Highmark recently shared how it increased generic and biosimilar access to members, focusing on drugs for multiple sclerosis, cancer and autoimmune conditions. The insurer has been working with CivicaScript, a nonprofit generic drug company it helped found, to offer these…
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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.…
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…
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…
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CMS issued a bulletin Dec. 8 outlining guidance on Medicaid’s forthcoming work requirements. Some states are already embracing work requirements, while others are looking for exceptions. Here are eight things to know: 1. Work requirements will kick in Jan. 1,…
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…
Wisconsin Democratic Gov. Tony Evers vetoed a State Assembly bill that prevents immigrants lacking permanent legal status from getting healthcare reimbursement Dec. 5, despite these individuals already being ineligible to enroll in BadgerCare Plus, Wisconsin’s Medicaid program. While Wisconsin currently…
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…
Tricare Prime Demo by CareSource Military and Veterans is coming to Tampa, Fla., and Atlanta next year. Through the Department of Defense, Tricare offers health plans to uniformed service members, retirees and their families. CareSource Military and Veterans President Holly…