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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 […]
WakeMed rejects UNC Health proposal, sticking with Atrium Health plan
WakeMed is sticking with Atrium Health after rejecting a proposal from UNC Health -- as debate over the hospital deal continues in Wake County.
Weight loss medications heavy on Fort Worth’s employee health plan
Skyrocketing use of weight loss medications such as Ozempic, Wegovy and Zepbound drives up insurance claims for the city of Fort Worth.
Customers in shock after Providence Health Plan announces it will be canceling most coverage: 'Completely out of the blue'
Aetna Cuts Rates with Alma-Contracted Therapists
National health plan Aetna will reduce the rates it pays therapists via the digital therapy enablement platform Alma. The changes go into effect on
Sutter Health Recognized in Anthem Blue Cross Annual Care Provider Recognition Program
Not-for-Profit Healthcare System’s Medical Groups Honored Among the Top Healthcare Providers in Anthem’s National Network NORTHERN CALIF. – Sutter Health today announced it earned recognition as one of only four California recipients in Anthem Blue Cross’ Care Provider Recognition Program. Developed in collaboration with Anthem’s affiliated health plans, the program honors top-performing medical groups nationwide […]
Providence to end most health insurance plans, forcing hundreds of thousands in Oregon to switch
Providence Health Plan is Oregon’s third largest insurer, covering more than 421,000 Oregonians.
Providence Health Plan to end coverage, affecting hundreds of thousands of Oregon patients
PORTLAND, Ore. (KOIN) — Providence Health announced Wednesday they will be leaving the insurance business and starting to phase out coverage at the end of the year. The company says they will…
Portland-Based Providence Health Plan To Stop Offering Most Insurance Plans At End of Year
The Providence Health Plan said Wednesday that it would stop offering most of its insurance products by the year’s end, heralding the near-complete dissolution of a longtime stalwart of Oregon’s private health insurance marketplace.
Cheaper, alternative health plans are having a moment, but critics urge caution
Arizona AG says Medicaid behavioral health billing dropped 92% after fraud crackdown
Arizona AG Kris Mayes says billing through the American Indian Health Plan for behavioral health services has dropped over 90% the past few years after her office began targeting fraud in the program.
Colorado’s health care cuts are painful — what comes next could be worse
By Ross Brooks and Beverly Razon Last December, a broad coalition of consumer advocates, safety net providers, hospitals, health plans and physicians statewide published a warning: our state was facing a health care crisis, and fragmented policymaking would make it harder to solve. These members of the Colorado Health Policy Forum called on Gov. Jared […]
Colorado’s health care cuts are painful — what comes next could be worse
By Ross Brooks and Beverly Razon Last December, a broad coalition of consumer advocates, safety net providers, hospitals, health plans and physicians statewide published a warning: our state was facing a health care crisis, and fragmented policymaking would make it harder to solve. These members of the Colorado Health Policy Forum called on Gov. Jared […]
UNC Health plans new hospital on 62-acre Wilmington site
UNC Health said it has a site under contract at South 17th Street and Shipyard Boulevard. If the state signs off, the hospital could open as early as 2030.
BREAKING: UNC Health plans community hospital in Wilmington
WILMINGTON — UNC Health is announcing plans to build a new community hospital on a 62-acre proposed site in Wilmington. UNC Heath has identified the southeast corner of S. 17th Street and Shipyard…
UNC Health plans new community hospital in Wilmington
UNC Health announced plans to build a new community hospital in New Hanover County, pending state regulatory approval.
UNC Health plans Wilmington hospital
UNC Health plans to create a community hospital on a 62-acre proposed site in New Hanover County, pending regulatory approvals, according to an announcement Monday morning. “Planned for the southeast corner of South 17th Street and Shipyard Boulevard, the site was selected for its accessibility and its geographic infill capacity in serving a rapidly growing region,” according to the release. “This project marks a significant step forward in UNC Health’s commitment to improving access to primary care and specialty care closer to home.” Officials said the proposed hospital would offer a range of specialties, including emergency care, cardiology, oncology, OBGYN and more. While the not-for-profit, state-owned health system’s officials are planning the hospital, the proposal still requires state approval through North Carolina’s certificate of need (CON) process before it can become a reality. UNC Health is targeting an opening date of 2030, the release stated, and “will continue to engage openly with local community leaders and residents and share updates as plans evolve and progress is made towards achieving CON approval.” The state’s CON law requires healthcare providers to obtain a CON from the N.C. Department of Health and Human Services before developing or offering what the department’s website dubs “a new institutional health service.” The term encompasses a wide range of facilities, including hospitals. The news of UNC Health’s Wilmington plans follows the recent addition of Ernie Bovio to UNC Health. Bovio, who had served as president of the Novant Health Coastal Region since 2024, became regional president of UNC Health’s Southeast Coastal Region in April. “This is an important first step in our commitment to ensuring that families in Wilmington and the surrounding areas have access to the high-quality, compassionate care they deserve – right here at home,” Bovio stated in the release. “As I’ve listened to my own neighbors and community members across the region, I’ve heard a clear message: Wilmington is ready for more choice in healthcare – and UNC Health is ready to deliver it.” According to the release, Wilmington Health – one of the largest independent, physician-owned practices in Southeastern North Carolina – also supports the project, and its providers are expected to participate on the medical staff of the new facility. “Wilmington Health has served this community for more than 50 years, and we know firsthand that our patients are interested in choice,” stated Jeff James, CEO of Wilmington Health, in the release. “We strongly support UNC Health’s plan to bring a new community hospital to our region – closing critical gaps in specialty care and ensuring families across our region have options to access the services they need, right here at home.”
Lawrence school board to consider health plan change, hear needs assessment
Lawrence school board members on Monday will consider a change to save the district money on rising health insurance costs, though employees would have to pay to keep their current level of coverage.
Sanford Health, North Memorial Health plan to combine
Sanford Health and North Memorial Health plan to form single nonprofit health system, expanding access to locally driven care in Minnesota.
State employees speak out against dropping Blue Cross from Kansas health plan
Retired and current state employees spoke out against Kansas dropping Blue Cross Blue Shield health insurance from the state plan.
More Consumers on Arkansas Marketplace Shopped Around for Health Plans This Year, Data Show
Among consumers who selected health plans on the Arkansas marketplace for 2026, there was a substantial increase from the previous year in the number of consumers who shopped around for the best deals, data show. We look at the reasons for that increase in the second installment of our blog series examining marketplace enrollment data.
Oscar Health Reports Record Profit As Obamacare Enrollment Jumps
Oscar Health swung to a $679 million first quarter profit – the highest in company history – as its health plan membership jumped more than 50% and medical costs eased.
NYU Langone Health plans to build new $1B teaching hospital, research center in Melville
The hospital would provide medical services to the Route 110 corridor, Suffolk County Executive Ed Romaine said.
Baystate Health expands services in Springfield and CT
Baystate Health plans to extend its health care services to additional areas in Springfield and Connecticut.
Medicare Advantage health plans may cut extra benefits in 2027
Americans enrolled in Medicare Advantage health plans should expect to see fewer extra benefits like gym memberships and vision and dental coverage next year, investors and industry experts say.
Ransomware Attack on Good Samaritan Health Center Affects 10,000 Individuals
Data breaches have recently been announced by Green Imaging, Good Samaritan Health Center, Wonderland Child & Family Services, and L.A. Care Health Data breaches have recently been announced by Good Samaritan Health Center, Wonderland Child & Family Services, and L.A. Care Health Plan.
PwC will drop cover for weight-loss drugs from employee health plans
Big Four accountancy balks at high cost of medication it says has become ‘cultural phenomenon’
Savannah Impact Program & Peach State Health Plan Present “Spring Fling Health Fair”
SAVANNAH – The Savannah Impact Program (SIP) in partnership with Peach State Health Plan is presenting a “Spring Fling Health Fair” at Temple of Glory Gymnasium on Saturday, May 2, from 9 a.m. to 1 p.m. At this free public event, different vendors will come together to provide the entire family with health assistance on […]
Rising premiums push younger workers to rethink employer health plans
Rising health insurance costs are prompting some younger, healthier workers to reconsider employer-sponsored coverage, creating new strains for workers and warning signs for employers, Bloomberg writes. As premiums climb and take-home pay tightens, some employees are opting for alternatives, such as medical cost-sharing plans, limited-benefit coverage or going uninsured altogether to save hundreds of dollars […]
In Warning Shot, Oregon Insurance Regulators Oust Alternative Health Plan From the State
State takes first enforcement action against health care sharing arrangement since 2021.
Thousands of Marylanders downgraded health plans on ACA marketplace amid rising premiums
As fewer Marylanders qualify for federal tax breaks that used to keep health care costs down, state officials report that higher monthly premiums have led thousands to opt for lower-coverage healthcare plans than in previous years.
The Health Plan continues connection with Tough As Nails Urban Challenge
Jeff Knight, CEO of The Health Plan, said his company’s sponsorship of the Tough As Nails Urban Challenge – a highlight of the Ogden Newspapers Wellness Weekend presented by WVU Medicine – is an easy and fitting connection. “It has shared values with what The Health Plan stands for – a healthy lifestyle, wellness and […]
The Health Plan continues connection with Tough As Nails Urban Challenge
Jeff Knight, CEO of The Health Plan, said his company’s sponsorship of the Tough As Nails Urban Challenge – a highlight of the Ogden Newspapers Wellness Weekend presented by WVU Medicine – is an easy and fitting connection. “It has shared values with what The Health Plan stands for – a healthy lifestyle, wellness and […]
The Cigna Group, Leading Health Plans Advance Work to Simplify Prior Authorization
/PRNewswire/ -- The Cigna Group (NYSE:CI), a global health company, today joined leading health plans in a commitment to standardize electronic prior...
BankNewport, Harvard Pilgrim Health Care and Tufts Health Plan join Salve's Health and Wellness Community Outreach program
Local organizations provide financial support that enables on-site health care education across Rhode Island.
Revitalizing Primary Care: Health Plan of San Mateo’s Investment Strategy
Abstract Health systems that invest in primary care have better and more equitable health outcomes. Yet primary care faces a crisis (characterized by
69,000 drop NJ marketplace health plans after enrolling
Nearly 14% of enrollees dropped marketplace health plans since open enrollment closed on Jan. 31, and others downgraded coverage.
Blue Shield of California Announces New Leader to Drive Nonprofit Health Plan’s Innovative Pharmacy Services for Members
“What drew me to Blue Shield is that it’s a mission-driven nonprofit health plan that’s committed to improving member health and their lives — not just lowering costs for medications.”
New government-run health plan proposed, as businesses snubbed again
Read More at Inside Investigator >>
Health care fight intensifies as Congress weighs GOP-backed insurance changes
Congressional Republicans say they are taking steps on health care — but Democrats counter that previous efforts are already costing Virginians coverage and putting hospitals under strain. Republicans have pointed to measures like the Rural Health Transformation Fund and an association health plan expansion bill that has cleared the House and is headed to the […]
How to make a high-deductible health plan work for you
How do you prepare for thousands of dollars in upfront costs? One option is a health savings account, or HSA.
How to make a high-deductible health plan work for you
How do you prepare for thousands of dollars in upfront costs? One option is a health savings account, or HSA.
INTEGRIS Health plans clinic closures across Oklahoma citing $130M funding loss
Health system says patients will receive at least 30 days' notice as dermatology, pediatric and mental health services face shutdowns.
Making Employer Health Plans More Flexible and Transparent
Innovative alternatives to traditional employer sponsored insurance are desperately needed by 180M Americans.
Data highlights gaps in finding in-network mental health coverage
Americans across 43 states enrolled in health plans from the nation’s four largest commercial health insurers face potential disparities in finding in-network coverage for mental health care and substance use disorder treatment relative to physical health care, according to the Mental Health Parity Index released by the Kennedy Forum.
No qualifying bids, so State Health Plan will restart search for new insurer
The initial request for bids came in less than a year and a half after the state switched to Aetna from Blue Cross NC.
Baylor Scott & White Health Plan to exit Texas Medicaid managed care in 2026, end individual marketplace plans
Baylor Scott & White Health Plan (BSWHP) says it plans to leave the Texas Medicaid Managed Care Program and stop offering individual marketplace coverage in 2026.
Baylor Scott & White Health Plan will no longer carry Medicaid and marketplace insurance plans
BSW's insurance wing is dropping Medicaid, marketplace health plans
Baylor Scott & White Health Plan will soon drop its Medicaid and individual marketplace plans, impacting 225,000 Texans.
Minneapolis Schools withheld money from employee health plan account for 10 months
The school district’s financial maneuver, which has not previously been reported, risked creating a shortfall in the health care account.
How to make a high-deductible health plan work for you
An elementary school teacher chose a low-price health insurance plan but soon realized she wasn't clear about what it would mean for her family's finances.
The essential role of a health plan in Ohio
How health plans in Ohio can simplify care, improve affordability and provide personal support when families face complex health needs.
The Dirt: Frontier Behavioral Health planning new Spokane location
The longstanding location of Spokane Roofing Company will soon become a Frontier Behavioral Health location, according to a construction permit application submitted to the city of Spokane.
How to make a high-deductible health plan and HSA work for you
If you chose a cheaper health plan, you may be stuck with some hefty medical bills until you meet your deductible. Here's how to get the most out of your plan and health savings account.
Dem Missy Hughes announces health plan aimed at countering Trump
Democrat Missy Hughes released a health care proposal that would serve in many ways as a buffer against actions taken by the federal government.
Register to attend Health Savings Account webinar April 16
The WVU Benefits Strategy team invites all employees to join TIAA experts as they cover unique advantages of contributing to an Health Savings Account, which is designed to work alongside a high deductible health plan, from noon to 1 p.m. April 16.
Phil Weiser’s health plan emphasizes primary care, using courts to lower costs
Weiser’s plan called for the state to shift investment toward preventive care, build on the Colorado Option and use the courts to challenge health care consolidation and enforce laws limiting surprise medical bills.
Oregon gave millions in erroneous benefits for state health plan, audit says
A free Oregon health care program for adults who make too much money to qualify for Medicaid could have improperly given out $15 million in payments related to benefits for recipients, according to a recent audit of state-managed federal programs.
Oregon gave millions in erroneous benefits for state health plan, audit says
By Shaanth Nanguneri, Oregon Capital Chronicle SALEM, Ore. -- A free Oregon health care program for adults who make too much money to qualify for Medicaid could have improperly given out $15 million in payments related to benefits for recipients, according to a recent audit of state-managed federal programs. The “questioned” funds surfaced in an 124-page
Oregon gave millions in erroneous benefits for state health plan, audit says
The findings come as Oregon is under pressure from the GOP’s 2025 federal tax and spending law to reduce miscalculations for benefits.
Lamont, Democrats split on Connecticut Option health plan
House Speaker Matt Ritter, D-Hartford, said establishing any new health insurance plan “would be a tall order.”
Bolter: Michigan's mental health plan faces criticism
Michigan's MDHHS is pushing a 'Mental Health Framework' that critics say adds bureaucracy and harms patient care.
Double-digit increases predicted for NJ public worker health plans
Public worker health plans are expected to see more double-digit rate hikes amid stubbornly high utilization and more municipal departures.
Kansas governor vetoes bill offering tax breaks to people using nontraditional health plans
Gov. Laura Kelly vetoed a bill that would provide income tax deductions for Kansans enrolled in health care sharing ministries plans.
State health plan for teachers faces 'death spiral,' Treasury warns
Rates expected to go up at least 10%, actuarial report says, as local districts pull their employees from system in search of lower premiums
After Providence Health Plan Outsourcing Fiasco, the Cleanup Continues
One of Oregon’s largest health insurance plans announced in recent days it might be going up for sale but, in the meantime, it still has quite a bit of cleaning up to do.
Peninsula Community Health plans to add 2 Bremerton dental clinics
Peninsula Community Health Services, with state funding coming from back-to-back budgets, will open to two new dental clinics along Kitsap Way.
Big changes ahead for State Health Plan as trustees work to lower costs
The State Health Plan hopes to save significant money by steering plan participants to preferred providers.
Healthcare employee health plan bridges the gap between data and action
Integrating UpToDate evidence-based clinical decision support helps health plan optimize costs and member-centered care.
Providence May Sell Off Health Insurance Business
The Providence Health Plan was already outsourcing some of its core functions, but had previously denied it had plans to sell.
Providence May Sell Off Health Insurance Business
The Providence Health Plan was already outsourcing some of its core functions, but had previously denied it had plans to sell.
Oregon Lays Out Core Public Health Plan Goals for Years Ahead
The plan, while largely conceptual, offers some insight into the thinking inside the state agency responsible for Oregonians’ health outcomes.
Those on state health plan could see provider change again
The State Health Plan is seeking a new insurance provider just over a year into its contract with Aetna.
NC State Health Plan won’t extend Aetna or CVS contracts, will seek bids instead
“This administration has different priorities and would prefer a contract that is more in line with those priorities,” said a plan spokesperson.
Health plans with no providers may reshape Obamacare
The plans could bring long-sought innovation into health care pricing. But they also could expose patients to more surprise bills.
Cardinal Health closing its Augusta plant within months
The Cardinal Health plant on Marvin Griffin Parkway employs hundreds, and the company said they have been notified of the facility's closure.
Henry Ford, Covenant announce new joint venture for neurological care
As part of the deal, Covenant HealthCare and Henry Ford Health plan to build a joint neurosciences outpatient facility in Saginaw Township.
Michigan Medicine resists significant cuts by Blue Cross Blue Shield of Michigan that would limit patient access
Michigan Medicine is informing patients about potential impacts that could result in changes for those insured by certain Blue Cross Blue Shield of Michigan commercial health plans if an agreement is not reached by June 30, 2026.