Individual Coverage Is Reshaping Health Insurance. Agents Are the Key to Making It Work
As individual enrollment grows, agents must evolve to meet a more complex, consumer-driven market.
Health Experts Warn of ‘Devastating’ Impact After Senate Rejects ACA Tax Credit Extension
The Senate’s rejection of two ACA-focused healthcare bills widened partisan divides and sparked warnings from advocacy groups that the move will sharply raise premiums and reduce affordable coverage.
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RCM Outsourcing: Balancing Human Expertise & Smart Technology
Greenway Health blends smart technology with human expertise to elevate revenue cycle.
Debunked Episode 22: With ACA Subsidies Set to Expire and the Open Enrollment Window Closing, Members of Congress Brainstorm Alternatives
What are the alternatives to extending ACA subsidies for the 22 million people who purchase health plans on the ACA Marketplace? That's the focus of the latest episode of the Debunked podcast, hosted by MedCity News Editor-in-Chief Arundhati Parmar and Samir Batra, managing partner of Health Innovation Pitch.
Who Will Pay If ACA Tax Credits Lapse?
About 22 million Americans would face sharply higher healthcare costs if enhanced ACA tax credits expire at the end of the year. Experts warn that the impact would extend beyond just families relying on ACA courage — also straining hospitals, increasing uncompensated care and potentially costing the economy hundreds of thousands of jobs.
ACA Marketplace Insurers Proposing 15% Median Premium Increase in 2026
Most ACA Marketplace insurers are requesting premium increases between 10% and 20% for 2026, according to a new analysis. More than a quarter (27%) are requesting increases of 20% or more.
AHIP CEO on the Budget Bill: “We Are Very Concerned About the Impact on Coverage”
During AHIP 2025, AHIP executives discussed the impact the proposed budget bill could have on Medicaid and the individual market.
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Esperion Sets Its Sights on New Areas While Maintaining Commitment to Cardiovascular Health
In a recent interview, Esperion president and CEO, Sheldon Koenig talks about the reality of statin intolerance and his company’s expansion into new diseases
The Affordable Care Act’s Lasting Impact On Healthcare Marketing
Perhaps the most significant health policy of our time, it revolutionized coverage and access, as well as the way healthcare companies communicated. With its future uncertain, now is the time to look back on how it shaped a new era of healthcare marketing strategy and messaging.
The High Stakes of ACA Subsidies: What’s at Risk for Hospitals and Patients
The Affordable Care Act's enhanced subsidies are at risk of expiring at the end of 2025, and healthcare leaders are worried about what could happen if Congress doesn’t renew them. For instance, more Americans would become uninsured, premiums would increase, and hospitals would be saddled with more bad debt due to uncompensated care.
Will A Second Trump Term be a Financing Boon for Healthcare?
The impact of private equity investments in healthcare under the new administration is multifaceted. While deregulation and business-friendly policies could stimulate investment and drive innovation, there are significant concerns about the potential negative effects on healthcare quality and access.
Biden Administration Extends ACA Coverage Eligibility to DACA Recipients
Under a new final rule, eligible DACA recipients will be able to enroll in a Qualified Health Plan through the ACA Marketplace or through a Basic Health Program.
The Power of One: Redefining Healthcare with an AI-Driven Unified Platform
In a landscape where complexity has long been the norm, the power of one lies not just in unification, but in intelligence and automation.
What Health Plans Need To Know About QHPs Now That the ACA Is Here To Stay
Now that numerous calls for repeal and legal challenges brought against the ACA over the years have failed, health plans can finally invest confidently in this line of business.
Texas judge says mandate to cover HIV meds violates religious freedom
The judge’s ruling mentioned the Supreme Court decision in Burwell v. Hobby Lobby multiple times, which said that the chain of stores did not have to cover contraception since it violated the RFRA.
Insurers paid out $2B in rebates for last year’s claims
Insurers that didn’t meet medical loss ratio requirements have paid out a total of $2 billion in rebates to nearly 10 million people, split between people who received their insurance through individual market plans and group plans.
A preview of MedCity INVEST 2022: A return to in-person conferences
INVEST, scheduled for March 28-30, 2022 in Chicago, marks a return to in-person events for MedCity News. The conference, held in partnership with Mid-America Healthcare Investors Network, will spotlight healthcare innovation, investment trends, and share insights from healthcare executives.
In a first, Colorado gets CMS approval to make gender-affirming care an essential health benefit
All individual and small group health plans in Colorado's Affordable Care Act marketplace must cover a wide range of gender-affirming services, including breast/chest construction and reductions and laser hair removal, starting Jan. 1, 2023.