ACA Marketplace Insurers Propose 14% Median Premium Increase in 2027
KFF found that ACA Marketplace insurers are proposing a median 14% premium increase for 2027, driven by rising healthcare costs and the expiration of enhanced premium tax credits.
Rising Costs & Medicare Advantage Flaws to Drive Healthcare Reform Talks in 2026
Rising healthcare costs and flaws in the Medicare Advantage program are likely to dominate healthcare reform discussions in 2026, according to one PitchBook analyst. Potential policy changes could focus on improving affordability in the ACA market and fixing distorted incentives in Medicare Advantage.
presented by
Inside an Automated Healthcare Practice: Redesigning Care Around People, Not Paperwork
By reducing administrative burden and redesigning workflows around human needs, it creates space for what matters most: connection between clinicians and patients.
Why a US Judge Paused Several Provisions of the Marketplace Rule
A judge temporarily blocked key parts of a Trump rule that would have restricted access to Marketplace coverage, marking a legal victory for Democrats and healthcare advocates who argued the rule would cause widespread coverage losses and violated federal law.
How Healthcare Leaders Are Responding to the Supreme Court’s Preventive Care Ruling
The Supreme Court upheld the constitutionality of an Affordable Care Act provision requiring insurance coverage of certain preventive services without cost-sharing. Many healthcare leaders applauded the decision, though some concerns remain.
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.
If We Want a More Innovative Healthcare System, Look to Medicaid as a Model
Medicaid is probably the most innovative program in healthcare today. Its flexibility, adaptability, and focus on whole-person care have made it a leader in addressing the complex needs of vulnerable populations, and it offers useful examples of how to embrace true risk-based, value-based reimbursement.
presented by
Closing the Quality-Affordability Gap in Workplace Mental Health
In an interview, Kyan Health Co-Founder and Chief Commercial Officer Konstantin Struck discussed how Kyan gives mid-market and enterprise employers access to premium workforce mental healthcare, at a price point that is affordable.
195 Congress Members Call for Extension of Enhanced Premium Tax Credits
In two letters, U.S. representatives and senators called for an extension of the enhanced premium tax credits, which are set to expire in 2025 and have lowered costs for those purchasing coverage on the marketplace.
Bernie Sanders Urges GAO To Investigate Payers Over Birth Control Coverage
Under the Affordable Care Act, most private health insurance plans are required to cover birth control methods approved by the FDA without out-of-pocket costs. But not all plans are doing this, Bernie Sanders declared in a letter.
4 Healthcare Takeaways from Biden’s State of the Union Address
President Joe Biden discussed several healthcare concerns during his State of the Union address, including reproductive rights, prescription drug costs, the Affordable Care Act and women's health research.
Report: Private Insurers Estimated To Pay $1.1B in Rebates in 2023
Individual market insurers are estimated to owe about $500 million in rebates to enrollees this year, a Kaiser Family Foundation analysis found. Small group market insurers are anticipated to owe about $330 million, and large group market insurers are expected to owe about $250 million.
presented by
New Webinar: The Payer AI Readiness Gap: Why Better Data Will Define the Next Era of Health Plan Performance
We'll explore why the next era of payer performance will depend on building a trusted data foundation that connects people, providers, and relationships across the enterprise.
Report: 22.2M Women Could Lose Access To Free Mammogram Screenings
A recent court decision could lead to women losing access to free mammogram screenings, a new Urban Institute report showed. Without insurance, mammograms can cost up to $560 in out-of-pocket expenses.
Record ACA Enrollment Opens up Opportunities for Health Plans To Improve Public Health
With more people now covered by the ACA than ever, health plans have an unprecedented opportunity to make a lasting impact on public health by encouraging members to take advantage of a
CMS Releases Proposed Rule to Advance ACA Coverage in 2024
CMS hopes the changes will increase healthcare access for underserved populations, streamline the plan selection process and simplify enrolling in Marketplace coverage.
House report finds PBMs and insurers aren’t covering birth control like ACA requires
The investigation also found that companies denied exceptions requests on average four or more times out of ten, raising barriers to accessing birth control, according to a news release on Tuesday.
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.