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News & Market Updates
Bespoke Concierge MD, a leader in precision and concierge medicine, announced the launch of its new Corporate Health Plans—an employer-based model designed to bring proactive health care into the workplace and help companies better protect and support the health of their workforce. The new plans provide employees with direct physician access, proactive monthly checkups, and…
Magellan Health, Inc., announced that pediatric primary care provider organizations that integrate its collaborative care model (CoCM) directly into their care setting reduce barriers to access, improve provider organization satisfaction, and deliver measurable results to children and their families. The evidence-based CoCMA’s integrated approach to health care is demonstrated to enhance consumer outcomes, and has…
Bayvrio, which offers advanced technology and innovative, curated solutions to health care payers, announced the launch of the Bayvrio Marketplace, a first-of-its-kind model that will change the way the industry builds, manages, and delivers health care and pharmacy benefits. By giving pharmacy benefit managers (PBMs), health plans, and health systems the freedom to choose from…
The federal budget reconciliation bill, House Resolution (HR) 1, which was signed into law on July 4, 2025, includes provisions that affect Affordable Care Act (ACA) health Insurance Marketplace plans, according to an analysis by KFF, a non-profit organization focused on health policy. Pre-enrollment verification processes, documentation requirements, a shorter open enrollment period ending on…
The U.S. Department of Health and Human Services (HHS) announced that it is implementing measures to expand access to “more affordable” catastrophic health coverage through its new hardship exemption guidance. “More Americans will be able to qualify for catastrophic health coverage based on need, beginning November 1, with the start of open enrollment,” the announcement…
For the 2026 health insurance plan year, a recent survey of health plan actuaries projected that the medical cost growth trend will remain at 8.5% for the group plan market and at 7.5% for the individual plan market. These are the same as 2025, the report stated. Medical cost trend was defined by the report…
Blue Shield of California announced the availability of a new digital pharmacy price check tool within the Blue Shield mobile app to allow members to immediately view the out-of-pocket price of any new or renewed prescription medications ordered by their clinician and covered by their pharmacy benefit plan. The Price Check My Rx dashboard provides…
Positive Development, Inc., which provides developmental therapy for children with autism and their families, closed a $51.5 million Series C funding round. The company plans to use the funding to expand its care model into new markets and within existing markets. The company plans to invest in new health plan and state Medicaid partnerships, and…
Meridian Health Plan of Michigan, Inc. (Meridian), a managed care organization in Michigan, announced its partnership with McLaren Health Care. This collaboration will expand access to high-quality medical services for over 500,000 Meridian members in plans across the state, the announcement stated. Effective August 15, 2025, Meridian members enrolled in Medicaid, Medicare, Dual, and Marketplace…
Molina Healthcare of Illinois (Molina), in collaboration with The MolinaCares Accord (MolinaCares), invested over $1.6 million in support of local community organizations to improve health outcomes in Illinois. Together with community partners, Molina is working to enhance and create programs designed to address community health needs, increase access to care, improve behavioral health and maternal…