Industry News

Health insurers deploy AI to slash prior authorization times by 85%, but rising denial rates and regulatory scrutiny signal major changes ahead for employers and brokers managing employee benefits.

Federal regulators announce sweeping requirements for health insurers to implement AI-driven prior authorization systems by 2026, promising to reduce delays and denials while saving employers billions in administrative costs.

Small employers confront their toughest benefits decision in years as health insurance premiums surge 9% for 2025, forcing many to consider dropping coverage entirely or dramatically restructuring benefits.

A bipartisan congressional proposal to cap the tax exclusion for employer-sponsored health insurance at $12,000 annually could fundamentally reshape how 160 million Americans receive healthcare coverage.

Blue Cross Blue Shield, CVS Caremark, and other major insurers are dramatically cutting coverage for popular weight loss medications like Ozempic and Wegovy, forcing employers to make tough decisions about employee benefits amid skyrocketing pharmaceutical costs.

Healthcare costs are set to rise 7.8% in 2025, marking the third straight year of increases above 5%. Employers face difficult decisions as they balance employee benefits with financial sustainability.

The IRS unveils streamlined ACA reporting requirements that could reduce employer compliance costs by 40%, marking the most significant regulatory simplification since the mandate's inception.

Congressional Republicans unveil a sweeping proposal to slash Medicaid funding by $716 billion over the next decade, potentially affecting coverage for 75 million Americans and fundamentally reshaping the healthcare landscape.

After years of explosive growth, Medicare Advantage enrollment is plateauing as major insurers exit markets and reduce benefits. This seismic shift impacts employers, retirees, and the broader healthcare landscape.