Health Insurance Industry News

A collection of Health Insurance latest news, analysis and best practices from top business influencers and the world's most trustworthy sources.

vtdigger.org - Olivia Gieger - Vermont's largest health insurer wants to offer a cheaper plan. Can it actually help Vermonters?
Vermont's largest health insurer wants to offer a cheaper plan. Can it actually help Vermonters?
VTDigger

Vermont's largest commercial health insurer wants to offer a new suite of cheaper plans, but the state's primary healthcare regulator is casting doubt on whether that would actually yield any real savings. When expanded federal subsidies for people…

wsj.com - Anna Wilde Mathews - Big Medicare Insurers Often Deny Requests for Nursing-Home Stays
Big Medicare Insurers Often Deny Requests for Nursing-Home Stays
Wall Street Journal

If you're a senior, the Medicare plan you choose may have a major impact on whether you can get nursing-home care when you need it—and a new federal investigation shows the largest insurers had some of the highest denial rates. Medicare…

healthpopuli.com - Jane Sarasohn-Kahn - Even with Health Insurance, Half of Working-Age People in the U.S. Can't Afford Healthcare (and a PS on Retiree Health Costs)
Even with Health Insurance, Half of Working-Age People in the U.S. Can't Afford Healthcare (and a PS on Retiree Health Costs)
Health Populi

Nearly Half of Working-Age Adults Had Difficulties Affording Health care in 2025 is the title of new research jointly authored by the Urban Institute and the Robert Wood Johnson Foundation. The researchers conducted the Well-Being and Basic Needs…

prospect.org - Susanna Beiser - The Threat of Big Insurance
The Threat of Big Insurance
The American Prospect

Earlier this month, the California-based organization Consumer Watchdog uncovered an incredible scandal involving rideshare company Uber, which we covered on the most recent episode of my podcast Organized Money. The company pleaded to the…

lgbtqnation.com - Faefyx Collington - Trans sheriff's deputy settles health care lawsuit after 7 years of legal battle
Trans sheriff's deputy settles health care lawsuit after 7 years of legal battle
LGBTQ Nation

After seven years, sheriff's deputy Anna Lange and Houston County, Georgia, have reached a settlement in the case over the county's health insurance excluding gender-affirming services. The legal case and the county's push to exclude trans health…

nola.com - Alyse Pfeil - Louisiana lawmakers passed bills to try to keep prescription drug costs down. Will it work?
Louisiana lawmakers passed bills to try to keep prescription drug costs down. Will it work?
NOLA.com

Louisiana lawmakers in recent years have targeted the high cost of prescription drugs, and this year took what they hope is another big step — new legislation that more tightly regulates the companies involved in all aspects of the industry.

forbes.com - Dara-Abasi Ita - Prove The Algorithm Isn't A Proxy For Race: Colorado's Test For Life Insurers
Prove The Algorithm Isn't A Proxy For Race: Colorado's Test For Life Insurers
Forbes

Colorado now makes life insurers prove their algorithms don't penalize people by race. Here's how the first-of-its-kind test works and why every carrier cares. Picture a regulator who tells an industry, in so many words: prove to me your machines…

yahoo.com - Victoria Vesovski - Americans are having kids later - and child-rearing costs are colliding with retirement savings
Americans are having kids later - and child-rearing costs are colliding with retirement savings
Yahoo!

For decades, having children was something many Americans did before they started thinking seriously about retirement. That's becoming less common. Americans are waiting longer than ever to start families. The average age (1) of first-time mothers…

wkbw.com - Maki Becker - This is to support the community': Molina Healthcare celebrates grand opening of Community Services Center
This is to support the community': Molina Healthcare celebrates grand opening of Community Services Center
WKBW 7 News Buffalo

BUFFALO, N.Y. (WKBW) — Molina Healthcare has opened a new Community Services Center at 3435 Bailey Avenue in Buffalo, targeting resources at the city's South Asian immigrant communities on the East Side. Molina Healthcare is a managed care…

afr.com - Michael Smith - Labor shelves private hospital pricing shake-up plan
Labor shelves private hospital pricing shake-up plan
Australian Financial Review

Labor has shelved a controversial proposal to introduce a benchmark pricing model for private hospital procedures following opposition from the biggest operator, Ramsay Health Care, to what would have been the biggest shake-up to the private health…

cnbc.com - Annika Kim Constantino - Healthy Returns: CVS Health executives on reducing health care's biggest pain points
Healthy Returns: CVS Health executives on reducing health care's biggest pain points
CNBC

Nikolas Kokovlis | Nurphoto | Getty Images A version of this article first appeared in CNBC's Healthy Returns newsletter, which brings the latest health-care news straight to your inbox. Subscribe here to receive future editions. This week was AHIP…

nbcnews.com - Medicare Advantage plans denied prior authorization requests at unusually high rates, HHS report finds
Medicare Advantage plans denied prior authorization requests at unusually high rates, HHS report finds
NBC News

Patients enrolled in some of the nation's largest Medicare Advantage plans were denied requests for rehabilitation and other critical services at unusually high rates, according to a report released Thursday by the Department of Health and Human…

bookriot.com - Kelly Jensen - Take Action to Fund Libraries in 2027: The Latest on the Institute of Museum and Library Services
Take Action to Fund Libraries in 2027: The Latest on the Institute of Museum and Library Services
BOOK RIOT

As he did for the Fiscal Year 2026 budget, Trump once again proposed defunding the Institute of Museum and Library Services (IMLS) for Fiscal Year 2027. This is his sixth attempt to dismantle the only federal agency dedicated to libraries and…

msmagazine.com - Faith Fletcher - Texas May Eliminate a Critical Tool for Preventing Maternal Deaths
Texas May Eliminate a Critical Tool for Preventing Maternal Deaths
Ms. Magazine

Texas is considering whether to continue one of its most important tools for preventing maternal deaths. The state's Maternal Mortality Review Committee (MMRC), which investigates pregnancy-related deaths and identifies ways to prevent them, is…

wnd.com - Laura Hollis - Laura Hollis: Who'll stop the fraud? * WorldNetDaily * by Laura Hollis
Laura Hollis: Who'll stop the fraud? * WorldNetDaily * by Laura Hollis
WorldNetDaily

Long after Election Day, the ballots comin' down No IDs or postmarks wherever they are found The laws make cheating legal, and Democrats applaud And I wonder, still I wonder, who'll stop the fraud? Fed up Angelinos, having watched their city burn…

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