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NC House GOP leader blasts State Health Plan’s new network. Others have concerns
NC lawmakers are “alarmed” by the new network, Majority Leader Brenden Jones says.
Trustees approve 2027 health plans with no premium increase for employees
Purdue trustees on Aug. 7 approved 2027 health plans that will feature no premium increases for employees and long-term disability members — after back-to-back years of increases.
MetroPlusHealth Achieves 4-Star Medicare Advantage Rating
MetroPlusHealth, New York City’s high quality, affordable health plan, announced today that its Medicare Advantage plans have been awarded a 4-Star rating
Oregon universal health care board punts single-payer report over funding uncertainty
A state board in charge of developing a universal health plan for all Oregonians will delay the release of its final report to lawmakers, citing uncertainty over how to pay for it. The Universal Health Plan Governance Board voted unanimously Thursday morning to extend its deadline to Dec. 1 for its report that will describe […]
Trump administration sued for banning gender transition treatments in federal health plans
An arm of the Human Rights Campaign launched a class-action lawsuit on Monday challenging the Trump administration’s gender-affirming care coverage ban in federal workers’ health insurance plans.&n…
Insurance companies propose rate hikes for CT health plans. What to know.
Sen. Jeff Gordon, R-Woodstock, said: “Unaffordable, unsustainable, double-digit annual health insurance increases, yet again?
Tower Health plans to lay off more than 100 workers at Pottstown Hospital
Tower Health is planning to layoff more than one hundred workers, at Pottstown Hospital in Montgomery County.
Providence Health Plan to end most insurance offerings starting in 2027
Providence Health Plan will stop offering most of its health insurance plans beginning in 2027.
Insurance companies propose higher rates on CT health plans
The public will have a chance to weigh in on insurance companies' proposals to raise rates on 2027 state-regulated health plans.
Included Health inks agreement to acquire Firefly Health to scale alternative health plans for employers
Virtual care and health navigation company Included Health inked a deal to acquire Firefly Health to scale health plan alternatives for employers. | Virtual care and health navigation company Included Health inked a deal to acquire Firefly Health to scale health plan alternatives for employers.
Centene Reports $1 Billion Profit As Health Insurer’s Costs Ease
Health insurer Centene’s net income eclipsed $1 billion in the second quarter as the company is getting a better handle on rising costs of people in its health plans.
Louisiana Blue simplifies the health plan experience for all members with MyLABlue
Louisiana Blue introduces MyLABlue digital platform for all members, offering convenient and secure access to health insurance information and services.
Land buys could hint at Parkview, IU Health plans
In October, 2025, Parkview Health paid over $2.9 million for roughly 30 acres on the northeast corner of I-69 and Lower Huntington Road – right across the interstate from the new IU Health Fo…
Intermountain Health Plans to Expand Ownership of Hospitals and Clinic Operations Group in Southeast Idaho
Intermountain Health plans to expand its partnership with physicians in a network of facilities and providers in Southeast Idaho that includes two local hospitals along with 60+ affiliate clinics that employ about 2,300 physicians and caregivers. Plans include transitioning Surgery Partners' ownership interests in the network to In...
EBSA Electronic Disclosure by Group Health Plans Under Employee Retirement Income Security Act Proposed Rule
What: On July 23, 2026, the Employee Benefits Security Administration (EBSA) proposed a rule for group health plan administrators to use electronic media to furnish documents and information to participants and beneficiaries of plans subject to
Harvard Pilgrim, Tufts Health Plan CEO talks GLP-1 weigh-loss drug coverage
A year in, Point32Health CEO sits down to discuss insurance premiums, drug prices, and layoffs.
Teladoc Health unveils new virtual care model for employers, health plans that ties payment to results
Teladoc Health unveiled a new virtual care model for employers and health plans designed to offer a more coordinated, personalized approach for members, while tying payment to clinical and financia | Teladoc Health unveiled a new virtual care model for employers and health plans designed to offer a more coordinated, personalized approach for members, while tying payment to clinical and financial outcomes.
SSM Health to build $42 million senior living campus on Fond du Lac’s east side
SSM Health plans to break ground in early 2027 and be open to residents in 2028.
Health systems buck at state health plan
Atrium Health and WakeMed leaders said they were shocked to learn they were left out of the top-tiered status in the new North Carolina State Health Plan.
AdventHealth, Intermountain Health plan to form Denver-area joint venture
Nonprofit health systems AdventHealth and Intermountain Health announced plans Tuesday to bring Denver-area hospitals and ambulatory sites under a new, to-be-formed joint venture. | The entity would comprise five AdventHealth hospitals, three Intermountain hospitals and their affiliated sites. It would be managed by AdventHealth, which is also expected to be the joint venture's majority owner.
AdventHealth, Intermountain Health Plan Partnership to Strengthen Healthcare for Denver Metro Communities
AdventHealth and Intermountain Health plan to unite their Denver-area services to bring more accessible, connected care to the area’s growing communities. The two healthcare systems have signed a letter of intent and anticipate signing a definitive agreement in the coming weeks to form a joint venture that will improve access to high-quality h...
MetroPlusHealth Achieves Best-Ever CAHPS Ratings
New York, NY – MetroPlusHealth, New York City’s high quality, affordable health plan, today announced its strongest-ever performance in the Fall 2025
NC State Health Plan overhauls insurer, hospital network and premiums. What to know
State employees will see numerous changes.
Priority Health Collaborates With GRAIL as the First Michigan Health Plan to Offer the Galleri® Multi-Cancer Early Detection Blood Test to Employer Plans
/PRNewswire/ -- GRAIL, Inc. (Nasdaq: GRAL), a healthcare company whose mission is to detect cancer early when it can be cured, today announced a collaboration...
WakeMed warns of impact from State Health Plan's new tier designation
WakeMed is raising concerns after being designated a non-preferred provider under the State Health Plan's new four-tier network,
NC State Health Plan adds Duke Health to its access tier, meaning members will pay more for WakeMed
The State Health Plan's board last week approved tiered benefits beginning in 2027.
Two Triangle hospital systems considered for key State Health Plan status. Who got it?
Duke Health and WakeMed were under consideration for the plan’s new access tier as officials worked to finalize the 2027 network.
Health benefit premiums for NJ school workers expected to rise by 34%
New Jersey's beleaguered health plan for school workers faces another year of double-digit increases, the latest in a series.
State employees, retirees to be charged extra for using WakeMed
For the 750,000 members of North Carolina’s State Health Plan, using WakeMed could cost thousands of dollars extra starting next year. But using UNC Health could lead to equally large discounts.
Duke Health to Continue Caring for State Health Plan Members Under New Access Provider Network
DURHAM, N.C. — Duke Health has been selected as an Access Provider in the North Carolina State Health Plan’s new tiered provider network for 2027, ensuring state employees and their families can continue receiving care through Duke beginning January 1, 2027.
Elevance Health Profits Eclipse $1.4 Billion As Costs Ease Somewhat
Elevance Health reported second quarter net income of $1.45 billion as medical costs fell in some health plans, triggering an improved outlook for the rest of the year.
Driscoll Health Plan Hosts Laredo Back-to-School Fair
Families can receive free school supplies and health services at the annual Laredo Back-to-School Health Fair on July 15.
Blue Cross to return as the NC State Health Plan’s third-party administrator
Blue Cross will be back as the the N.C. State Employee Health Plan's third party administrator in 2028. Plan trustees had dumped Blue Cross for the current administrator, Aetna, in 2023.
For NC State Health Plan members, Blue Cross NC is back in 2028
Blue Cross NC served as the State Health Plan's third party administrator for 40 years until then-Treasurer Dale Folwell sought a change. Beginning in 2028, Blue Cross will again have that role.
What’s coming for state employees’ insurance in the coming year? Here are the details.
State Health Plan leaders say premiums will rise this year, but they’ve designed the plan so that employees can save big if they take advantage of new incentives.
State Health Plan ditches Aetna, sends business back to Blue Cross
Blue Cross Blue Shield of North Carolina will take over control of state employee’s insurance, returning to what had been the status quo for decades — until 2023, when the board voted to shift control to Aetna.
State Health Plan ditches Aetna, sends business back to Blue Cross
Blue Cross Blue Shield of North Carolina will take over control of state employee’s insurance, returning to what had been the status quo for decades — until 2023, when the board voted to shift control to Aetna.
NC’s State Health Plan switching who administers its members’ benefits, again
The State Health Plan announced who won its health and pharmacy benefits contracts.
NC State Health Plan raises premiums, offers new tiered benefits that could help members cut costs
The N.C. State Health Plan's Board of Trustees voted Friday morning to raise premiums for many of its 770,000 members.
Premiums rise, but overall costs could fall for NC State Health Plan members under a new system
Significant changes coming for the health insurance plan for NC teachers and state workers, including premium increases and a tiered system for hospital choices.
NC State Health Plan approves new premium hikes, picks preferred network hospitals
It’s the latest round of changes for the plan.
State Health Plan board to vote on major coverage changes for 750,000 NC members
Big changes could be coming to North Carolina's State Health Plan. A key vote Friday could affect coverage and costs for nearly 750,000 members.
State Health Plan premiums could rise again, and some might pay more to keep their doctors
The State Health Plan is scheduled to vote Friday on a preferred provider program and whether to raise premiums on many of its 750,000 members.
CENTENE SUBSIDIARY MERIDIAN HEALTH PLAN OF ILLINOIS AWARDED ILLINOIS MEDICAID CONTRACT
/PRNewswire/ -- Centene Corporation (Centene) (NYSE: CNC), a leading healthcare enterprise committed to helping people live healthier lives, announced today...
Public worker health plans poised for another year of premium hikes
Premiums under New Jersey’s public worker health plans should rise by double digits, with current and former local government workers again poised to face the steepest increases, state officials learned Wednesday. Premiums for local government workers should increase by 17.3%, with a 15.1% increase for their counterparts in state government, actuaries from Aon told the […]
OPB’s First Look: Oregon Health Plan faces looming budget cuts
A new report gives Gov. Tina Kotek dozens of options to cut the Oregon Health Plan budget in coming years, but it offers no clear path forward. Here's your First Look at Wednesday's news.
Oregon eyes $421 million in Medicaid cuts, including fewer benefits and limits on prescription drugs
Major cuts are coming to the Oregon Health Plan, the state’s free healthcare program covering 1.4 million children and low-income adults. But the group of experts Gov. Tina Kotek charged with minimizing the harm of those cuts has given her no definitive recommendations.
Switching to a cheaper health plan delayed a man's access to vital medicine: "He didn't deserve to die like that"
Two new food benefits available to Oregon Health Plan members with complex health needs
The Oregon Health Authority has launched new nutrition benefits for Oregon Health Plan members with chronic conditions to help improve food security.
AG Sunday Ensures Protections for Patients via Settlement after Review of Allegheny Health Network’s Acquisition of Heritage Valley Health - PA Office of Attorney General
HARRISBURG – Attorney General Dave Sunday and the Office of Attorney General’s Antitrust Section announced a court-approved settlement that will protect patients, physicians, and health plans potentially impacted by Allegheny Health Network’s (AHN) recent acquisition of Heritage Valley Health Systems (HVHS). The Office of Attorney General thoroughly reviewed the transaction and outlined a number of […]
Enrollment in Affordable Care Act health plans drops by 3M, HHS data reveals
The Trump administration said the reduction can be attributed to a cleanup of fraud, waste and abuse, but the real reason extends back to enhanced subsidies put in place during the COVID-19 pandemic.
NC Gov. Stein tabs Treasurer Briner, Health Secretary Sangvai to lead probe of rising health costs
North Carolina has some of the fastest-rising healthcare costs in the country. Now, Treasurer Brad Briner, who oversees the State Health Plan, and DHHS Secretary Dev Sangvai will try to fix them.
BlueCross BlueShield of VT pulls its proposed lower-cost, higher-deductible health plans
The insurer said the Green Mountain Care Board’s delayed approval of the plans left them with little time to prepare.
States seek to lower drug prices by targeting the companies that manage them for health plans
TOPEKA, Kan. — As consumers worry about medication costs, states are trying to lower drug prices by reining in big companies that oversee prescription coverage for health insurers. Some of those companies, called pharmacy benefit managers, also own pharmacies, and one of them, CVS, has spent millions of dollars fighting
Millions drop Obamacare health plans after subsidies expire and costs rise
New federal figures show that about 3 million fewer people had Affordable Care Act health insurance plans in February compared with the same time last year.
5 million have dropped ACA insurance after Trump and the GOP let prices skyrocket
The number of people who signed up for a health plan and then didn't pay their premium fell much more sharply than it has in years past. Trump officials blame fraud. Health policy experts blame costs.
States seek to lower drug prices by targeting the companies that manage them for health plans
Legislators across the U.S. are trying to lower prescription costs by reining in big companies that handle drug coverage for health insurers.
States seek to lower drug prices by targeting the companies that manage them for health plans
Legislators across the U.S. are trying to lower prescription costs by reining in big companies that handle drug coverage for health insurers.
Oklahoma ACA insurer Mending to end health plans after this year
A health policy analyst says the move comes amid a broader trend of insurer exits as several federal policy changes fuel declining enrollment.
Optum Behavioral Health names chief medical officer
James Polo, MD, will serve as chief medical officer for Optum Behavioral Health, according to a June 22 LinkedIn post. In his role, Dr. Polo focuses on clinical quality and policy, member experience, regulatory strategy, utilization management, affordability, innovation, and population health for various health plans. He will work with UnitedHealthcare, the rest of Optum, […]
Stanislaus County OKs new mental health plan, prepares for state monitoring
County officials hope the plan increases access to care and serves to reduce homelessness, relieve burden on the criminal justice system and reduce untreated mental illness.
World Refugee Day 2026
Marking World Refugee Day 2026 and 75 years of the Refugee Convention, WHO calls for inclusive and resilient health systems that ensure refugees access to quality, continuous and culturally sensitive care. With 117.8 million people forcibly displaced worldwide, the organization emphasizes that protecting refugee health strengthens public health, preparedness and social cohesion. WHO highlights progress in integrating refugees into national health policies while urging greater investment, stronger data systems, emergency preparedness and meaningful participation of refugees in health planning and governance.
New Mexico lawmakers press Presbyterian Health Plan over changes
"When the need is great but the money’s not, there’s an exodus," said Rep. Patricia Roybal Caballero, D-Albuquerque.
HHS’ Office for Civil Rights Settles Ransomware Investigation with Health Plan
HHS, Office for Civil Rights (OCR) today announced a settlement with Spencer Gifts LLC Flexible Benefits and Welfare Benefit Plans.
Regulatory investigations reveal systemic failures among Commercial California Health Plans in delivering timely behavioral health care
Commercial California health plans are failing enrollees who need access to behavioral health services for mental health and substance use disorder care, recent investigations have shown. Across three rounds of investigations, the California Department of Managed Health Care found 70 Knox-Keene Act violations and 35 barriers to care across 14 health plans, spanning national, regional, and county-based plans.
California lawmakers to vote on tax increases affecting health insurance and digital software
California lawmakers are set to vote tomorrow on two tax increases, including higher taxes on health plans and a new sales tax on digital software, which are expected to raise billions annually for state programs.
Could OC Supervisors Lose Control of County’s Health Plan for the Poor?
Assemblyman Avelino Valencia’s state bill is looking to strip supervisors off the CalOptima board after years of concerns that they politicized healthcare.
Keeping Rhode Islanders covered requires a smart investment in our health and economy
Our state must expand and make permanent state-funded subsidies while finding strategies to keep Rhode Islanders insured, writes Neighborhood Health Plan of Rhode Island president.
UNC Health plans to take over Goldsboro hospital with $675 million investment
Officials said the money would go toward expanding healthcare services, upgrading facilities and technology, and recruiting more doctors at the Goldsboro hospital.
Cone Health planning to expand; proposing $320 million Forsyth County hospital
Cone Health filed a certificate of need with the North Carolina Division of Health Service Regulation on Monday.
Cone Health Plans Hospital in Forsyth County
The health system is applying for 56 acute care beds allocated to Forsyth County.
Mizuho Raises CVS Health (CVS) Price Target on More Stable Policy Environment
With an annual dividend yield of 2.65%, CVS Health Corporation (NYSE:CVS) is included among the 12 High Yield Fortune 500 Stocks to Buy Now. America’s leading health solutions company, CVS Health Corporation (NYSE:CVS), provides advanced health care from pharmacy services and health plans to health and wellness. On June 8, Mizuho upped its price target on […]
Op-ed | Health plans take aim at independent dispute resolution cases; tips for providers
The number of Independent Dispute Resolution (IDR) cases between health care insurance plans and out-of-network providers has unexpectedly exploded since the
Changes to the NC State Health Plan will make retirees pay more. Here’s what it means for you
Retirees on the state’s Medicare Advantage plans will pay more for hospital stays, specialist visits and some drugs next year.
Health plans say AI is pushing healthcare costs higher
Nearly 70% of surveyed health plans said providers’ use of AI documentation and coding tools was a top three trend inflating commercial healthcare costs next year, according to a new report from PwC.
MetroPlusHealth Guides Essential Plan Members Through Upcoming Coverage Changes
MetroPlusHealth, New York City’s high‑quality, affordable health plan, is actively supporting members affected by upcoming federal funding changes to the
160,000 people drop Pennie health plans following price hikes
A critical federal incentive program ended in January, raising costs for many.
Can California afford to cover Ozempic for public employees?
California may require CalPERS health plans to cover Ozempic and other GLP-1 weight-loss drugs. The insurer warns it would cost hundreds of millions of dollars.
Trouble Ahead For GLP-1 Drugs As Health Plans Stop Paying
Half of U.S. employers and health plans are balking at paying for GLP-1 drugs like Ozempic, Zepbound and Wegovy for weight loss and obesity treatment, a new report shows.
Stamford Health plans new cancer center, behavioral health facility
Construction is set to start in 2027, with estimated costs around $275 million.
NC State Health Plan board approves Medicare Advantage plan benefit changes despite retiree concerns
Retirees on the state's Medicare Advantage will face higher out-of-pocket maximums next year, as well as higher copays for many medical services.
HHS Restructuring and New Enforcement Signal Increased Focus on Privacy, Security, and Health Plans
On May 18, 2026, the U.S. Department of Health and Human Services (HHS) announced the restructuring of its Office for Civil Rights (OCR) enforcement efforts, establishing a dedicated unit for privacy and security enforcement under the Health Insurance Portability and Accountability Act (HIPAA). The move, combined with a recent enforcement action over a ransomware attack, highlights the agency’s new enforcement focus on health plans and the employers that sponsor them.
NC State Health Plan leaders say WakeMed-Atrium merger could cause premium increases
State Health Plan Executive Administrator Tom Friedman said Atrium charges between 15 and 40 percent more for services. If WakeMed adopts those reimbursement rates, the impact could ripple across hundreds of thousands of employees.
WakeMed-Atrium deal could lead to cost hikes for state workers, officials say. WakeMed pushes back
WakeMed says its proposed merger with Atrium Health would lower costs. North Carolina State Health Plan officials say premiums could increase if WakeMed charges Atrium prices.
State Health Plan to vote on price hikes for older state workers, retirees
People on the Medicare Advantage version of the State Health Plan could soon face higher drug prices, copays and deductibles as the state struggles to pay for rising healthcare costs.
NC State Health Plan to propose benefit structure aimed at shifting care to 'preferred providers'
The new structure is necessary, plan administrators say, because costs are continue to outpace premiums. Those premiums are likely to increase next year.
MDHHS Finalizes Specialty Behavioral Health Services Location Policy
The Michigan Department of Health and Human Services (MDHHS) recently finalized Medicaid Policy Bulletin MMP 26-17, effective July 1, 2026, which clarifies reimbursement requirements for specialty behavioral health services provided through Prepaid Inpatient Health Plans in home, community and residential settings.
Health insurer Cigna will stop covering GLP-1 weight loss drugs in its employee health plan
CNBC's Becky Quick reports on the latest news.
Presbyterian Healthcare Services to layoff workers and discontinue some health plans
Presbyterian Hospital has announced the layoffs of 150 workers along with the discontinuation of most Medicare Advantage plans in 2027.
Presbyterian to lay off more than 100 employees, shifts health care offerings
Presbyterian said it will end most Medicare Advantage plans in 2027 and cut about 150 health plan and administrative jobs.
Orlando Health unveils plans for new hospital in Viera, Brevard County
Orlando Health plans to build a new hospital and medical office building in Brevard County, creating over 1,000 jobs and enhancing healthcare services.
NYU Langone Health plans new multibillion-dollar Melville hospital, Long Island's first since 1980
Power of Two: Health plans becoming fiduciary litigation target
A new wave of litigation is targeting health and welfare plans, particularly voluntary benefits, pharmacy benefit managers, and fee structures embedded in vendor arrangements.
Avera Transitions to Epic Electronic Health Record
Avera and Avera Health Plans are converting to a new electronic health record system through Epic. Avera patients and members will have a more robust portal known as Avera MyChart.
Expected NC budget won’t restore GLP-1 weight-loss drug coverage for state employees, treasurer says
State Treasurer Brad Briner doesn’t expect North Carolina lawmakers to include funding in the upcoming budget to restore State Health Plan coverage of GLP-1 drugs for weight loss, as costs and competing budget priorities keep the benefit off the table.
Inside the Collapse of Providence Health Plan
It is impossible to know if CEO Don Antonucci could have done anything to avert the Portland company’s looming demise. But a dozen-plus current and ex-employees feel there is more to the story than Providence management let on.
Cheaper, Alternative Health Plans Are Having A Moment, But Critics Urge Caution
By Sarah Kwon and KFF Health News HealthDay ReportersWEDNESDAY, May 27, 2026 (HealthDay News) — When Melanie Miller saw that her health insurance premium payment was set to nearly triple to $914 a month this year, she stopped shopping on the Affordable Care Act (ACA) marketplace. The 59-year-old ...
Cheaper, alternative health plans are having a moment, but critics urge caution
Congress' decision not to extend enhanced marketplace tax credits has boosted the appeal of alternative health coverage with lower monthly premiums.
Cheaper, Alternative Health Plans Are Having a Moment, but Critics Urge Caution
Congress' decision not to extend enhanced marketplace tax credits has boosted the appeal of alternative health coverage with lower monthly premiums. Consumer advocates dismiss the plans as "junk insurance,” while proponents say patients need alternatives to pricey marketplace options.
CVS Health (CVS) Price Target Boosted by $8 at Mizuho
With an annual dividend yield of 2.84%, CVS Health Corporation (NYSE:CVS) is included among the 12 Best Dividend Stocks to Invest in According to Hedge Funds. America’s leading health solutions company, CVS Health Corporation (NYSE:CVS) provides advanced health care from pharmacy services and health plans to health and wellness. On May 20, Mizuho bumped up its price […]