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benefitspro. com > 05/29/2026 > employer-stop-loss-could-break-free-from-state-federal-health-insurance-rules

Employer stop-loss could break free from state, federal health insurance rules

2+ hour, 8+ min ago  (597+ words) The Self- Insurance Protection Act bill could free employers' stop-loss insurance policies from federal health benefits rules as well as from state health benefits mandates, according to analysts at the Congressional Budget Office. Employers with self-insured health plans use stop-loss…...

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benefitspro. com > amp > 05/29/2026 > bcbs-texas-lawsuit-against-halomd-dismissed

BCBS Texas lawsuit against Halo MD dismissed

7+ hour, 2+ min ago  (459+ words) A federal judge in Texas has dismissed Blue Cross Blue Shield of Texas' lawsuit against Halo MD with prejudice, handing a victory to the health care claims management firm in one of the latest legal battles over the federal No…...

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benefitspro. com > 05/29/2026 > premiums-out-of-context-are-a-consumer-trap

Premiums out of context are a consumer trap

6+ hour, 29+ min ago  (21+ words) Benefits PRO Premiums out of context are a consumer trap More From HR Executive...

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benefitspro. com > amp > 05/27/2026 > cvs-sues-tennessee-over-new-law-barring-pbms-from-owning-pharmacies

CVS sues Tennessee over new law barring PBMs from owning pharmacies

2+ day, 4+ hour ago  (314+ words) CVS Health serves nearly 1. 5 million Tennessee residents through 136 pharmacy locations, the company said. Tennessee recently enacted a law that prevents pharmacy benefit managers from also owning pharmacies in the state. Late last week, CVS Health filed a federal lawsuit challenging…...

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benefitspro. com > amp > 05/27/2026 > mark-cubans-cost-plus-drugs-often-beats-employer-plan-cost-sharing-amounts

Mark Cuban's Cost Plus Drugs often beats employer plan cost-sharing amounts

2+ day, 12+ min ago  (456+ words) The Mark Cuban Cost Plus Drug Company pharmacy often charges prices for prescription drugs that are lower than employer plan cost-sharing requirements for those drugs, according to a new peer-reviewed research paper. Dr. John Lin, a researcher at the University…...

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benefitspro. com
benefitspro. com > 05/26/2026 > rethinking-benefits-what-if-we-paid-members-to-get-healthy

Rethinking benefits: What if we paid members to get healthy?

3+ day, 5+ hour ago  (25+ words) Benefits PRO Rethinking benefits: What if we paid members to get healthy? More From HR Executive...

benefitspro. com
benefitspro. com > 05/26/2026 > as-cost-climbs-30-dermatology-drug-bills-get-under-plans-skin

As cost climbs 30%, dermatology drug bills get under plans' skin

3+ day, 2+ hour ago  (510+ words) The growing popularity of Dupixent contributed to a 30. 3% increase in commercial health plan spending on dermatology specialty drugs in 2025, according to a new drug trend report from Navitus Health Solutions, a fee-based pharmacy benefits manager. The plans that Navitus tracks…...

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benefitspro. com
benefitspro. com > 05/26/2026 > hospital-stays-specialty-drugs-drive-high-cost-claims

Hospital stays, specialty drugs drive high-cost claims

3+ day, 7+ hour ago  (21+ words) Benefits PRO Hospital stays, specialty drugs drive high-cost claims More From HR Executive...

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benefitspro. com
benefitspro. com > 05/22/2026 > some-house-democrats-want-pbm-kickback-bill-to-include-all-plan-service-providers

Some House Democrats want PBM 'kickback' bill to include all plan service providers

6+ day, 21+ hour ago  (74+ words) Benefits PRO Some House Democrats want PBM 'kickback' bill to include all plan service providers What You Need To Know - The PBM Kickback Prohibition Act bill was introduced by Rep. Rick Allen, R-Ga. - The bill would prevent PBMs from paying…...

benefitspro. com
benefitspro. com > 05/21/2026 > no-surprises-act-dispute-resolution-services-award-1k-for-81-er-visits

No Surprises Act dispute resolution services award $1 K for $81 ER visits

1+ week, 1+ day ago  (82+ words) Benefits PRO No Surprises Act dispute resolution services award $1 K for $81 ER visits What You Need To Know - The Centers for Medicare & Medicaid Services posts detailed quarterly results in huge, hard-to-handle files. - Turquoise has posted a tool that shows IDR…...

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