U.S. Employers Changed The Health Plan Cost Increase Curve, Researchers Say

U.S. employers, their benefits advisors, and health care products and services suppliers did a great job of holding down increases in health care costs between 2010 and 2024. Back in 2010, actuaries at the Centers for Medicare & Medicaid Services predicted that employers would provide health coverage for just 168 million people in 2024, at ...

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Mark Cuban Backs ‘Break Up Big Medicine Act,’ Calling It A ‘No Brainer’ For Lower Costs

Mark Cuban, owner of Cost Plus Drugs and a longtime critic of the pharmaceutical industry, is speaking out in support of the congressional Break Up Big Medicine Act. “I don’t think people realize how much health care costs are driving big companies to fire and not hire,” he wrote in a social media post. “It ...

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New Health Care Advisory Committee Established To Help HHS And CMS

The U.S. Department of Health and Human Services (HHS) and the Centers for Medicare & Medicaid Services (CMS) announced the members of the Healthcare Advisory Committee, a new federal advisory body that will provide expert advice on improving, strengthening and modernizing U.S. health care. The committee will advise HHS Secretary Robert F. Kennedy Jr. and ...

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Trump Team Claims Successes Against ACA Fraud While Pushing for More Controls

Complaints about enrollment fraud in Affordable Care Act health insurance coverage have bedeviled the federal marketplace for years. Now, the Trump administration is claiming wins in reducing the problem while simultaneously saying more controls are needed. It has proposed a sweeping set of ACA regulations for next year, including stepped-up requirements for some applicants to prove eligibility for subsidies ...

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Pharmaceutical Supply Chains Get Tangled In War With Iran

As President Trump’s war in Iran rages on, it’s posing a growing threat to the pharmaceutical supply chain and risks spiking the prices of many drugs, particularly those that depend on petrochemicals. The war in Iran and the effective closure of the Strait of Hormuz have caused energy prices to jump and disrupted supply chains ...

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ACA Plans Denied 19% Of In-Network Claims In 2024: Report

Health insurance exchange carriers rejected nearly one-in-five in-network claims in 2024. That’s according to federal health insurance exchange claims data analyzed by the health policy research institute KFF. The 19% denial rate is tied with 2023 for the highest since the Affordable Care Act of 2010 marketplaces debuted in 2015. Oscar Health, Molina Healthcare, Florida Blue, Community ...

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