CMS published its 2027 Medicare Advantage and Part D proposed rule on Nov. 25 that includes an overhaul of how star ratings are calculated, new enrollment flexibilities, and rollbacks of Biden-era health equity requirements. The proposed rule is subject to…
Author: Jakob Emerson
Arkansas will see the largest percentage increase in average ACA benchmark premiums between 2025 and 2026, while Alaska is the only state where the average benchmark premium will decline, according to KFF. The U.S. average increase is 26%. Premiums were…
UnitedHealth Group has purchased a four-story, 79,000 square foot medical office building in Henderson, Nevada. The $46.1 million building houses Optum Nevada’s new Cactus Healthcare Center and marks the largest medical office transaction in the Las Vegas market this year,…
Payers have faced state penalties in 2025 for slow reimbursements, improper claims denials, and mental health parity violations. Fines in 2024 are here. Payers fined by states in 2025:
Vermont will have the highest average monthly premiums for the lowest-cost Gold-tier marketplace plan in 2026, while Maryland will have the lowest, according to KFF. The national average is $615. Premiums were analyzed using the lowest-cost premium for a 40-year-old…
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Vermont will have the highest average monthly premiums for the lowest-cost Bronze-tier marketplace plan in 2026, while Maryland will have the lowest, according to KFF. The national average is $456. Premiums were analyzed using the lowest-cost premium for a 40-year-old…
The data is clear: complexity in our healthcare system leads to poorer outcomes. A report by the Milken Institute found that only 12% of adults in the U.S. are considered to have high health literacy. This directly impacts people’s ability…
Vermont will have the highest average monthly premiums for the lowest-cost Silver-tier marketplace plan in 2026, while New Hampshire will have the lowest, according to KFF. The national average is $611. Premiums were analyzed using the lowest-cost premium for a…
Eli Lilly plans to launch a direct-to-employer model for its GLP-1 medications in early 2026 in a move aimed at giving companies more flexibility in designing obesity management benefits for their employees. The model will include three components: flexible benefit…
A federal court in Florida has approved a $3.4 million class action settlement resolving claims that Aetna improperly denied coverage for proton beam radiation therapy to treat cancer. The lawsuit was filed in 2020 by a Florida resident whose request…