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benefitspro. com > amp > 04/21/2026 > companies-are-subsidizing-health-care-for-low-wage-workers

Companies are subsidizing health care for low-wage workers

1+ day, 12+ hour ago  (325+ words) "Employers can offer markedly different health benefit experiences for workers, affecting access to care, the affordability of coverage and the scope of benefits provided," a new report from Peterson-KFF Health System Tracker said. Employers across all industries, business sizes and…...

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benefitspro. com > amp > 04/15/2026 > large-employers-demand-accountability-as-health-care-prices-surge

Large employers demand accountability as health care prices surge

1+ week, 13+ hour ago  (319+ words) "These priorities, coupled with the growing frustrations our members are expressing, should be a wake-up call for many health care stakeholders who think the status quo is acceptable and that the days of blank checks will never end," said Elizabeth…...

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benefitspro. com > 04/15/2026 > administrative-ai-fails-to-lower-health-care-costs-under-current-incentive-models

Administrative AI fails to lower health care costs under current incentive models

1+ week, 16+ hour ago  (207+ words) Catch up on the most-pressing HR concerns, latest compliance issues, employee engagement strategies and workforce trends. Administrative waste costs the U. S. health care system an estimated $350 billion each year. This includes $266 billion that is attributed to administrative complexity and between $59 and…...

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benefitspro. com > amp > 04/15/2026 > anthem-lawsuit-against-halomd-dismissed-under-no-surprises-act

Anthem lawsuit against Halo MD dismissed under No Surprises Act

1+ week, 17+ hour ago  (288+ words) A California federal judge on Monday dismissed all claims in Anthem Blue Cross of California's lawsuit against Halo MD, which manages independent dispute resolutions under the federal No Surprises Act. Anthem alleged that Halo MD had exploited the resolution process…...

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benefitspro. com > 04/14/2026 > researchers-say-insurers-tunneled-5-of-profits-to-pharmacy-affiliates

Researchers say insurers 'tunneled' 5% of profits to pharmacy affiliates

1+ week, 1+ day ago  (740+ words) Big U. S. health insurers are using pharmacy affiliates to get around the Affordable Care Act minimum medical loss ratio requirement, or profitability cap, a team of economists says. When a health insurer affected by the ACA minimum MLR requirement is close…...

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benefitspro. com > amp > 04/14/2026 > california-ivf-benefits-mandate-collides-with-trump-administration-draft-health-rules

California IVF benefits mandate collides with Trump administration draft health rules

1+ week, 1+ day ago  (596+ words) The proposed 2027 regulations would also block California's hearing aid and wheelchair mandates, the state's governor says. The draft regulations could also take hearing aids away from children and take wheelchairs away from people who have trouble walking, Newsom says. Newsom…...

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benefitspro. com > 04/10/2026 > stop-loss-insurers-are-using-new-tools-to-laser-out-more-patients

Stop-loss insurers are using new tools to 'laser' out more patients

1+ week, 5+ day ago  (63+ words) Benefits PRO Stop-loss insurers are using new tools to 'laser' out more patients What You Need To Know - Thornton has seen more issuers leaving the stop-loss market than entering. - The market interests of the remaining players appear to be similar....

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benefitspro. com > amp > 04/10/2026 > progressive-group-backs-federal-limits-on-what-hospitals-charge-employers

Progressive group backs federal limits on what hospitals charge employers

1+ week, 5+ day ago  (449+ words) The Center for American Progress also wants to limit what TPAs can earn from running employers' self-insured plans. Analysts at the Center for American Progress " a think tank that's popular with Democrats " say Congress should cap what hospitals and third-party…...

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benefitspro. com > amp > 04/09/2026 > cigna-reports-15-cut-in-prior-authorization-volume

Cigna reports 15% cut in prior authorization volume

1+ week, 6+ day ago  (490+ words) Big insurers say they will reduce overall volume about 11% this year but are not giving many details. Big health insurers say they are keeping their promises to reduce the amount of paperwork plaguing doctors and hospitals " but they are not…...

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benefitspro. com > 04/08/2026 > naic-guide-navigates-shifting-erisa-preemption-battle-over-state-pbm-rules

NAIC guide navigates shifting ERISA preemption battle over state PBM rules

2+ week, 15+ hour ago  (460+ words) Stay up to date on the latest in voluntary benefits, group health care solutions, business best practices and more. Many state lawmakers and regulators want to set new rules for the pharmacy benefit managers, health plan provider networks, dental plans…...