News
Age-Based Tax Credits: The Engine of President Trump’s 'Great Healthcare Plan"
4+ hour, 57+ min ago (626+ words) Age-Based Tax Credits: The Engine of President Trump's "Great Healthcare Plan" Under the plan, age-based tax credits function as the primary financing mechanism. Each American would receive a fixed, age-adjusted annual credit to purchase health insurance, regardless of employment status....
Proposed Federal Regulation Pushes for More Price Transparency in Health Plans
4+ day, 21+ hour ago (197+ words) On December 23, 2025, three federal agencies released a'proposed rule'to make costs more transparent in health plans. The proposal aligns with an'executive order'that President Donald Trump issued in February 2025 to enforce regulations requiring hospitals and health plans to make actual prices for…...
Drug Prices Fell. Premiums Rose. Where Did the Money Go?
1+ week, 2+ day ago (239+ words) Recent industry data highlight a growing disconnect in US health care costs. Insurers frequently point to drug prices as a key driver of rising premiums, yet the data show drug prices moving in the opposite direction. According to'Drug Channels recent…...
CMS Proposes GLOBE and GUARD Drug Pricing Models to Reduce Medicare Costs
1+ week, 4+ day ago (303+ words) In December, the Centers for Medicare & Medicaid Services (CMS) proposed two new drug pricing models designed to address sustained growth in prescription drug spending across Medicare, driven in part by U.S. drug prices that remain substantially higher than prices paid in…...
The BALANCE Model and a New Wave of CMS Drug Pricing Models
1+ week, 6+ day ago (134+ words) Framework of the BALANCE Model The BALANCE Model will also be open to all states participating in the Medicaid Drug Rebate Program (MDRP). States that wish to participate were also asked to respond to the State RFA by January 8, 2026. Under…...
CMS Targets Rising Drug Costs with New Guard and Globe Pilot Programs
3+ week, 6+ day ago (468+ words) On Friday, December 19, the Centers for Medicare & Medicaid Services (CMS) announced two new pilot programs aimed at reducing Medicare spending on prescription drugs and reducing beneficiaries" out-of-pocket costs. The'Guarding U.S. On Friday, December 19, the Centers for Medicare & Medicaid Services (CMS) announced…...
Proposed Rule Eliminates Medicare Part D Notice for ICHRAs
1+ mon, 2+ day ago (386+ words) The Department of Health and Human Services (HHS) published a proposed rule on November 28, 2025 (the Proposed Rule) that would carve out account-based group health plans from the requirement to ... The Department of Health and Human Services (HHS) published a proposed…...
The Next Chapter of Medicare Advantage and Part D: Key Takeaways from the 2027 Proposed Rule
1+ mon, 2+ day ago (595+ words) On November 25, 2025, the Centers for Medicare & Medicaid Services (CMS or the "Agency) released the 2027 Medicare Advantage and Part D Proposed Rule (the "Proposed Rule). In this Insight, we provide an overview of the major components of the Proposed Rule and…...
Recent Changes to North Carolina’s Insurance Laws- Highlights That Businesses and Individual Policyholders Ought to Know
1+ mon, 1+ week ago (584+ words) Recent updates to the North Carolina General Statutes in'Chapter 58'(insurance) and to a portion of'Chapter 42'(landlord and tenant) became law on July 1, 2025, under Session Law 2025-45 (House Bill 737). Updates to the North Carolina Insurance Guaranty Association Act The Insurance Guaranty Association…...
CMS Releases the Proposed 2027 Medicare Advantage and Part D Rules
1+ mon, 2+ week ago (783+ words) Last week, the Centers for Medicare & Medicaid Services (CMS) released its proposed Contract Year 2027 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, and Medicare Cost Plan Program (Proposed 2027 Rules). Last week, the Centers for…...