As the Trump administration takes aim at fraud, waste and abuse in the Affordable Care Act (ACA) market, Republicans in Congress are touting new data from the Congressional Budget Office (CBO) as evidence backing the effort. Legislators asked the CBO to dig further into the potential coverage impacts of the One Big Beautiful Bill Act, ...

The Nevada Division of Insurance website and several other state agency systems were taken offline after a ransomware incident was identified on Aug. 24. The Office of Emergency Management (OEM) reported that teams isolated and shut down certain systems to contain the threat, and restoration efforts are ongoing in phases to ensure security. The OEM stated ...

A federal rule enabling real-time access to prescription drug pricing, coverage details and prior authorization requirements is set to take effect Oct. 1.

Committee could extend telehealth flexibilities in Medicare coverage, expiring provisions in pandemic preparedness law

Lots of research suggests such medications must be used indefinitely to maintain weight loss and related health benefits. But with list prices of roughly $1,000 a month, public and private payers are struggling to keep up with ballooning demand for GLP-1 weight loss drugs and in some cases are eliminating or restricting their coverage as a result.

Accurate trend projections are critical for effective renewal planning and budget forecasting, and according to HUB International’s 2026 Trend study, health care costs will only continue to rise throughout 2026. Key regional observations for 2025 reveal that the east region consistently shows the highest medical trends across all plan types, with Med/Rx combined at 10.04%, ...