Industry Updates
This broad category includes articles concerning health insurance costs, carrier and health plan news, changing benefits technology, and surveys by the Kaiser Family Foundation and others on employee benefits.
ACA Marketplace insurers are proposing a median premium increase of 14% for 2027 — indicating a likely second consecutive year of double-digit increases. If these hold, typical premiums for insurers participating in the ACA Marketplaces would jump by more than one-third between 2025 and 2027.
The sudden death of Sen. Lindsey Graham has removed a longtime opponent of the Affordable Care Act’s major medical insurance provisions from the Senate and changed the gameboard for efforts to pass “Reconciliation 3.0” legislation this year. Graham, 71, died Saturday shortly after returning home from a trip to Ukraine. The cause of death was ...
The federal watchdog for the Department of Health and Human Services (HHS) generated $5.56 billion in expected recoveries and projected savings over a six-month period, according to a report issued Monday, and it barred just more than 1,200 individuals and companies from federal programs. The HHS Office of Inspector General (OIG), in a semiannual report to ...
A trade group representing nearly 5,000 independent pharmacies has filed a lawsuit alleging that Prime Therapeutics entered into an anticompetitive agreement with Cigna’s Express Scripts to fix pharmacy reimbursement rates and fees. The complaint was filed last week in federal court in Washington, D.C., by Protecting Access to Retail Pharmacy, which operates under the name ...
More insurers are filing lawsuits in an attempt to hike their Medicare Advantage quality scores after a court decision earlier this year exposed federal regulators to a new line of legal attacks. SCAN Health Plan and Alignment Healthcare both sued the CMS in D.C. district court last week, arguing regulators robbed them of higher star ...
Insurers expect to issue $759.2 million in medical loss ratio rebates this year, according to a new analysis. The report is based on data reported by payers to states and compiled by analytics firm Mark Farrah Associates. An analysis of the data from KFF projects that total rebates paid out since their 2012 launch will rise to ...
One issue will decide Steven Cohen’s vote for Nevada governor this fall: Which candidate can best protect him from getting kicked off Medicaid? Cohen is a 38-year-old Las Vegas resident with autism and has dual enrollment in Medicaid and Medicare. He said he’s very concerned that he could lose his Medicaid coverage once work requirements ...
Plans on the Affordable Care Act’s exchanges are set for further premium increases next year, a new report shows. Analysts at KFF dug into preliminary rate filings from payers for the 2027 plan year and found a median proposed premium increase of 14%. The report is based on filings from 16 states and the District of ...
For the second year in a row, many Affordable Care Act insurers are proposing double-digit premium increases, driven by rising medical costs as well as policy changes by Congress and the Trump administration. In preliminary filings with state regulators, insurers are seeking a median rate increase of 14% for 2027, according to an analysis of filings in ...
For decades, Californians have generally said that immigrants, who make up more than a quarter of the state’s population and a third of its labor force, are beneficial to the state and its economy. But budget instability and concerns about rising costs are spilling into a debate over the controversial and expensive policy of allowing low-income immigrants without legal status to ...