News
BCBS Association Asks CMS To Close Medicare Advantage Fraud Gaps, Regulate AI Coding Tools
1+ week, 6+ hour ago (352+ words) Get the latest health care news and updates for insurance brokers. The Blue Cross Blue Shield Association submitted a wide-ranging letter to CMS on March 30 in response to the agency's information request on its Comprehensive Regulations to Uncover Suspicious Healthcare,…...
CMS Gives Medicare Advantage Rates A 2. 48% Bump For 2027 Plan Year In Final Rule
1+ week, 6+ hour ago (716+ words) Get the latest health care news and updates for insurance brokers. Following significant industry outcry over a proposal to keep Medicare Advantage rates largely flat in 2027, the Trump administration has bumped payments up slightly in the final policy. The Centers…...
HHS Vision on Catastrophic Plans Tests Legal, Industry Limits
1+ week, 6+ hour ago (959+ words) Get the latest health care news and updates for insurance brokers. The Trump administration's bid to rewrite how catastrophic plans are structured under the Affordable Care Act is raising legal and actuarial questions, even as some policy professionals applaud the…...
U. S. Employers Changed The Health Plan Cost Increase Curve, Researchers Say
1+ week, 5+ day ago (546+ words) Get the latest health care news and updates for insurance brokers. U. S. employers, their benefits advisors, and health care products and services suppliers did a great job of holding down increases in health care costs between 2010 and 2024. Back in 2010, actuaries at…...
Nevada's Medicaid Budget Will Be Among Hardest Hit Under New Federal Law, Report Finds
3+ week, 5+ day ago (383+ words) Get the latest health care news and updates for insurance brokers. State Medicaid budgets will be reduced by a total of $665 billion over the next decade, after President Donald Trump's One Big Beautiful Bill Act cuts federal investment in the…...
Enrollment In NV Public Option Health Plans Falls Short Of Predictions
1+ week, 5+ day ago (1089+ words) Get the latest health care news and updates for insurance brokers. More than 10, 000 people have enrolled in Nevada's new public option health plans, which debuted last fall with the expectation that they would bring lower prices to the health insurance…...
Trump Administration Prepares Up To 100% Pharmaceutical Tariffs On Some Imported Drugs
1+ week, 5+ day ago (425+ words) Get the latest health care news and updates for insurance brokers. The Trump administration is preparing to impose new tariffs on branded drugs from pharmaceutical companies that have not struck landmark deals with the president to lower their U. S. drug prices,…...
Trump Team Claims Successes Against ACA Fraud While Pushing for More Controls
2+ week, 6+ hour ago (819+ words) Get the latest health care news and updates for insurance brokers. Complaints about enrollment fraud in Affordable Care Act health insurance coverage have bedeviled the federal marketplace for years. Now, the Trump administration'is claiming wins'in reducing the problem while simultaneously…...
ACA Plans Denied 19% Of In-Network Claims In 2024: Report
2+ week, 6+ hour ago (508+ words) Get the latest health care news and updates for insurance brokers. That's according to federal health insurance exchange claims data analyzed by the health policy research institute KFF. The 19% denial rate is tied with2023for the highest since the Affordable Care Act…...
Some 2027 ACA Exchange Plans Could Ditch Provider Networks
2+ week, 6+ hour ago (900+ words) Get the latest health care news and updates for insurance brokers. The regulators who oversee the Affordable Care Act public exchange system are wondering whether to treat "non-network plans" as major medical insurance coverage and let the plans use ACA…...