House Republicans have asked the leaders of some of the nation’s largest health insurers to testify before Congress at the end of January as scrutiny intensifies over rising healthcare costs and industry profits. On Jan. 22, the CEOs of UnitedHealth…
Payer
The No Surprises Act’s independent dispute resolution process continues to be a source of controversy and litigation nationally more than three years after its implementation, with insurers and providers suing over alleged abuse of the arbitration system. The disputes come…
About 20% of Nevadans who actively selected a health plan through the state’s marketplace, Nevada Health Link, picked a new public option, Nevada Health Authority Director Stacie Weeks told lawmakers Jan. 6. In 2025, Nevada secured federal approval for its…
If you work in the Talent or HR department at your organization, you know how important benefits plan design is for retaining and attracting talent. A recent survey found that employees who are satisfied with their benefits are 1.8x more…
A report from the Office of the New York State Comptroller published Jan. 6 found Anthem Blue Cross either did not recover or remit over $19.3 million in hospital claim overpayments and relied on incorrect time periods to evaluate the…
Advertisement
Wisconsin’s Medicaid program is projecting a $213.2 million shortfall through fiscal year 2027, driven largely by higher-than-expected enrollment in long-term managed care programs, according to a Jan. 5 report from the state Department of Health Services. The projected deficit, which…
Premera Blue Cross is expanding its case management resources for cancer care, according to a Jan. 6 news release. The patient navigation program, called Premera Cancer Support, relies on a partnership with Thyme Care, an oncology startup that focuses on…
The expiration of enhanced ACA premium tax credits and new Trump administration policies mean big changes for catastrophic and bronze ACA plans in 2026, per KFF. Six notes:
President Donald Trump said Jan. 6 that he plans to meet with 14 insurance companies “in a few days” to pressure them to lower prices for Americans. “We’re trying to solve the healthcare problem. We’re trying to get better healthcare…
Youth mental health has been a pressing issue in recent years. With Medicaid as the country’s largest payer for mental health services, the program’s role is all the more essential. The National Academy for State Health Policy evaluated state Medicaid…