Health insurance coverage for prescription medications declined with increased restrictions in 2025, impacted by pharmacy benefit manager policies and limited regulations.

Explore Humana's detailed prior authorization requirements for medical services and medications, including timelines, appeal rights, and Medicare member guidance for coverage approvals.

A Harris Poll highlights rising demand for affordable, reliable international health insurance among Americans considering expatriation, emphasizing key market trends and coverage challenges.

The 2025 NCOIL Spring Meeting in Charleston advances key insurance reforms, including prior authorization, AI in insurance, and prescription drug affordability, with record participation from legislators and regulators.

Aetna plans ACA marketplace exit in 2026 as CMS launches a new fraud center. Milken Institute forms Women's Health Network amid healthcare system shifts.

CVS Health's Aetna will leave ACA marketplaces by 2026, impacting coverage in 17 states amid rising healthcare costs and retail closures. Key regulatory and market insights.

Truss Peak Holdings completes acquisition of Leaders Life Insurance, expanding its footprint in the Midwest and investing in technology and product development for life and health insurance.

The DOJ has sued top Medicare Advantage insurers and brokers alleging illegal kickbacks to steer enrollments, raising regulatory and compliance issues in the Medicare insurance market.

Explore challenges patients face with ACA preventive care coverage where diagnostic lab tests during annual checkups lead to unexpected bills. Understand insurer policies, site-neutral payment reform, and regulatory risks affecting U.S. health insurance and preventive services.

Elevance Health halts digital enrollment in most Medicare Advantage plans amid rising expenses seen at UnitedHealth Group, affecting broker sign-ups and market growth dynamics.