Payer

States spend nearly $40 billion annually on expanded Medicaid coverage under the ACA, according to KFF.

Employer-sponsored insurance costs rose about 5% in 2024, driven in part by coverage of expensive weight loss medications, according to Mercer's National Survey of Employer-Sponsored Health Plans.

Most Medicare Advantage markets are highly concentrated, but in a handful of markets, one payer controls more than 70% of the MA landscape, according to the American Medical Association's annual Competition in Health Insurance report. 

The average Medicare beneficiary will have 34 Medicare Advantage plans available to them in 2025, with Pennsylvania being the highest at 71 plans, according to KFF.

The vast majority of Medicare Advantage markets are highly concentrated, according to the American Medical Association's annual Competition in Health Insurance report.

Primary care accounts for more than 35% of U.S. healthcare visits, but only 5% of healthcare spending. To address this gap, a California agency has set a goal for insurers in the state to direct 15% of their spending to primary…

The vast majority of Medicare Advantage markets are highly concentrated, according to the American Medical Association's annual Competition in Health Insurance report. 

Almost half of the nation's local commercial insurance markets are majority controlled by one payer, according to the American Medical Association.

Prospective CMS Administrator Mehmet Oz, MD, has been a major proponent of Medicare Advantage, and has pitched expanding the program to extend coverage to all Americans. 

Healthcare logistics company Owens & Minor has filed a lawsuit against Anthem Blue Cross and Blue Shield of Virginia, accusing the insurer of failing to uphold its fiduciary duties under ERISA through mismanagement of its employee health plan.