Employer Coverage
Navigating challenges facing employers as they provide coverage for employees
- Indexed issues, last 90 days
- 20
- Latest publication
- Sep 30, 2026
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- Sep 4, 2026
Latest issues
Grail multicancer early detection test did not significantly reduce Stage III and IV cancer diagnosis (opens the original)
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Summary: The NHS-Galleri randomized trial (about 142,000 people) found that adding annual Galleri testing to usual care did not significantly reduce stage III andIV cancer diagnoses across 12 prespecified cancer types, and the accompanying New England Journal of Medicine editorial concludes the test isn’t ready for population-wide screening.<a class="image-link image2 is-viewable-img" href="https://substackcdn.com/image/fetch/$s_!mfP1!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubsta
No Surprises Act Arbitration May Narrow Networks and Raise ACA Marketplace Premiums (opens the original)
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Summary: A new study finds that radiology, anesthesiology, and emergency medicine specialists left ACA marketplace networks more often after arbitration became available, and that plans with high exposure to the four largest arbitration-filing provider groups raised premiums more than lower-exposure plans in the same states.<a class="image-link image2 is-viewable-img" href="https://substackcdn.com/image/fetch/$s_!icZm!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.
Hospital-insurer negotiation brinkmanship is increasing (opens the original)
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Summary: Hospital-insurer brinkmanship increased from 2021–2025, especially among profitable, high-cost hospitals, underscoring the need for employers to prepare for potential disruptions while recognizing that most disputes resolve before providers leave networks.Instances of Hospital-Insurer Brinkmanship and Departicipation 2021-2025<a class="image-link image2 is-viewable-img" href="https://substackcdn.com/image/fetch/$s_!TyLa!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-pos
Weekend Longforms: States lead on affordability, nonprofit conversion, Medicare for all, patent thickets and disappearing Medicare Advantage plans. (opens the original)
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Happy Saturday, and hope East Coasters are staying safe and dry. Here are a few “longform” articles for weekend reading.A. States are leading on health care affordabilityNathan Hostert and colleagues from Brown University report on state initiatives to lower medical costs in Health Affairs Forefront. Various states have passed or implemented price caps, site neutral payments, and review of mergers and acquisitions. Some states are also tightening their rules on corporate practice of medicine.B.
Friday Shorts: Unaffordable insurance, tax deduction and reinsurance, autism prevalence, and incomplete drug deals (opens the original)
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<img alt="" class="sizing-normal" height="1024" src="https://substackcdn.com/image/fetch/$s_!G5h3!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7baa9b92-fd05-4281-930d-243107017b78_1024x1024.p
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