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BenefitsPRO.com is the leading source of employee benefits news, trends, opinions, and sales tips for benefit brokers, managers, and retirement advisors.
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News
HCA Healthcare cuts outlook over ACA coverage shifts
1+ mon, 4+ week ago (21+ words) BenefitsPRO HCA Healthcare cuts outlook over ACA coverage shifts More From HR Executive...
House Ways & Means OKs health plan payment rate bill
1+ mon, 4+ week ago (63+ words) BenefitsPRO House Ways & Means OKs health plan payment rate bill What You Need To Know - The bill would set a more detailed version of the current group health plan cost-sharing self-service information tool rules. - The tool would have to describe…...
ACA exchange enrollment beat early forecast by 25%
2+ mon, 1+ week ago (21+ words) BenefitsPRO ACA exchange enrollment beat early forecast by 25% More From HR Executive...
UnitedHealthcare to limit allergy testing coverage
2+ mon, 2+ week ago (59+ words) BenefitsPRO UnitedHealthcare to limit allergy testing coverage What You Need To Know - UnitedHealthcare plans to change the scope of lab test coverage in many states starting Sept. 1. - Some of the changes will affect use of immunoglobbulin E tests. - The insurer…...
State health care dispute rules could become too provider-friendly
2+ mon, 2+ week ago (81+ words) BenefitsPRO State health care dispute rules could become too provider-friendly What You Need To Know - The Virginia state claim review system looked at 252 disputes and resolved 45% in favor of the providers. - The federal No Surprises Act system accepted 34,000 Virginia cases…...
Group health insurance broker comp is shrinking, analysts tell Congress
2+ mon, 2+ week ago (548+ words) Employers' health benefits agents, brokers and consultants may be generating less compensation from health insurance sales than they used to, at a time when Medicare Advantage plan producers' revenue is soaring. The U.S. Congress Joint Economic Committee put figures supporting that…...
Health claim experts eye the new No Surprises Act boxing rings
2+ mon, 4+ week ago (1233+ words) Experts predict that making doctors and hospitals give more details will help employers. Health insurance claim experts have had about two weeks to think about the new Trump administration interim final regulations for No Surprises Act claim fights. Providers and…...
Aetna accuses physician of inflating claims by more than $50M
3+ mon, 3+ day ago (66+ words) BenefitsPRO Aetna accuses physician of inflating claims by more than $50M What You Need To Know - A surgeon and his wife ran in-network surgery centers. - Aetna says the defendants arranged to provide many services at out-of-network entities. - The out-of-network entities then…...
GLP-1s drive 20% of prescription spending at large self-funded plans
3+ mon, 1+ week ago (510+ words) Stay up to date on the latest in voluntary benefits, group health care solutions, business best practices and more. Use of GLP-1 agonists and similar weight-loss drugs continued to grow at the employer-sponsored plans that Benefitfocus served in 2025. About 6% of…...
Prior authorization adds time and costs for providers, review finds
3+ mon, 1+ week ago (25+ words) BenefitsPRO Prior authorization adds time and costs for providers, review finds More From HR Executive...