Pfizer Engages with U.S. Government on Drug Pricing Policy Discussions
Pfizer and other pharmaceutical firms have discussed most-favored-nation drug pricing with the U.S. government, highlighting potential impacts on insurance and payer strategies.
Expansion of ICHRAs in New Legislation Could Transform Employer Health Benefits
New legislation expanding Individual Coverage Health Reimbursement Arrangements (ICHRAs) aims to increase employer-sponsored health insurance flexibility, reduce costs, and enhance consumer choice in the U.S. market.
U.S. Faces Billion-Dollar Risks as 2024 Hurricane Season Forecasts Elevated Home Damage
The 2024 hurricane season threatens billions in U.S. property damage, exposing insurance gaps and financial risks in coastal markets. Insight on risk, insurance coverage, and federal preparedness.
Medicaid Cuts and Medicare Fraud Pose Risks to U.S. Military Families and Vulnerable Populations
Medicaid funding cuts threaten military families and vulnerable populations; fraud in Medicare costs billions annually. Missouri invests in tornado recovery amid budget debates.
Vermont Empowers Regulators to Cut Hospital Reimbursements Amid Insurer Insolvency Risk
New Vermont law allows health regulators to reduce hospital reimbursements from insurers at risk of insolvency, addressing financial strain in the state's health insurance market.
House Budget Proposal Threatens New York Healthcare, Energy, and Tax Systems
The House reconciliation budget bill risks $13.5B in healthcare cuts, $25B in clean energy investment losses, major SNAP reductions, and maintains the SALT cap, raising concerns for New York's insurance and economic landscape.
Texas ACA Rating Area Integration Increases Gold Plan Enrollment Without Expanding Total Coverage
Texas integrated rural ACA rating areas into urban ones, boosting gold plan enrollment without increasing total marketplace enrollment, improving plan choice in rural areas.
CBO: House Bill Could Increase Uninsured by 16M by 2034
Analysis of House reconciliation bill shows potential 16 million increase in uninsured due to Medicaid and ACA changes and premium tax credit expirations by 2034.
Medicare Physician Payments Decline for GI Procedures Amid Rising Facility Fees
Medicare payments to physicians for GI procedures are declining, while facility reimbursements hold steady or rise, driving concerns over healthcare consolidation and financial pressures on independent practices.
Senate GOP Eyes Medicare Advantage Billing Reforms Amid Budget Cuts
Senate Republicans consider reforms to Medicare Advantage billing and Medicaid cuts in budget talks, impacting millions of health insurance beneficiaries over the next decade.