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.…
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Reimbursement is tightening, payer negotiations are more volatile and for many hospitals, financial pressure is pushing long-standing tensions to a breaking point. What’s worse, smaller and rural systems often lack the leverage to fight back. This report shares unfiltered insights…
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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…
The payer-provider relationship is continually evolving. Becker’s connected with 13 health plan leaders to find out which part of that relationship they would change. Like what you see here? Join us at the Spring Payer Issues Roundtable in Chicago. Learn more here. All…
As the end of 2025 approaches, so do a handful of payer-provider agreements. Earlier this year, the number of contract disputes were down. While some insurers and health systems reach a resolution — either before or even after their deadlines…
Aetna and Providence Oregon have reestablished their contract, according to a Dec. 4 post from the hospital network. The multiyear agreement brings the hospitals back in network after nearly a year. The contract originally expired Dec. 31, 2024, OregonLive reported,…
While Senate Democrats have been gearing up to vote on their ACA enhanced subsidy extension proposal on Dec. 11, Republicans are readying their own bill. “The way the program is structured, the money goes straight to the insurance companies,” Senate…
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…
Louisiana will end its agreement with UnitedHealthcare, one of the state’s six Medicaid contractors, Dec. 31, according to the Louisiana Department of Health. As of Nov. 1, UnitedHealthcare had more than 330,000 Medicaid enrollees in the state, the department said.…