Author: Scott Welch
Editor’s Note: Covered California is a State-Based Marketplace (SBM). For details on how these new rules will impact Covered California and other SBMs we recommend the following Princeton University linked report: (Broker rule changes appear at the bottom of the Princeton analysis.) https://shvs.org/wp-content/uploads/2025/06/SHVS_2025-Final-Marketplace-Integrity-Rule.pdf. The Trump administration on Friday finalized a major rule reshaping the ...
Enrollment in the Affordable Care Act continues to erode as some customers struggle to make premium payments, with the declining numbers churning market uncertainty for insurers. In response, insurers are likely to raise rates again next year, following this year’s larger-than-typical hikes. Sign-ups were already down in January by about 1.2 million from last year’s record enrollment. For ...
The Trump administration on Monday said it is adding generic medications to its direct-to-consumer drug sales website, TrumpRx, in a bid to expand a platform that is key to his administration’s efforts to lower prescription drug costs in the U.S. The administration is adding more than 600 generic drugs to the site, President Donald Trump said at an event ...
At a White House event, Vance said the Centers for Medicare & Medicaid Services would withhold $1.3 billion in Medicaid funding from the state of California, as officials have "not taken fraud very seriously."
A $25 million grant to cash-strapped hospitals became law less than a week after it was introduced — so fast that it caught some hospitals, their advocates, and even some lawmakers, off guard. It also left a litany of unanswered questions: who came up with the narrow criteria, how many hospitals would qualify and whether ...
The US Supreme Court on Monday rejected a series of appeals from several of the nation’s largest drugmakers challenging a program that is expected to save taxpayers and the federal government billions of dollars by requiring the companies to negotiate with Medicare on the prices for some of their most popular drugs. The court’s decision to deny ...
The Department of Health and Human Services (HHS) on Monday withdrew its amended charter for a highly influential vaccine advisory committee that would have loosened eligibility requirements, citing administrative errors. In a notice set to be officially published in the Federal Register, HHS formally withdrew its proposed amendment to the charter for the Advisory Committee ...
Two of the most powerful lobbies in the country are turning on a third in the hopes of deflecting Washington’s wrath and securing bigger shares of the $5 trillion Americans spend on health care each year. Drugmakers and insurers are aiming to take advantage of lawmakers’ worries about affordability to convince them it’s the hospitals ...
Physicians remain skeptical that health insurers’ pledges to ease prior authorization hassles will result in any meaningful action, an American Medical Association (AMA) survey found. In June 2025, a group of about 60 insurers said that they would standardize electronic prior authorization by the end of 2026 to help speed up the process. They also said they would reduce ...
Sleep is the ultimate self-care act. It lets your mind and body relax, heal, and recharge. Most adults need 7 to 8 hours of sleep each night for good health.1 But what happens when you don’t get enough and hit that midday slump? Enter the nap. Are naps healthy? It depends. Naps probably aren’t a good ...