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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…

A joint fund created to stabilize health insurance costs for New York City employees and retirees is insolvent and has accrued $3.1 billion in unreported liabilities, according to a Dec. 30 audit from the NYC Comptroller. The audit found that…

Clever Care Health Plan CEO Karen Walker Johnson, BSN, thinks her company’s edge is one that bigger insurers might have trouble replicating. That edge is Clever Care’s focus on offering “culturally sensitive Medicare options,” and it is baked into the…

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CMS has lifted its enrollment freeze on Gold Kidney of Florida after state regulators restored the insurer’s ability to accept new members. The agency released its intermediate sanction on Gold Kidney’s Medicare prescription drug plan, effective Dec. 15, 2025. The…

Optum has begun reviewing Minnesota Medicaid claims as part of an enhanced prepayment audit, state officials said, as the state grapples with a widening fraud crisis in its public assistance programs. On Jan. 5, Minnesota Gov. Tim Walz said he…

New Mexico’s health insurance marketplace has reached record enrollment, despite the expiration of enhanced federal subsidies at the end of 2025, the Albuquerque Journal reported. More than 80,400 people have enrolled for medical or dental coverage through BeWell, the state’s…

Health insurance marketplace Access Health CT is extending its enrollment window until Jan. 31 for coverage that starts in February, according to an update on its website. The open enrollment period for qualified health plans and stand-alone dental plans began…

Public safety retirees in Arizona can access broader cancer insurance benefits through a new state law clarifying eligibility. Eligible retirees include former firefighters, law enforcement officers and corrections officers. The legislation passed in the spring, but the changes were effective…

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