CMS to start AI-driven prior authorization pilot for traditional Medicare in Washington and five other states in 2026, targeting low-value procedures to reduce waste and improve compliance while maintaining clinician oversight.

Explore the detailed 2025 analysis of High Deductible Health Plans (HDHP) with HSAs versus traditional plans with FSAs, focusing on tax advantages, premiums, and long-term financial impact for informed insurance decisions.

Alabama's Department of Insurance authorizes 2026 ACA individual premium increases, with Blue Cross, United Healthcare, and Celtic Insurance rates rising significantly. Oscar Insurance enters Alabama market in 2026.

Explore how Medicare Advantage's growth reshapes retiree coverage, employer health benefits, and taxpayer costs amid evolving Medicare policy and enrollment trends.

US workers' comp insurance remains a stable contributor to commercial insurers' earnings despite health sector inflation. Medical cost trends and emerging risks outlined.

Massachusetts insurance regulators require five health insurers to refund $75.6 million to consumers for not meeting medical loss ratio standards, reinforcing regulatory oversight and consumer protections.

Virginia smokers with Obamacare coverage benefit from reduced health insurance premiums as FDA delays in tobacco product approvals persist. Key insights into regulatory impact on insurance costs.

Colorado enacts $100 million state funding to limit premium hikes after ACA enhanced tax credits expire, emphasizing reinsurance and federal subsidy roles.

Florida risks a major health insurance crisis as ACA premium tax credits expire in 2025, threatening coverage for millions and increasing premiums significantly, especially in Miami-Dade.

Explore how new respiratory health data influences insurance coverage, risk assessment, and regulatory compliance for U.S. insurers.