Nearly 5.8 million people have enrolled in ACA marketplace plans for 2026 coverage, outpacing last year’s enrollment figures at the same point in the open enrollment period, according to new data published Dec. 5 by CMS. Americans have until Dec.…
Author: Jakob Emerson
The One Big Beautiful Bill Act will bring sweeping changes to Medicaid beginning in 2027, while enhanced ACA premium tax credits are set to expire at the end of this year, creating uncertainty for millions of enrollees. California stands to…
Insurers are publishing incomplete price transparency data, with hospital inpatient information particularly sparse, according to a study published in the American Journal of Managed Care in December. Researchers from Simple Healthcare analyzed 2025 Transparency in Coverage files from Aetna, Cigna,…
Minnesota regulators are seeking court approval to take control of UCare, the Minnesota Star Tribune reported Dec. 9. The Minnesota Department of Health filed a petition in state court seeking to place UCare in “rehabilitation” status, which would give the…
For women and children in 2025, Massachusetts is the healthiest state in the nation while Louisiana is the least healthy, according to the “America’s Health Rankings 2025 Health of Women and Children Report” from the United Health Foundation. The December…
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Insurers are updating reimbursement policies that include new rules surrounding remote monitoring and inpatient reimbursement. Here’s a look at some of the most recent notable updates.
Kate Walsh has been elected to the Blue Cross Blue Shield of Massachusetts board of directors. Most recently, Ms. Walsh served as the secretary of Health and Human Services for the Healey administration to the Blue Cross board. Prior to…
CMS is reminding state insurance departments that federal law preempts any efforts to regulate Medicare Advantage broker compensation and marketing practices. The Dec. 4 memo obtained by Becker’s comes as UnitedHealthcare is suing the director of the Idaho Department of…
UnitedHealth Group is seeking to dismiss a lawsuit filed by Johnson City, Tenn.-based Ballad Health over alleged “Medicare Advantage manipulation,” arguing the health system is bound by arbitration agreements and filed the case to generate publicity. In a Dec. 4…
New York Gov. Kathy Hochul has signed legislation requiring insurers to cover follow-up screening and diagnostic services for lung cancer without imposing cost sharing on members. The law takes effect Jan. 1, 2027, and amends state insurance law governing individual,…