— Chances for Medicare 'doc fix' are good; not so for No Surprises Act or 340B changes As everyone in the health policy world anxiously awaits the outcome of next week's midterms, some Congress-watchers are looking ahead to the next question: What…
— KFF leader breaks down the polling and what's at stake With the midterm elections upon us, many are wondering what the results will mean for critical healthcare issues, from affordability and Medicare to abortion access and vaccines. Will the election…
Alignment Healthcare swung to an $8 million loss as the industrywide struggle grappling with costs of care for older adults in Medicare Advantage plans lingers. Like many of its rival health insurers, particularly those in the Medicare Advantage business, Alignment has…
Michigan residents are grappling with the affordability of their healthcare plans as the state sees another round of insurance rate hikes. Roughly 130,000 fewer people in the state are receiving coverage through the Affordable Care Act marketplace heading into 2027. Rates for…
Get Covered New Jersey The Sherrill Administration announced that Get Covered New Jersey – the state’s official health insurance marketplace – will kick off Open Enrollment for the 2027 plan year on Nov. 1. Residents can view available 2027 health plans, compare costs and see…
Corporations have always fought universal healthcare proposals. But will their old playbook still work in a new era? Even though a meaningful attempt at reform is still years away and universal health care in any form might seem like a…
The leader of Indiana’s Medicaid program says the state must change up a widely used low-income health insurance program as the federal government slashes a key funding source over the next five years. The phase-down is one way President Donald…
Children’s Mercy Hospital recently announced it will be out of network for Kansas City-area residents who purchased health insurance through the Affordable Care Act marketplace. The change is slated to take effect Jan. 1. The hospital estimates about 400 of its patients…
The federal agency running Medicare's experimental AI prior authorization program sent corrective action demands to four of its six contracted AI vendors within the first three months of operation — and disclosed none of it publicly, even as officials defended the…
People who buy their own health insurance are heading into open enrollment with a familiar sting and a new problem, fewer companies to choose from. Across most states, the sign-up window opens Sunday for coverage next year, and insurers are…
Health insurance news: the Obamacare marketplaces and subsidies, insurers, claim denials, employer plans and the uninsured.
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