THE ISSUE
Cutting through the week's noise to help out HR.
The World Cup is on and half the planet is watching — but my weekend belonged to a smaller bracket: my daughter Mac's softball tournament, where I spent most of the day chasing my toddler Beckett around the bleachers between innings. Two tournaments, one exhausted dad — and honestly the better lens on this week's benefits news. Every side looks like a favorite until the group stage humbles it, and health costs just put 79% of small and midsize employers into extra time with double-digit increases. CVS's CEO says the GLP-1 math still “isn't there yet,” while two-thirds of workers say they'd take better benefits over a bigger paycheck. Defense wins tournaments — and so does playing smarter, not leaner. Here are the stories that caught my eye.
Mind
2 ¶- STAT News — Medicaid and SNAP cuts are exacerbating the intertwined problems of hunger and mental illness, with food insecurity leading to increased hospital visits, including for psychiatric emergencies. A 2023 systematic review found high rates of food insecurity among adults with schizophrenia, bipolar disorder, and major depression. The cuts, including $863 billion from Medicaid over 10 years, will disproportionately damage access to behavioral health services, particularly for Medicaid enrollees who are more likely to have behavioral health disorders.
- Employee Wellness — Many modern workplaces are designed in a way that conflicts with how the human brain functions, leading to decreased productivity and increased burnout. Open-plan offices, multitasking, and rigid eight-hour workdays can all negatively impact employees' ability to focus and work efficiently. Research suggests that taking micro-breaks, working in uninterrupted blocks of time, and setting boundaries around work hours can help improve focus and reduce burnout.
Body
2 ¶- Employee Benefit Trends — A survey by Wondr Health and Harris Poll found that 68% of Americans believe menopause should be acknowledged in the workplace — including 67% of employed men and 70% of employed women who agree women shouldn't have to push through perimenopause and menopause symptoms. Menopause is estimated to cost $1.8 billion a year in lost work time, and $26.6 billion once medical expenses are added. Employers can respond with a whole-person approach: education, leadership visibility, and ongoing communication.
- STAT News — Mwyngil Therapeutics, a new biotech startup, is developing obesity treatments that do not target the GLP-1 receptor, a common approach in the field. The company's CEO, Luba Greenwood, was drawn to the company's unique approach, which she finds more interesting than the prevalent GLP-1-based treatments. Mwyngil's approach may lead to innovative solutions in the multibillion-dollar weight loss market.
Money
2 ¶- STAT News — Sales from the 340B Drug Discount Program rose to $100 billion in 2025, a 22.8% increase from the previous year, with expensive medicines accounting for nearly 62% of spending. The program requires drugmakers to offer discounts of 25% to 50% off outpatient drugs to hospitals and clinics serving lower-income patients. Spending on specific treatments, such as Merck's Keytruda and Gilead's Biktarvy, totaled $8.9 billion and $4.47 billion, respectively.
- Employee Benefit Trends — The Tax Cuts and Jobs Act's expiration and subsequent permanent extension of tax brackets through the One Big Beautiful Bill Act have created a favorable environment for Roth conversions. With historically low tax rates expected to increase in the future due to the national debt, employees may consider converting pre-tax assets to Roth IRAs. This strategy allows employees to pay taxes now and potentially avoid higher tax rates in retirement.
Workforce
2 ¶- Employee Benefit Trends — The challenges working parents face during the summer months and potential solutions for employers to support them. It highlights the importance of creating a cultural movement that prioritizes working parents' needs. Employers can play a key role in helping working parents balance their responsibilities.
- HR Executive — CVS Health CEO David Joyner stated that the economics of covering GLP-1 agonist weight-loss drugs, such as Wegovy and Mounjaro, are not yet justified due to high costs. Joyner estimated that providing these drugs to every obese US resident at 2024 prices would cost $1.2 trillion. He emphasized the need for further research on the long-term impact of these drugs to determine their cost-effectiveness for employer-sponsored health plans.
Nebraska & Incentives
2 ¶- Employee Benefit Trends — The Eighth Circuit affirmed the dismissal of a challenge to Wells Fargo's use of forfeitures to satisfy its employer contributions, and the Fourth Circuit held that an incentive compensation program was exempt from ERISA as a bonus payment plan. Around 100 lawsuits have been filed in recent years raising similar challenges to how plans allocate forfeited employer contributions. The District of New Jersey court granted a motion to dismiss in a case alleging breaches of ERISA fiduciary duties and prohibited transactions regarding a 401(k) plan's investment options and recordkeeping fees.
- Nebraska Legislature — Nebraska and Minnesota have implemented robust authorities to oversee hospital transactions, allowing state-level agencies to review and approve certain health care transactions, with the goal of monitoring health care markets and determining the impact of consolidation on costs, patient access, and quality. As of October 2025, 41 states and DC have some explicit authority to oversee hospital transactions, with nine states having notification, review, approval, and post-transaction oversight authority. Nebraska's authority has been in place since 1996, while Minnesota recently extended its nonprofit oversight authority to health care entities and passed a broader transaction oversight law in 2023.
The Bottom Line
As I watched my daughter Mac play softball, I realized that making sense of benefits news is a lot like chasing a toddler up and down the bleachers - it's chaotic, but with the right approach, you can stay on top of it. By prioritizing employee wellbeing, reviewing your health plans, and staying informed about policy changes, you can navigate the complex world of benefits and come out on top - and don't forget to check out Superpower (superpower.com) for a potential solution to support your employees' wellbeing.
This Week's Reading — Every Link
- Opinion: Medicaid and SNAP cuts are exacerbating the intertwined problems of hunger and mental illnessSTAT News
- 4 Reasons the Workplace Isn't Designed for Our Brains | Psychology TodayAlert: Employee Wellness
- Why Caregiving Belongs In Your AI Workplace Strategy - ForbesAlert: Employee Wellness
- STAT+: A new biotech startup tries to tackle obesity, but not in the way you might expectSTAT News
- Women — and men — want menopause acknowledged at work - Employee Benefit NewsAlert: Employee Benefit Trends
- Virtual care, ER visits projected to rise as health care delivery splinters - BenefitsPROAlert: Employee Wellness
- Lark Health, Samsung team up on AI-powered health coach for U.S. seniorsFierce Healthcare
- STAT+: Sales from controversial U.S. drug discount program rose to $100 billion last yearSTAT News
- From Gen Z to Boomers: tailoring vision benefits for every life stage - BenefitsPROAlert: Employee Wellness
- Roth Conversion Strategy in the New Tax EraAlert: Employee Benefit Trends
- Rising benefits costs are forcing HR to get smarter, not leaner - HRD AmericaAlert: Employee Benefit Trends
- Summers Can Be Hard for Working Parents: What Can Employers Do to Help?Alert: Employee Benefit Trends
- Hilton research: Manager relationships fuel retention and RTO successAlert: Employee Wellness
- CVS CEO: GLP-1 economics ‘aren’t there yet’HR Executive
- Medical Marijuana, Psychedelics and Employee Benefits : What Employers and Plan ...Alert: Employee Wellness slow to load (~20s)
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Could substances such as medical marijuana and “magic mushrooms” soon be covered under employee benefit plans? At the very least, two recent executive orders issued by President Donald Trump could expand the accepted use of these substances. This blog will review the executive orders and discuss the potential impact on employers and benefit plans. “Increasing Medical Marijuana and Cannabidiol Research” was issued December 18, 2025 and followed by an April 2026 order from the Justice Department and Drug Enforcement Administration (DEA) “immediately placing both FDA-approved products containing marijuana and marijuana products regulated by a state medical marijuana license in Schedule III of the Controlled Substances Act, as well as the initiation of an expedited administrative hearing process to consider the broader rescheduling of marijuana from Schedule I to Schedule III.” Previously, in August 2023, the Department of Health and Human Services (HHS) recommended to DEA that marijuana be controlled under Schedule III. “The recommendation from HHS included a determination that medical marijuana has a currently accepted medical use,” the December 2025 executive order noted. The administrative hearing process to consider broader rescheduling began June 29, 2026. Another executive order, Accelerating Medical Treatments for Serious Mental Illness , was issued April 18, 2026. The order directs HHS to accelerate access to treatments for patients with serious mental illness. The o - Nebraska joins 48 states in settlement with drugmaker over price manipulation - WOWTAlert: Nebraska Legislature slow to load (~20s)
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OMAHA, Neb. (WOWT) - Nebraska’s attorney general has joined dozens of states in settling with a drugmaker over claims it manipulated and artificially inflated prices for generic drugs. A release from Attorney General Mike Hilgers’ office says Glenmark settled with 48 states and territories for $29.6 million. The drugmaker is accused of reducing competition and restraining trade. Investigators claim competing industry executives met during casual outings and by phone or text to discuss discouraging competition and raising drug prices. As part of the settlement, Glenmark must cooperate with ongoing litigation and commit to internal reforms. Nebraska will receive just over $128,000. If you purchased generic drugs from Glenmark between May 2009 and December 2019, you could be eligible for some of that money. Check here . Copyright 2026 WOWT. All rights reserved. - ERISA Litigation Update - Q2 2026 - Employee Benefits & Compensation - United StatesAlert: Employee Benefit Trends slow to load (~20s)
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Welcome to Goodwin s ERISA Litigation Update. Litigation involving ERISA-governed benefits plans has exploded in recent years. Lawyers in our award-winning ERISA Litigation practice have extensive experience litigating these cases across the country, as well as representing clients in Department of Labor investigations. The ERISA Litigation Update gathers notable developments in this space, including important court decisions and appeals as well as regulatory guidance, and provides information regarding those developments on a quarterly basis. Key Takeaway: The Eighth Circuit became the first appellate court to weigh in on the wave of ERISA forfeiture lawsuits coming up through the federal courts. In Matula v. Wells Fargo Company (No. 25-2441), the Eighth Circuit affirmed the standing-based dismissal of a challenge to Wells Fargo s use of forfeitures to satisfy its employer contributions. This case involved how Wells Fargo chose to reallocate prior employer contributions that departing employees forfeited before those contributions fully vested. The Wells Fargo 401(k) plan allowed those forfeited funds to be used in one of three ways: (1) to offset employer contributions, (2) to pay plan expenses, or (3) to make corrective adjustments. Plaintiff claimed that Wells Fargo s use of forfeitures to offset employer contributions violated ERISA s fiduciary duties and were prohibited transactions. The Eighth Circuit rejected those claims. It held that the plaintiff failed to satis - State Spotlight: Nebraska and Minnesota as Models for Health Care Transaction OversightAlert: Nebraska Legislature slow to load (~20s)
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In the last few decades, consolidation among health care providers has reshaped US health care markets. The empirical evidence is clear that consolidation decreases competition and increases costs, while reducing access to and quality of care for patients. And this consolidation is ubiquitous; as of 2025, 94 percent of hospitals operate in highly concentrated markets. Concerns about highly concentrated markets are further heightened by the rise of private equity , as these investors primarily consolidate providers as a means of financial arbitrage and profit maximization, with disastrous outcomes for hospitals and patients alike. Given these concerns, many states have taken up reforms to strengthen their authority to monitor and oversee hospital transactions. In this blog, we provide background on the scope of state transaction oversight laws, and spotlight Nebraska and Minnesota’s authorities. While we have previously written about Oregon’s Health Care Market Oversight program and highlighted recent developments to Massachusetts ’ and New Mexico’s authorities, here we spotlight two states with lesser known, but robust, authorities. As other states consider bolstering their transaction oversight, these states may serve as models. Transaction oversight is a regulatory process that enables state-level agencies to receive notice of, review, and/or approve certain health care transactions 1 . Transactions typically include “material changes”––mergers, acquisitions,