3+ hour, 46+ min ago   (203+ words) As part of the deal, AbbVie is expanding its direct-to-patient offerings through the TrumpRx program. Central to these deals is a requirement that manufacturers offer most of their drugs to Medicaid at prices comparable to those charged internationally, alongside participation…...

4+ week, 7+ hour ago   (505+ words) Democrats move to extend ACA subsidies as enrollment closes, leaving consumers uncertain about premiums, coverage, and alternative health options. Emergency departments, hospitals, and community providers may experience increased uncompensated care burdens. People predicted to forego insurance are likely to turn…...

4+ week, 1+ day ago   (412+ words) Population Health, Equity & Outcomes Value-based care adoption in employer insurance requires replacing fragmented point solutions with unified, at-risk performance contracts that align vendors, providers, and members around total cost and quality goals. This incentive misalignment stands in contrast to proven…...

1+ mon, 1+ day ago   (170+ words) Population Health, Equity & Outcomes The secondary use of data is also a legal challenge. Employers often need deidentified data for their wellness programs, underwriting purposes, or predictive analytics. Keeping the secondary use of data within the perimeters of HIPAA and…...

1+ mon, 2+ day ago   (681+ words) ICHRAs may help employers and employees manage rising premiums and the loss of extended tax credits, according to expert insights from Ben Light. Individual Coverage Health Reimbursement Arrangements (ICHRAs) may offer employers and employees a customizable health coverage alternative amidst…...

1+ mon, 4+ day ago   (439+ words) Population Health, Equity & Outcomes In analyzing 2025 Transparency in Coverage (TIC) files from national insurers, the authors found vast payer-level differences; overall, physician/outpatient data were more complete, and hospital inpatient data were less complete. Study Design: Cross-sectional descriptive review of…...

1+ mon, 5+ day ago   (505+ words) With ACA subsidies ending in 2025, Ben Light explains how rising premiums may push individuals toward ICHRAs and reshape employer health coverage strategy. The Affordable Care Act subsidies'expanded in 2021 to offer broader coverage for families and individuals'are set to expire at…...

1+ mon, 1+ week ago   (1083+ words) The American Journal of Managed Care Objective: To assess the correlates of changes in emergency department (ED) prices for self-pay patients from 2021 to 2023. Conclusions: Self-pay patients face growing affordability issues in ED access. For-profit and system-affiliated hospitals saw the largest…...

1+ mon, 1+ week ago   (222+ words) As open enrollment continues, 77% of surveyed Americans were happy with their options for 2026 health care coverage, although cost concerns surfaced. A new survey reveals that the majority of Americans are pleased with the options that they are provided for health…...

1+ mon, 2+ week ago   (300+ words) With ACA subsidies and key CMS payment models ending in 2025, premiums are set to rise, shifting costs to consumers and employers. The Affordable Care Act (ACA) subsidies and some of the CMS Innovation Center models are set to expire on…...