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Thursday, Oct 22 2026 UPDATED 9:48 AM

Full Issue

More Health Systems Are Instituting Their Own Insurance Plans

Between the cost of inflation, network negotiations, and prior authorization pressures, some companies and health systems are betting on themselves to untangle the web and provide better health insurance for patients, Modern Healthcare reported.

A new wave of companies think they can pull off the difficult feat of becoming a health insurer. National carriers have pulled back in recent years by exiting unprofitable business lines and geographies, as costs rise in commercial insurance and government health programs. Health systems, reckoning with cost inflation, must battle insurers during network negotiations and enlist outside vendors to ease prior authorization pressures. And that鈥檚 leading some companies to bet their twist on administering health insurance will succeed where others failed. (Tong, 10/21)

On reining in healthcare costs 鈥�

Corporate America is getting hit by healthcare sticker shock鈥攁nd companies are passing a greater share of the cost on to workers. The trend is accelerating. New data shows that this year, the average cost of a family health plan crossed $28,000, rising by 5%, according to an annual survey from the nonprofit KFF, which provides the broadest picture of U.S. employer health coverage. The share coming out of employees鈥� paychecks shot up even faster鈥攖o $7,471, an increase of 9% from 2025. (Wilde Mathews, 10/22)

Mark Cuban says many of the customers flooding his low-cost pharmacy have something in common: They already have insurance. And they鈥檙e still better off paying cash. (Witman, 10/21)

吃瓜不打烊: Job-Based Health Plan Costs Rise, With Little Relief In Sight

Rising healthcare costs aren鈥檛 a problem just for those who buy their own health insurance. Increases hit employers and their workers this year, too, and more are expected for 2027 plans 鈥� adding to growing concerns about affordability heading into the midterm elections. Polls show that healthcare costs 鈥� and affordability, in general 鈥� are among top concerns cited by likely voters. Much attention has been focused on mounting costs and declining enrollment in Affordable Care Act plans, the insurance used by roughly 19 million people who buy their own. But work-based plans are adding financial pressure for the more than 150 million Americans covered through their jobs. (Appleby, 10/22)

Also 鈥�

Open enrollment for Medicare, the nationwide federal health insurance program primarily for those aged 65 and older, has started. Many enrollees in privately run Medicare Advantage plans may need to find new plans as insurers scale back their offerings. Additionally, costs may increase for prescription drugs after the Trump administration ended a temporary subsidy program. (Kekatos, 10/20)

吃瓜不打烊: Listen To The Latest 鈥槼怨喜淮蜢� Minute鈥�

Jackie Forti茅r聽reads the week鈥檚 news: Support for 鈥淢edicare for All鈥� is at its highest in at least a decade, even though many don鈥檛 understand the specifics. Plus, celebrities are getting full-body medical scans, but more screening might not be a good thing. (10/22)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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