1 In 5 Nevadans Using State Marketplace Enroll In New Public Option Plans

About 20% of Nevadans who actively selected a health plan through the state’s marketplace, Nevada Health Link, picked a new public option, Nevada Health Authority Director Stacie Weeks told lawmakers Jan. 6. In 2025, Nevada secured federal approval for its Battle Born State Plans, which have premium reduction targets. Nevada Health Link is offering these plans for the first time. ...

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Republicans Will Be Hard-Pressed To Pass Trump’s ‘Great Healthcare Plan’

A lack of Democratic cooperation and strict Senate rules threaten the legislative viability of the White House framework.

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Nevada To Receive $180M To Help Bolster Rural Health Care System

Nevada was awarded nearly $180 million in federal money this week to help modernize the state’s rural health care system and bolster access to it, according to the Trump administration and state officials. “Today’s announcement highlights the Trump administration’s commitment to strengthening the rural health workforce, modernizing facilities and technology, and deploying innovative care models ...

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Nevada Still Has Big Chunk Of Pandemic Funds Before ‘Use It Or Lose It’ Deadline

Agencies have one year to use all the money. Twenty projects have “spending concerns,” but the state has not publicly expressed worries about the deadline.

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CMS Paying More for Medicare Advantage Patients Compared to Traditional Enrollees

The Centers for Medicare & Medicaid Services (CMS) is continuing to pay Medicare Advantage (MA) plans more — $76 billion more in 2026 — than if those same patients were enrolled in traditional fee-for-service Medicare. That higher cost comes despite a policy CMS redesigned in 2024 to limit MA plans’ ability to exaggerate patients’ health ...

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PBM Transparency Mandates Added To ‘Must-Pass’ House Bill

House negotiators have put two major pharmacy benefit manager provisions in big, “must pass” spending package that’s now speeding toward a vote on the House floor. One provision in the Consolidated Appropriations Act, 2026 package would require PBMs to provide employers and other health plan sponsor fiduciaries with detailed prescription drug benefits tracking reports, to help ...

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Payer CEOs Point To Hospitals, Drug Manufacturers For Rising Costs Ahead Of Congressional Hearings

The CEOs of most of the nation’s largest health insurers plan to lay blame for rising healthcare costs on hospitals, pharmaceutical companies and specialty providers during testimony before Congress on Jan. 22. In written testimonies submitted ahead of back-to-back hearings before the House Energy and Commerce Subcommittee on Health and the House Ways and Means Committee, the top executives ...

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Political Debate Over ACA Subsidies Heats Up At Ways And Means Hearing

While the conversation at the House E&C Subcommittee hearing this morning was fairly varied, in the early questioning before the Ways and Means Committee, the debate over the Affordable Care Act has been front and center. Ranking Member Richard Neal, D-Massachusetts, said in his opening remarks that the expiry of the enhanced subsidies in the ...

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Congress Clinches Bipartisan Health Deal

Congressional leaders reached a bipartisan, bicameral health care deal early Tuesday morning they hope lawmakers will pass later this week as part of a four-bill government spending package. Alongside funding for the departments of Defense, Transportation, Labor, Health and Human Services and Homeland Security through Sept. 30, senior appropriators are proposing a crackdown on drug intermediates ...

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Kaiser, Sutter Tap Execs To Drive Expansion Outside California

California’s two largest nonprofit health systems are positioning themselves for major expansion and strategic growth this year, with newly appointed leaders focused on mergers, acquisitions and national partnerships. Oakland-based Kaiser Permanente named Jim Marcotte vice president of mergers and acquisitions and partnership development strategy implementation. Mr. Marcotte previously served as executive director of financial planning and analysis ...

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