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Claim dispute arbitration awards amount to about 6% of medical spend in some regions. UnitedHealth sees commercial plan cost increases rising over 11% What You Need To Know
New Mexico Health Care Authority The New Mexico Health Care Authority is requesting a $125 million base budget increase for a fund lawmakers have used to subsidize some Affordable Care Act premiums and backfill federal healthcare cuts. Lawmakers authorized a $191 million…
KANSAS CITY, Mo. (KCTV) — Since Tuesday night, families have been asking questions when Children’s Mercy shared that it will no longer be in-network with any ACA Marketplace plan in January. On Friday, the Missouri Department of Commerce and Insurance (DCI)…
Medicare Advantage cuts leave millions scrambling to find coverage Clip: 10/23/2026 | 9m 2sVideo has Closed Captions | CC Health care costs are climbing, putting new pressure on millions of Americans and raising questions about the coverage they can afford. The challenges extend to Medicare…
If you've managed to save millions for retirement, you might assume you have enough money to cover whatever life throws at you. But financial expert Suze Orman says even wealthy retirees should think carefully before deciding they don't need long-term…
October 1, 2024, could have been a day of celebration for Elijah Wachira, had everything turned out as hoped. It was a Tuesday, and Mr Wachira, the Social Health Authority (SHA) acting chief executive officer (CEO) and his team, may have perhaps…
Presented by: AJMC, Pharmacy Times & CancerNetwork The authors used medical loss ratio forms to assess trends in premiums, medical claims, administrative costs, quality improvement, and margins in the large group insurer market. Objectives: To assess trends in the medical loss…
Panelists discuss how insurance challenges impact spinal muscular atrophy (SMA) care, with prior authorizations becoming more streamlined over time but limitations on physical therapy sessions and inequitable access to treatments remain significant barriers. Clinical Brief: Insurance Challenges in SMA Treatment…
Molina Healthcare came into this earnings day on a quiet win streak, with the stock up over the past month, and then promptly dropped 3.5% to about US$209 after its Q3 2026 release. The move suggests frustration with profit pressure rather than surprise…
California will cut its Medi-Cal asset limit from $130,000 to $21,000 for individuals starting July 2027, threatening coverage for seniors and disabled residents.