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Health/Employee Benefits News

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

Top Stories

30 minutes ago
Image shows a cartoon version of Rep. Ocasio-Cortez in the House
Rep. Alexandria Ocasio-Cortez’s bill would cap compensation for agents and brokers representing for-profit Medicare Advantage organizations.

Agent groups speak out against congresswoman’s call to limit MA compensation

The Medicare agent community is speaking out against a bill by Rep. Alexandria Ocasio-Cortez, D-N.Y., that would limit broker compensation for Medicare Advantage Plans.

June 11, 2026
Image shows a 2027 seal and mention health insurer rate increases
In Connecticut, ConnectiCare Benefits filed for an average 22.7% increase on individual plans, one example of the rate hikes being sought. (This image was created with AI)

ACA premium shock: Health insurers request hikes up to 30% for 2027

Soaring medical service costs and the expiration of pandemic-era federal premium subsidies are driving the steep rate hike requests.

June 11, 2026

The biggest risk to your clients’ financial plans isn’t market volatility

Health-related income risk remains largely outside the financial planning conversation.

More Stories

Local drop in ACA coverage among highest in state

29 minutes ago

Pacific County also saw a decline in the number of people enrolled in Apple Health, Washington's Medicaid program. Local enrollment in Apple Health declined from 5,233 in 2025 to 4,958 in 2026, a drop of 275 people— 5.3%. Nearly one-third of Pacific County's under-65 population is receiving coverage through Apple Health this year, 12th- highest in the state and…

30 minutes ago
Image shows a cartoon version of Rep. Ocasio-Cortez in the House
Rep. Alexandria Ocasio-Cortez’s bill would cap compensation for agents and brokers representing for-profit Medicare Advantage organizations.

Agent groups speak out against congresswoman’s call to limit MA compensation

The Medicare agent community is speaking out against a bill by Rep. Alexandria Ocasio-Cortez, D-N.Y., that would limit broker compensation for Medicare Advantage Plans.

A Brooklyn Health Clinic Offers a Safety Net For New Yorkers That May Lose Insurance

13 hours ago

Brooklyn residents who lose health insurance coverage because of federal policy changes can still access low- and no-cost sexual and reproductive health care at the city's Fort Greene Sexual Health Clinic, according to the NYC Health Department. The agency recently launched a citywide public awareness campaign promoting services available through its…

Politicians, consumers blast health insurers’ requests for double-digit rate hikes. What to know.

June 14, 2026

Three major health insurance companies are proposing sharp rate increases in 2027 for many Connecticut residents and with many living paycheck to paycheck, state leaders are concerned about the rising costs. That includes an average hike of nearly 23% for individual plans for ConnectiCare, nearly 19% for United Healthcare, and an average increase of nearly…

Final rules for Medicaid work requirements are out. Here's what you need to know.

June 13, 2026

The Centers for Medicare& Medicaid Services released the rules on June 1. That deadline was set last year in the GOP tax-and-spending law known as the One Big Beautiful Bill Act, which established a work requirement for certain people enrolled in Medicaid, the state-federal health insurance program for people with low incomes or disabilities.

Final rules for Medicaid work requirements are out. Here's what you need to know.

June 13, 2026

The Centers for Medicare& Medicaid Services released the rules on June 1. That deadline was set last year in the GOP tax-and-spending law known as the One Big Beautiful Bill Act, which established a work requirement for certain people enrolled in Medicaid, the state-federal health insurance program for people with low incomes or disabilities.

Hyde-Smith blasts health care delays

June 13, 2026

Senator Cindy Hyde-Smith sharply criticized the use of prior authorization by health insurance companies that often delay or even deny physician-prescribed care for patients. In a floor speech Tuesday, Hyde-Smith called on Congress to pass "practical, bipartisan" legislation she supports that would limit the ability of insurers to use prior…

WNY health insurers seek rate hikes of 9% to 24% for 2027

June 12, 2026

Independent Health is requesting an average rate increase of 14.2% in the individual market, where it has nearly 4,100 members. On the small groups, in which Independent Health lists about 21,800 members, the insurer requested an increase of 11.4%. Excellus Health Plan, which does business in Western New York as Univera Healthcare, is seeking an average rate…

Healthcare now costs more than mortgages

June 12, 2026

Thanks Obamacare…. which was sold to the public as a' fix' for sky rocketing health care costs/coverage. The average American family now pays over $2,200 a month for health insurance- that's more than the average monthly mortgage payment of $2,000. Locally, the Libby Community Health Center (CHC) is undergoing a HUGE expansion.. who, exactly is paying for that?

Fairview won’t accept seniors with UnitedHealth Medicare Advantage plans next year

June 12, 2026

Fairview Health Services says it will block access next year to its hospitals and clinics for seniors with Medicare Advantage coverage from UnitedHealthcare. In email messages sent Thursday to about 11,000 patients, Minneapolis- based Fairview cited ongoing problems with coverage changes, denials and payment issues with UnitedHealthcare, the nation’ s…

Studies from University of Pennsylvania Perelman School of Medicine Yield New Data on Managed Care (The Rural Health Transformation Program: trends in projected scores and actual awards): Managed Care

June 12, 2026

2026 JUN 12– 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 from Philadelphia, Pennsylvania, by NewsRx correspondents, research stated,“ Recent legislation will substantially reduce Medicaid spending and coverage but also created a temporary…

Data on Managed Care Reported by Researchers at University of Georgia (Health System Integration and Prior Authorization in Medicare Advantage): Managed Care

June 12, 2026

2026 JUN 12– By a News Reporter-Staff News Editor at Insurance Daily News– Investigators publish new report on Managed Care. According to news reporting originating in Athens, Georgia, by NewsRx editors, the research stated,“ To examine whether Medicare Advantage plans affiliated with health systems adopt less restrictive prior authorization policies than…

Investigators at Yale University School of Medicine Report New Data on Managed Care (Gender differences in provider practice characteristics and medicare payment & services among diagnostic radiologists): Managed Care

June 12, 2026

2026 JUN 12– By a News Reporter-Staff News Editor at Insurance Daily News– Investigators discuss new findings in Managed Care. According to news reporting originating in New Haven, Connecticut, by NewsRx journalists, research stated,“ Gender-based differences in representation, practice settings, sub-specialty, billings, and payments among radiologists are…

Turning 65 brings Medicare enrollment choices

June 12, 2026

I am not receiving my Social Security check since I am still working part-time with no employer benefits; I only have individual health insurance. I need my Medicare and Part D plan to begin November 1. Joshua: Don't stress yourself about the Medicare Open Enrollment, also known as Medicare's Annual Enrollment Period, that begins Oct. 15, because you will be in your…

Fairview says seniors with UnitedHealth Medicare plans will lose access to its hospitals, clinics

June 12, 2026

Fairview Health Services says it will block access next year to its hospitals and clinics for seniors with Medicare Advantage coverage from UnitedHealthcare. In email messages sent Thursday to about 11,000 patients, Minneapolis- based Fairview cited ongoing problems with coverage changes, denials and payment issues with UnitedHealthcare, the nation’ s…

'I just live in fear every day': Vancouver woman struggles to manage on Social Security Disability Insurance benefits

June 12, 2026

Jun. 12— Carly Romero of Vancouver often faces an impossible choice: Should she spend her last few dollars on the co-pay for her medication or on gas to get to her medical appointments? Romero's experience reflects that of many Clark County residents living on Social Security Disability Insurance benefits. Romero, a 42- year-old single mother, receives…

Seniors with UnitedHealth Medicare Advantage may lose access to Fairview hospitals, clinics

June 12, 2026

Fairview Health Services is once again threatening to block access to its hospitals and clinics for seniors with Medicare Advantage coverage from UnitedHealthcare. In email messages sent Thursday to about 11,000 patients, Minneapolis- based Fairview cited ongoing problems with coverage changes, denials and payment issues with UnitedHealthcare, the…

Report finds high denial rates at UnitedHealth, two other Medicare Advantage plans

June 12, 2026

A related study published Thursday questioned whether a UnitedHealth Group subsidiary has been wrongly delaying or denying access to care by initially rejecting a high number of patient requests for admission to skilled nursing facilities, only to later overturn almost all decisions when patients appealed. Both reports from the Office of Inspector…

PHISHING ATTACK PUT VHC HEALTH PATIENTS' MEDICAL RECORDS, PERSONAL INFORMATION AT RISK

June 12, 2026

A data breach at a vendor for VHC Health may have jeopardized sensitive information including patients' Social Security numbers, medical diagnoses and account numbers. VHC Health mailed out notices of the phishing attack on June 5, but the attack on the vendor, Xsolis, Inc., took place on Jan. 22 affecting an unspecified number of patients. VHC Health told ARLnow…

Heights School Board Presses Trenton On Soaring Costs

June 12, 2026

With the school year's end days away, the Haddon Heights Board of Education used its June 9 meeting to widen a public campaign on two issues it says are driving up local school taxes and squeezing classroomsescalating employee health insurance premiums and New Jersey's school funding formula. In March, the board advanced a $30.4 million budget that added $1.2…

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