US Health Insurers Pledge to Simplify Prior Authorization by 2027
Major US health insurers commit to streamlining prior authorization to speed medical approvals and reduce patient/provider friction by 2027.
Major US health insurers commit to streamlining prior authorization to speed medical approvals and reduce patient/provider friction by 2027.
Tariffs on medical imports have led U.S. health plans to plan premium increases for 2025 due to rising drug and device costs, impacting payer pricing strategies and market outlooks.
Massachusetts Group Insurance Commission secures $240 million state funding to cover public employee health insurance claims for fiscal year 2025, ensuring financial stability of this major public insurance entity.
CMS finalizes 2025 Marketplace Integrity and Affordability Final Rule to tighten ACA Exchange enrollments, aiming to lower premiums but reducing coverage for some. Key provisions include subsidy restrictions and exclusions for DACA recipients.
CMS finalizes new rule to reduce ACA improper enrollments, aiming to lower premiums and save taxpayers billions by 2026, while raising concerns over coverage losses.
Massachusetts commercial health insurers propose an average 13.4% rate increase for 2026 premiums in the merged individual and small business market, per state regulators.
Public opinion is sharply divided on the Congressional health care bill proposing Medicaid spending cuts and ACA changes amid rising favorability for both programs.
Aflac detected and contained a cyberattack affecting sensitive customer data, emphasizing growing cybersecurity risks in the U.S. insurance industry and highlighting the importance of robust incident response and customer protection measures.
Allegations of concealed broker kickbacks and biased plan enrollments raise transparency and regulatory compliance concerns in Houston's Small Business Group Health Insurance sector.
Harvard study predicts proposed Medicaid cuts could leave 30,000 Nebraskans uninsured, increase deaths, and trigger rural hospital closures due to financial strain.