Cost-Containment

Only 6 in 10 employees feel satisfied with their benefit offerings, compared to two-thirds in the previous year.

“Far too many people who need obesity treatments still face cost and coverage barriers,” said Ilya Yuffa, executive vice president of Lilly USA.

The superintendent of the Maine Bureau of Insurance has issued a <a href="https://www.maine.gov/pfr/insurance/sites/maine.gov.pfr.insurance/files/inline-files/490.pdf" target="_blank" link-data="{&quot;cms.site.owner&quot;:{&quot;_ref&quot;:&quot;0000018e-8611-dbad-a9af-fe79f4ec0000&quot;,&quot;_type&quot;:&quot;ae3387cc-b875-31b7-b82d-63fd8d758c20&quot;},&quot;cms.content.publishDate&quot;:1764617242730,&quot;cms.content.publishUser&quot;:{&quot;_ref&quot;:&quot;00000192-f502-d200-a19b-fd17f90c0000&quot;,&quot;_type&quot;:&quot;6aa69ae1-35be-30dc-87e9-410da9e1cdcc&quot;},&quot;cms.content.updateDate&quot;:1764617242730,&quot;cms.content.updateUser&quot;:{&quot;_ref&quot;:&quot;00000192-f502-d200-a19b-fd17f90c0000&quot;,&quot;_type&quot;:&quot;6aa69ae1-35be-30dc-87e9-410da9e1cdcc&quot;},&quot;link&quot;:{&quot;attributes&quot;:[],&quot;target&quot;:&quot;NEW&quot;,&quot;url&quot;:&quot;https://www.maine.gov/pfr/insurance/sites/maine.gov.pfr.insurance/files/inline-files/490.pdf&quot;,&quot;_id&quot;:&quot;0000019a-db62-d61b-a3be-fbff3e3c0000&quot;,&quot;_type&quot;:&quot;33ac701a-72c1-316a-a3a5-13918cf384df&quot;},&quot;theme.bundle-default.:link:LinkEnhancement.hbs._template&quot;:null,&quot;theme.bundle-default.:link:LinkEnhancement.hbs._preset&quot;:null,&quot;_id&quot;:&quot;0000019a-db62-d61b-a3be-fbff3e3c0001&quot;,&quot;_type&quot;:&quot;02ec1f82-5e56-3b8c-af6e-6fc7c8772266&quot;}">bulletin</a> telling health plans that a plan must open up its provider network gates when any care provider wants to refer an enrollee to an in-network specialist or other in-network care provider.

The state's insurance commissioner says the carrier's staff seemed to "willfully misinterpret our questions" and "dismiss our concerns."

The proposed change could save 7,049 HRA and ICHRA sponsors from the notice requirements.

In the complaint, multiple plaintiffs across California detail their own (or their child’s) struggle to find accessible care.