A district court in Texas has ruled against the Department of Health and Human Services, deciding to vacate several provisions imposed last year impacting how Medicare Advantage (MA) plans market products. The Centers for Medicare & Medicaid Services (CMS) finalized a rule in April 2024 that fixed broker and agent compensation and raised the pay ...

Two pieces of legislation passed in this year’s Nevada legislative session are meant to directly benefit the health of Nevada’s 28 tribal nations. Governor Joe Lombardo broke his own record at the end of this legislative session, vetoing 87 bills. But two Indigenous healthcare bills did get Lombardo’s stamp of approval. Senate Bills 97 and ...

Owners of small and mid-sized businesses wish policymakers would take more notice of their health benefits problems. About 92% of the owners who participated in a recent online survey agreed with the statement that “government leaders aren’t doing enough” to address their health benefits problems. Even more, 93%, agreed that policymakers should come up with ...

Big U.S. employers expect median health care costs to rise 9% in 2026, according to new survey data from the Business Group on Health. That’s up from an 8% employer increase forecast for 2025, and it appears to be the biggest annual increase forecast that the employers have provided since 2010, when the Business Group on ...

Millions of consumers will feel the pinch when rates already expected to rise will jump even further. Federal subsidies, set to expire at year’s end, are partly to blame.

The Centers for Medicare & Medicaid Services (CMS) this week released new data fueling a narrative of rampant broker fraud on the Affordable Care Act (ACA) exchanges. Plans received data finding 23% of enrollees did not have a claim in 2019. That number jumped sharply to 35% last year. Before the pandemic, the data were ...