House Republicans Outline Healthcare Reform Priorities Focused on Cost Reduction and Market Competition

House Republicans Outline Healthcare Reform Priorities Focused on Cost Reduction and Market Competition

House Republicans propose expanding Health Savings Accounts and reforming pharmacy benefit managers to reduce healthcare costs and increase insurance market competition amid debates over Obamacare subsidies.

Fitch Confirms Stable 2026 Outlook for US Property/Casualty Insurance Sector

Fitch Confirms Stable 2026 Outlook for US Property/Casualty Insurance Sector

Fitch Ratings projects a stable combined ratio and robust underwriting profits for US property/casualty insurers in 2026 despite market challenges, emphasizing steady statutory performance, capital strength, and potential growth in M&A activity.

Report Challenges Michigan Auto No-Fault Law Impact on Insurance Rates and Coverage

Report Challenges Michigan Auto No-Fault Law Impact on Insurance Rates and Coverage

A new Milliman report challenges claims that Michigan's 2019 auto no-fault law lowered insurance rates and reduced uninsured drivers, showing increased premiums and coverage gaps.

Congress ACA Deadline Looms While Premium Spike Fears Intensify Across the Industry

Congress ACA Deadline Looms While Premium Spike Fears Intensify Across the Industry

Congress faces a deadline to extend ACA subsidies that prevent premium hikes for millions, but partisan divisions create uncertainty amid a critical midterm election year.

CMS Finalizes 2026 OPPS Rule: Payment Updates and Policy Changes for Outpatient Care

CMS Finalizes 2026 OPPS Rule: Payment Updates and Policy Changes for Outpatient Care

CMS’s 2026 OPPS final rule updates outpatient payment policies, adjusts 340B drug recoupment, extends site-neutral payment models, expands ASC services, and enhances hospital price transparency requirements effective January 2026.

Expanded HSA Eligibility Faces Limits As ACA Premiums Skyrocket

Expanded HSA Eligibility Faces Limits As ACA Premiums Skyrocket

Republican proposals to expand Health Savings Account eligibility for ACA enrollees face legal limits and premium cost challenges amid expiring subsidies.

CMS Proposes Major 2027 Medicare Advantage, Part D Rule Revisions

CMS Proposes Major 2027 Medicare Advantage, Part D Rule Revisions

CMS proposes extensive 2027 changes to Medicare Advantage and Part D, including Star Ratings overhaul and $14B spending increase. Insurers should assess impacts on quality bonuses and compliance.

Senate Democrats Push Clean Extension of ACA Tax Credits Amid Healthcare Cost Debate

Senate Democrats Push Clean Extension of ACA Tax Credits Amid Healthcare Cost Debate

Senate Democrats advance a clean three-year extension of enhanced ACA tax credits to prevent health insurance premium hikes, spotlighting the ongoing legislative healthcare debate in the U.S.

Georgia Homeowner's Battle Over Fraudulent Insurance Claim Highlights Industry Data Risks

Georgia Homeowner's Battle Over Fraudulent Insurance Claim Highlights Industry Data Risks

A Georgia homeowner's struggle with a fraudulent fire damage claim exposes gaps in insurance claim verification and the impact of inaccurate records in the C.L.U.E. database on premiums.

GAO Uncovers Extensive Fraud in ACA Marketplace Subsidies Impacting Costs

GAO Uncovers Extensive Fraud in ACA Marketplace Subsidies Impacting Costs

GAO report reveals systemic fraud in ACA marketplace subsidies, causing billions in improper payments and driving up healthcare costs. Policy reforms seek to improve program integrity and reduce premiums.