Health/Employee Benefits News

New Jersey school districts facing steep increases in employee health insurance costs are drawing down reserves, reconsidering staffing and programs, and asking taxpayers for more- pressures that local officials and state lawmakers say are exposing gaps in the state's education funding system. A national survey by the School Superintendents…

The four Embassy nursing homes are Embassy of East Mountain, Embassy of Wyoming Valley, Embassy of Scranton, and Embassy of Tunkhannock. A small group of workers gathered outside of Embassy Wyoming Valley, located at 50 N. Pennsylvania Ave., Wilkes-Barre, to vent their frustrations over the interruptions in medical coverage. Kollar is a 46- year-old worker at…

Oregon's Medicaid program overpaid up to $4.1 million to local healthcare organizations across the state after state officials failed to account for hundreds of duplicate identification codes for enrollees, putting federal funding for the program at risk, according to a new audit. State auditors believe that the duplicate codes cost the state anywhere…

Federal auditors are calling on UnitedHealthcare to repay $47 million to the federal government after an investigation concluded the company’ s Medicare Advantage health plans received significant overpayments. Investigators found most medical records reviewed in the audit failed to justify the extra payments that UnitedHealthcare requested for…

AM Best has upgraded the Financial Strength Rating to A- from B++ and the Long-Term Issuer Credit Rating to“ a-” from“ bbb+” of Bupa Insurance Company. The rating upgrades reflect rating enhancement from BIC’ s ultimate parent company, the British United Provident Association Limited. Bupa Group is an international company with operations in health insurance, health…

After a punishing year for Oregonians who buy their own health insurance, the Trump administration is promising some of them $500 rebates just as premiums are set to climb even higher. President Donald Trump announced last week that the government plans to send the one-time checks to nearly one million people in 30 states, including Oregon, who buy health plans…

Last month, I received a call from a man who desperately needed help with his father. The father had dementia, was living alone and had recently been admitted to the hospital. The medical team's recommendation was clear: He needed to move into an assisted living community, preferably memory care.

The suggestion came soon after Dean Cameron, the director of the Idaho Department of Insurance, started speaking to the Legislature’ s Health Insurers Working Group. A significant amount of complaints that the state agency receives against health insurers are related to claims being denied, along with pharmacy benefits and plan cancelations, according to…

–Nearly 750,000 teachers, state employees, retirees, lawmakers active and retired, and members of higher education on Jan. 1 will have a new healthcare access through the State Health Plan and 12 Atrium Health hospitals in North Carolina. Members of the plan using primary care provided with Atrium Health can continue at no change in cost or benefit.

The following information was released by the America's Health Insurance Plans:. U.S. healthcare spending is expected to surpass $6 trillion this year, a 6 percent increase from last year, as hospital consolidation and robust demand for specialty drugs, particularly expensive GLP-1 weight loss medications, drive up expenditures. A new tool from Yale's Health…

AM Best has assigned a Financial Strength Rating of A-, a Long-Term Issuer Credit Rating of“ a-” and an India National Scale Rating of aaa.IN to Niva Bupa Health Insurance Company Limited. The outlook assigned to these Credit Ratings is stable. The ratings also incorporate rating enhancement from Niva Bupa’ s parent company, British United Provident Association…

Ned Lamont is accusing Republican challenger Ryan Fazio of voting to raise healthcare costs for Connecticut families by $800 a month in a new TV campaign ad. The new Lamont campaign ad, titled "My Patients," centers on Fazio's November 2025 vote against using $500 million in state surplus funds to establish a special state contingency fund to respond to federal…

Families of Arkansas children with disabilities packed the Old Supreme Court room at the state Capitol on Wednesday and urged Gov. More than 2,400 Arkansas families are waiting for a Medicaid waiver that will help them meet their children's complex medical and non-medical needs. "This was the moment Arkansas said,' Enough.' This was the moment that a small group…

Lawmakers on both the left and right expressed outrage about double-digit increases approved for the premiums paid by the 220,000 Connecticut residents buying health insurance on the state's Affordable Care Act exchange. In a public information session last month, the companies that offer plans on the Access Health CT exchange cited factors including…

Lawmakers on both the left and right expressed outrage about double-digit increases approved for the premiums paid by the 220,000 Connecticut residents buying health insurance on the state's Affordable Care Act exchange. In a public information session last month, the companies that offer plans on the Access Health CT exchange cited factors including…

Missouri Department of Commerce and Insurance Director Angie Nelson says preliminary filings show rates are trending in this direction. "We're seeing that the average premiums will range between about $720 a month to about $970 a month," Nelson says. "In the group market, we're seeing that about $845 to just over $1,000 a month."

2026 SEP 16– By a News Reporter-Staff News Editor at Insurance Daily News– Current study results on Managed Care have been published. According to news originating from Baltimore, Maryland, by NewsRx editors, the research stated,“ Does public health insurance mitigate the functional consequences of adverse health shocks? Our news journalists obtained a quote…

The staffs of roughly 200 New Jersey school systems may not know their 2027 health benefits premium costs when open enrollment starts next month as a result of a bureaucratic stalemate. Governor appointees to the School Employees' Health Benefits Commission, which governs the program, say state statutes restrict drastic changes to the benefits, which cover…