Cigna sued over out-of-network addiction treatment payments
Ten addiction treatment providers accuse Cigna of paying 16.42% of covered charges while collecting fees tied to claim reductions
Health Insurance News
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Healthcare cyberattacks rise as hospitals face ransomware risks (The Case of Luminis Health)
Healthcare remained the top US critical infrastructure ransomware target in 2025 as a cyberattack disrupted systems at Maryland’s Luminis Health
California workers’ comp medical costs rise 5% in 2026
California workers’ comp medical costs per claim rose 5% in 2025, driven by higher prices, medical-legal services and non-fee-schedule costs
US commercial insurance prices rise 0.5% in Q2 2026, WTW says
US commercial insurance prices increased 0.5% in Q2 2026, slowing from 2.5% in Q1 as property rates declined and large accounts moved negative
AI adoption exposes insurance gaps in digital health
Beazley’s 2026 Digital Health & Wellness report finds medical negligence remains the leading claims driver as AI creates multi-line insurance exposures
Wonderful expands AI operating platform for insurance workflows
Wonderful is extending its AI operating platform across underwriting, claims, servicing and compliance for P&C, life and health insurers
Insurtech Sixfold launches AI Underwriter for life and health insurance
Sixfold launched an AI underwriting platform for life, disability, long-term care and critical illness, producing case recommendations with cited evidence
Manulife Asia Insurance and Ant Health explore cross-border healthcare services
Manulife Asia and Ant Health signed an MOU to explore cross-border healthcare services, digital health tools and insurance technology in Asia
Gradient AI expands Renewal Analytics for group health insurers
Gradient AI expanded Renewal Analytics with IBNR adjustments, peer benchmarking, termination modeling, risk scoring and automated PDF reporting
Maryland opened employer registration for Family and Medical Leave Insurance program (FAMLI)
Maryland opened employer registration for FAMLI, with payroll deductions starting in January 2027 and paid leave benefits beginning in January 2028
Federal officials promote CHOICE health insurance model in Indiana
Federal officials promoted CHOICE health arrangements in Indiana as employers seek alternatives to traditional group health insurance amid rising costs
US employer health benefit costs projected to rise sharply in 2027
US employer health benefit costs are projected to rise sharply in 2027, with GLP-1 weight-loss drugs adding about one percentage point to the increase
Insurtech Kin signs four-year FSU Athletics jersey patch partnership
Kin signed a four-year partnership with FSU Athletics, becoming its preferred insurance partner and first jersey patch sponsor across 18 varsity programs
California uninsured population projected to double by 2030, raising pressure on insurers
Federal Medicaid and ACA cuts are projected to leave 4.6 mn Californians uninsured by 2030, raising pressure on hospitals, insurers and state finances
Florida ACA enrollment drops as higher health insurance premiums strain households
Florida lost about 443,000 ACA enrollees after enhanced subsidies expired, leaving households exposed to higher premiums and medical costs
Medicare for All: how the plan would reshape US health insurance
Medicare for All would replace today’s Medicare structure, restrict duplicate private coverage and shift US healthcare financing toward a federal plan
India weighs health insurance reforms as medical inflation rises
India is reviewing health insurance reforms, including treatment-rate benchmarks and a claims exchange, as medical inflation runs near 12% to 14%
Maryland insurance regulator recovers $53.5 mn for residents and businesses
Maryland Insurance Administration recovered more than $53.5 mn for residents and businesses in H1 2026 through complaints, reviews and enforcement
Americans losing trust in healthcare quality, insurance coverage and affordability
Gallup and KFF data show Americans losing trust in healthcare quality, coverage and affordability as insurance problems hit more families
Oklahoma health insurance premiums face double-digit increases
Oklahoma state employees could see health insurance premiums rise by up to 19.5%, while private and ACA plans are also expected to post double-digit increases
Oregon health insurance premiums face 15.5% increase
Oregon regulators cut proposed 2027 health insurance rate hikes, but individual and small-business plans still face sharp premium increases
Senate Democrats seek changes to the US health insurance system
Senate Democrats propose ACA subsidies, public option plans, prior authorization limits and tighter rules for PBMs and insurers
US Health Insurance Transparency for Patients Act targets health insurance denial reporting
A new House bill would force health insurers to report denial rates, appeal outcomes, prior authorization rules and decision times
Affordable Care Act subsidy cuts push more former exchange members uninsured
Hospitals say most patients who lost ACA exchange coverage after subsidy cuts now arrive uninsured, adding pressure to margins and elective care revenue
Health insurance job lock hits 24% of U.S. workers
About 23 mn U.S. workers stay in jobs they want to leave to keep health insurance, as healthcare costs and chronic disease risks shape career choices
New York approved a 22% workers’ comp loss cost cut for October
New York approved a 21.9% workers’ comp loss cost cut for Oct. 1, with projected employer savings above $1 bn
New Yorkers lose Essential Plan health insurance coverage after eligibility cut
New York’s Essential Plan change leaves 450,000 residents seeking new health coverage as marketplace premiums replace low-cost insurance
Connecticut reverses insurance denial for rare transplant
Connecticut officials reverse a third coverage denial for a man needing a multivisceral transplant after doctors gave him a 10% survival chance
Connecticut expands health insurance coverage mandates
Connecticut will require insurers to cover scalp cooling, athletic prosthetics, PANDAS and PANS care, and expanded infertility treatment
Arizona law “Comma Bill” ends grammar dispute over firefighter illness insurance claims
Arizona changed workers’ compensation rules after punctuation disputes blocked firefighter illness claims and limited coverage for cancer treatment
Healthtech Doctorsa raises €1 mn for traveller healthcare platform
Doctorsa raised €1 mn from PranaVentures, Vento and 40Jemz Ventures to expand its 24/7 doctor network for international travellers
Healthtech RediMinds earns URAC AI accreditation for medical review
RediMinds received URAC’s first Health Care AI Accreditation, joining two other organizations in a new U.S. healthcare quality program
Egypt starts Eid al-Adha medical insurance and emergency plan across
Egypt launched a nationwide Eid al-Adha medical plan, adding hospital readiness, ambulances, blood stocks, mobile clinics, and emergency monitoring
Reduced health insurance payments for hospital births changed U.S. sterilization rates
A new study says shorter postpartum hospital stays in the 1990s reduced U.S. female sterilization rates more than 1970s consent reforms
Ohio House Bill 838 targets insurance coverage for gender-affirming surgery
Ohio House Bill 838 would bar public employer health plans and Medicaid from covering gender-reassignment surgery
Sen. Bernie Sanders claim on health insurance coverage losses rated mostly false
PolitiFact says Bernie Sanders overstated the effect of Trump’s 2025 tax and spending law on health coverage losses
Coral raises $12.5 mn to automate healthcare admin work
Coral raised $12.5mn from Lightspeed and Z47 to automate healthcare back-office workflows across fax, EHR, payer portals, and patient intake.
Japan corporate health insurers face $41 bn deficit in FY2026
More than 70% of large-company health insurance societies in Japan are expected to run deficits as costs tied to ageing and childcare rise
Germany health reform targets €16 bn in insurance savings – Friedrich Merz
Germany’s Cabinet approved a health care draft law aimed at limiting insurance premium increases, though doctors and patient groups call it austerity
Courier Health raises $50 mn to scale AI patient engagement platform
Courier Health secures Series B funding to expand its AI platform addressing fragmented patient journeys in life sciences
EBR Systems breach highlights rising cyber pressure on Australia’s healthcare sector
A cyber incident at EBR Systems points to a wider rise in targeted attacks across Australia, where healthcare data carries high value and breach fallout often extends well beyond initial disruption
Westfield Health nears £100 mn revenue as it launches Evolve platform
Westfield Health introduced Evolve, a digital platform for intermediaries, as revenue approaches £100 mn and demand grows for flexible health benefits
Healthtech Chapter raises $100 mn in Series E to scale AI Medicare platform
Chapter secured $100 mn led by Generation Investment Management, doubling valuation as it expands AI-driven Medicare and retirement tools
Conduit Health raises $17 mn to expand AI platform for insurance-covered medical supplies
Conduit Health secured $17 mn in Series A funding to grow its AI platform for Medicare and Medicaid patients needing insurance-covered medical supplie
Yuzu Health raises $35 mn in Series A to rebuild health insurance infrastructure
Yuzu Health secured $35 mn in Series A funding to expand its health plan platform, automate back-office workflows, and scale modern insurance operations nationwide
Blossom Health raises $20 mn to expand AI-led psychiatry care
Blossom Health secured $20 mn in seed and Series A funding to expand its AI-native telepsychiatry platform, insurer ties, and clinician network across the US
Healthcare insurance costs move back to the top of US voter concerns
Rising medical costs and higher insurance premiums pushed healthcare back to the top of US domestic concerns, with affordability now outpacing the economy
Medicare Advantage insurers get bigger 2027 rate lift after CMS revision
CMS raised 2027 Medicare Advantage payments by 2.48% on average, with risk-model changes pushing the total increase near 5% and insurer shares jumping
Texas insurance investigator helped trace suspect in $400 mn Medicare fraud case
A Texas insurance investigator and analyst helped identify and track a Russian national accused of filing $400 mn in fake Medicare claims
China rolls out long-term care insurance as ageing pressure builds
China launched a long-term care insurance system to support people with lasting disabilities and ease pressure on families as the population ages
Senate bill would cap insulin costs at $35 for private insurance plans
A bipartisan Senate bill would cap insulin at $35 for privately insured Americans and launch a pilot to extend the same limit to uninsured patients
NAIC launches working group to tackle rising health care costs
NAIC forms working group to address health care costs and premiums, aiming to deliver policy solutions for states by late 2026
Kansas Insurance Commissioner weighs ending cost-sharing for follow-up breast cancer exams
Kansas Insurance Commissioner Vicki Schmidt backs SB 409 to remove out-of-pocket costs for follow-up breast cancer testing after abnormal mammograms
German healthtech Recare raises €37 mn to scale AI platform abroad
Berlin-based Recare secures up to €37 mn led by DNV to expand its AI-driven hospital workflow platform and accelerate international growth
Health and Safety tops global D&O risk rankings as climate and AI concerns fade
Health and safety is the leading risk for directors and officers worldwide for a second year running, according to the Global D&O Survey
UnitedHealth profit falls 16% in 2025 as Medicare cuts and cyber costs bite
UnitedHealth Group reports a 16% drop in 2025 profit amid Medicare funding pressure, rising medical costs, and charges tied to the Change Healthcare cyberattack
Nevada’s Affordable Care Act enrollment slips 5.5% as subsidies fade, officials stay calm
Nevada Health Link reports stable ACA enrollment despite higher premiums and expired subsidies, with public option plans drawing 10% of signups
Connecticut lawmakers question mandate-heavy health insurance plans as costs climb
Connecticut legislators debate soaring health insurance costs as mandated benefits hit 81, raising premiums for individuals, small employers, and ACA enrollees
Medicare Advantage 2027 shock rattles health insurers, wipes $ bn in value
A proposed 0.09% Medicare Advantage payment update for 2027 triggers a sharp selloff in US health insurers, forcing a rethink of margins, benefits, and capital plans
HealthTech Benepass raised $40 mn as employers brace for rising healthcare costs
Benepass secures $40m Series B funding to expand its benefits capital management platform as US healthcare costs are forecast to rise nearly 10% in 2026
Aon forecasts employer medical plan costs will climb 9.8% worldwide in 2026, with North America and APAC seeing increases, while Europe trends lower
There are approximately 133 million healthcare data breaches each year. Healthcare systems remain complex to secure, and cybercriminals take full advantage of this
Average costs for U.S. employers that pay for their employees' health care will increase 8.5%. How to Reduce Healthcare Costs?
Faced with many talent challenges, employers need better tools to evaluate and deliver individualized health, wealth, and wellness benefits to their future workforce