The Trump administration launches an AI-driven pilot program in six states to manage Medicare prior authorization, raising industry concerns over claim denials and AI incentives.

Healthcare policy and insurance coverage issues, including Medicaid cuts and ACA subsidy expirations, are central to the 2026 U.S. midterm elections amid regulatory challenges at CDC and HHS.

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.

CMS initiates a six-state pilot requiring prior authorization in traditional Medicare to target overuse and cut costs, testing expanded regulatory controls familiar in Medicare Advantage.

Federal court pauses ACA eligibility changes while Supreme Court blocks NIH grant restorations, impacting healthcare policy and funding. Explore implications for insurance and Medicaid expansion.

House Resolution 1 enacts major Medicare and Medicaid reforms, affecting millions of Americans including immigrants and low-income families, with implications for insurance markets and healthcare providers.

Iowa Senator Chuck Grassley outlines Medicaid funding changes under the Big Beautiful Bill, Medicare reimbursement challenges, and bipartisan legislative efforts impacting healthcare and education policy in Iowa.

Ohio risks losing ACA enhanced premium tax credits for over 500,000 residents, potentially increasing uninsured rates amid Medicaid cuts and rising premiums.

Medicaid and healthcare funding cuts in the One Big Beautiful Bill Act threaten New York's health system, impacting providers, coverage access, and insurance costs.