Maine faces proposed health insurance rate increases up to 32% in 2026 driven by rising drug costs, limited competition, Medicaid changes, and expiring premium tax credits.
Edwardsville District 7 advances educator health benefits by increasing family health insurance premium contributions in a new contract agreement, aligning more closely with neighboring districts.
Research highlights employment and insurance challenges for cancer survivors in physically demanding jobs, emphasizing need for workplace support and occupational health integration.
Virginia's Bureau of Insurance clarifies material change filing requirements for managed care plans, emphasizing 5% financial impact threshold and compliance penalties to guide health carriers.
The recent Republican tax legislation will trigger automatic Medicare payment cuts starting in 2026 due to sequestration mandated by the Budget Control Act, impacting provider reimbursements through 2034.
Rhode Island Attorney General updates consumer resources on UnitedHealthcare Medicare Advantage plan changes due to Brown University Health network removal and CMS special election period.
States to apply September for $50B Rural Health Fund amid Medicare cuts; concerns over urban hospitals dual-classified as rural impacting fund allocation.
CMS's price-substitution policy has saved $76 million for Medicare by correcting drug pricing identified by the Office of Inspector General, improving cost efficiency while maintaining access.
Krishna Gidwani pleaded guilty to conspiracy in a $4M Medicare fraud involving durable medical equipment. Part of DOJ's 2025 National Health Care Fraud Takedown.
Medicare faces evolving opportunities and challenges in covering weight loss drugs through legislation like the Treat and Reduce Obesity Act and federal demonstration projects. Drug adherence and cost-effectiveness remain key issues.
