025, codify the "family glitch" fix and provide funding for a national reinsurance program policies that Rep. Craig has long championed. Americans are facing skyrocketing insurance premiums following the expiration…

Two Triangle hospital systems considered for key State Health Plan status. Who got it?

July 15, 2026

The State Health Plan Board of Trustees voted Friday on which hospital systems would be considered preferred providers under its new network structure. Those designated as preferred providers were UNC Health and Novant Health. State Health Plan spokesperson Loretta Boniti told The News& Observer that UNC Health has a 10- year contract while Novant Health’ s…

July 15, 2026
Image shows the Elevance Health logo
Elevance Health is raising its guidance after a strong second quarter. (This image was created with AI)

Elevance hikes 2026 outlook off strong Q2, to exit more Medicaid markets

The nation’s second-largest health insurer, Elevance got a jump on the competition Wednesday, raising its 2026 earnings guidance.

CVS Health Risk Factors: Key Regulatory, PBM, Insurance, and Pharmacy Risks

July 15, 2026

In CVS Health Corp’s 10- K filing with the SEC, the company outlines a wide range of business and financial risks. The central takeaway is that CVS Health is a large, diversified healthcare company whose earnings depend on navigating regulation, reimbursement, medical cost trends, pharmacy economics, and complex operational execution. CVS Health Risk Factors…

New York Life Launches an Indemnity Benefit for its Asset Flex Long-Term Care Insurance Solution

July 15, 2026

New York Life announced the launch of an indemnity benefit payment option for Asset Flex, its hybrid long-term care insurance solution combining long-term care and universal life insurance. “We know that 70% of Americans turning 65 will need some form of LTC 1, but LIMRA research finds only 3% over age 50 own any long-term care insurance 2,” said Ruby Grace Reyes,…

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

July 15, 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…

CALPERS HOLDS HEALTH PREMIUM INCREASE TO 4.97% FOR 2027 WHILE ADVANCING CARE QUALITY

July 15, 2026

The following information was released by the California Public Employees' Retirement System:. SACRAMENTO, Calif. CalPERS announced 2027 health plan premium rates today, keeping the overall weighted rate change to 4.97% while continuing to improve care quality for members. "These rates reflect CalPERS' methodical approach to purchasing health coverage and…

PHARMACY OWNER AND TECHNICIAN SENTENCED FOR FALSIFYING AUDIT DOCUMENTS AND SUBMITTING FRAUDULENT CLAIMS

July 15, 2026

According to court documents and statements made in court, Kirtan S. Patel, 34, of Allentown, New Jersey, and a lawful permanent resident originally from India, owned a pharmacy in Jersey City, New Jersey. Patel was sentenced to 30 months in prison and ordered to pay over $620,000 in restitution and $620,000 in forfeiture. According to court documents and…

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