King of Prussia, Pa.-based Universal Health Services is seeing almost no offset from commercial coverage as patients drop off the ACA exchanges, CFO Steve Filton said on the for-profit system’s July 28 earnings call.  Responding to an analyst question about…

CMS will discontinue the Part D premium stabilization program at the end of this year, returning the standalone prescription drug plan market to what the agency called “traditional market conditions.” CMS said July 28 its analysis of 2027 bids indicated…

The expiration of the ACA’s enhanced premium tax credits appears to be playing out positively for several insurers, while some of the nation’s largest hospital operators are absorbing a wave of newly uninsured patients who continue to seek care. The…

More than one-third of employers with awareness of individual coverage health reimbursement arrangements are actively preparing for or evaluating them, according to a July 28 survey. The Employee Benefit Research Institute and Morgan Health, a JPMorganChase division, conducted the survey,…

CMS says its “Medicaid Fraud War Room” has identified 50 high-risk providers tied to more than $203 million in Medicaid payments in its first 88 days. In a July 28 news release, CMS characterized the payments as “potentially improper,” and…

Centene’s individual coverage health reimbursement arrangement business has grown to around 50,000 members, two and a half times larger than a year ago, executives said on the company’s second-quarter earnings call July 28. “Some of that is driven by the…

The Alliance of Community Health Plans is requesting that CMS continue its hold harmless methodology for 2027 Medicare Advantage star ratings, according to a July 27 letter. The trade group of nonprofit health plans called on CMS to calculate each…

Four more Medicare Advantage prescription drug plans have received five-star ratings thanks to CMS’ recalculation. CMS initially unveiled 2026 MA star ratings in October, with 18 MA-PD contracts scoring five stars overall.  On July 22, CMS released updated 2026 Medicare…

Medicare Advantage will account for 57% of overall Medicare enrollment by 2036, up from 51% this year, according to a July report from the Congressional Budget Office. Five things to know:

Federal subsidies for employment-based health coverage will grow to $840 billion in 2036, up from $478 billion in 2026, according to a July report from the Congressional Budget Office. Five things to know: