A new report from federal actuaries estimates national health spending will increase by 7.1% in 2025, with spending growth set to outpace growth in the U.S. gross domestic product. The Centers for Medicare & Medicaid Services Office of the Actuary released its annual look at spending projections last week, and it estimates that from 2026 ...

Doctors for America, the Main Street Alliance and three cities have sued the Centers for Medicare & Medicaid Services (CMS) over a recent Affordable Care Act (ACA) final rule the agency said will help counter improper enrollments. The plaintiff cities named in the lawsuit are Baltimore, Chicago and Columbus. The groups and cities say the ...

House fiscal hawks are looking at the math underlying Senate Republicans’ sprawling domestic policy legislation, and they don’t like what they see.

California Gov. Gavin Newsom signed on Friday a budget that pares back a number of progressive priorities, including a landmark health care expansion for low-income adult immigrants without legal status, to close a $12 billion deficit. It’s the third year in a row the nation’s most populous state has been forced to slash funding or stop some ...

The Affordable Care Act (ACA) established the Patient-Centered Outcomes Research Institute (PCORI) to fund research into the effectiveness, benefits, and harms of various medical treatments and interventions. This research is funded in part by the PCORI fee – an annual fee paid by: Health insurance carriers on fully insured medical plans, and Employers that sponsor self-funded medical plans (including ...

Effective July 1, 2025, Optum Rx is removing reauthorization for more than 60 drugs that treat chronic conditions. The newly added medications include treatments for seven chronic conditions, such as behavioral health, HIV, dry eye disease, high cholesterol and hypertension. “Chronic conditions affect about 60% of Americans and are the leading cause of death in ...