Study shows Medicare primary care visits shifting from physician offices to hospital-affiliated and multispecialty practices, influenced by ACA funding and Medicare reimbursement policies.

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.

The FY 2026 federal budget draft includes a proposal to defund the State Health Insurance Assistance Program (SHIP), which provides vital Medicare enrollment and counseling services to nearly 2 million beneficiaries annually.

Colorado braces for up to $1 billion in potential federal Medicaid funding cuts, threatening state budget and healthcare services amid Congressional Republican budget proposals.

Republicans in Congress seek to implement trillion-dollar Medicaid reforms through reconciliation, targeting waste, fraud, and abuse while expanding tax cuts and curbing federal spending growth.

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.

Explore how conservative proposals to alter Medicare enrollment could boost Medicare Advantage participation, impacting program costs and market dynamics.

Supreme Court examines constitutional challenge to ACA preventive services coverage focusing on the Appointments Clause and Secretary of HHS authority. Key implications for insurers and healthcare coverage.

Federal budget talks on Medicaid spending cuts raise concerns for Kansas' Medicaid program KanCare despite it not expanding Medicaid. Potential FMAP reductions could affect state finances.

In 2025, Medicare Part D caps oral cancer drug out-of-pocket costs at $2,000, introducing a monthly payment plan to aid affordability and adherence for beneficiaries.