Increasing EMTALA violations and quality concerns in for-profit psychiatric hospitals highlight challenges in regulatory enforcement and patient access within U.S. mental health care.
Ambetter from Centene is refunding over $1 billion to Missouri health insurance policyholders for underspending on care under ACA Medical Loss Ratio rules, reshaping the state's individual insurance market.
The U.S. government faces a funding deadlock with stalled negotiations impacting Affordable Care Act subsidies and Medicaid funding. Insurance market stakeholders should monitor potential disruptions and policy changes amid looming shutdown risks.
Senate Democrats utilize filibuster to block Republican stopgap funding bill, heightening risk of US government shutdown due to Obamacare subsidy extension dispute and budget negotiations.
Proposed 2026 federal budget cuts risk over $120M in support to Pittsburgh’s public health, housing, and social services, including elimination of key grants and ACA premium tax credits.
In 2025, U.S. federal regulatory activity hits historic lows under Executive Order 14,192, driving deregulation with a one-in, ten-out rule that reduces net regulatory costs. However, broader federal interventions offset some gains.
Federal budget cuts to Medicaid pose risks to coverage and services for people with intellectual and developmental disabilities, affecting millions reliant on specialized care and long-term support.
Contract disputes between hospital systems and insurers like Anthem disrupt coverage for tens of thousands of patients in 2025, reflecting rising tensions in payer-provider negotiations amid consolidation and federal budget cuts. Insights into impacts on healthcare access and regulatory responses.
States like North Carolina and Idaho are reducing Medicaid provider payments due to budget shortfalls, risking healthcare access for vulnerable populations and straining provider networks.
Failure to extend enhanced Affordable Care Act subsidies could boost health insurance costs by 75% for millions, with premiums rising and uninsured rates increasing, according to federal analyses.
