AM Best revises US health insurance outlook to negative due to rising medical utilization, increased specialty drug use, and regulatory challenges impacting Medicare Advantage and Medicaid programs. Premiums projected to rise up to 60% by 2025.

Analysis of Medicare data reveals increased home healthcare use among dementia patients from 2010-2019, with a decline post-2020 linked to staffing shortages. Highlights coverage gaps and utilization trends.

UnitedHealth Group reports significant OptumHealth underperformance driven by higher Medicare Advantage utilization and risk adjustment challenges, raising profitability concerns and prompting strategic prioritization of patient engagement.