Enhanced ACA premium tax credits expired Dec. 31, leaving millions of marketplace enrollees facing higher premiums in 2026. A bipartisan group of senators continues negotiating, and Republicans are preparing a “best and final” offer on a two-year extension with income…
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Sen. Bernie Moreno, R-Ohio, said his party is preparing to make its “best and final offer” to extend the ACA enhanced tax credits, Politico reported Jan. 28. Mr. Moreno has been a lead negotiator in a bipartisan effort in the…
Ten health technology companies have pledged more than $600 million in no-cost and discounted services to help states implement Medicaid work requirements. According to a Jan. 29 news release from CMS, the commitments support implementation of work, education and community-based…
Nearly 23 million people have enrolled in ACA marketplace plans for 2026, down from 24.2 million in 2025, according to the latest data from CMS published Jan. 28. For the 30 HealthCare.gov states, the data is through Jan. 15. For…
Over the past week, health insurers have drawn the ire of lawmakers on both sides of the aisle and seen their collective stock prices drop by nearly $100 billion following unfavorable Medicare Advantage news from CMS. All this while millions…
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The House passed a bipartisan healthcare funding package Jan. 22. The most recent version includes a provision addressing Medicare coverage for multi-cancer early detection screenings. The bill is now in the Senate’s hands. If it passes, Medicare beneficiaries would also…
Ten providers recently posted job listings seeking leaders in payer contracting and relations. Note: This is not an exhaustive list. Listings were compiled from job-seeker sites. 1. Aspirus, based in Wausau, Wis., seeks a vice president of payer contracting and…
Active-duty family members enrolled in Tricare Prime Remote will no longer face copays when filling covered prescriptions, according to a Jan. 27 news release from the military’s healthcare program. Tricare Prime Remote is a managed care offering for military families…
Medicare Advantage has long been viewed as a strong alternative to traditional Medicare, but the program has “deteriorated significantly” in recent years — benefitting commercial payers at the expense of patients and providers, according to Providence President and CEO Erik…
Forty-eight states, plus the District of Columbia, have been offering continuous Medicaid coverage for one year postpartum — but states do not always set clear expectations for how their managed care organizations can support this population. In 2021, states were…