Massachusetts Group Insurance Commission Faces $240M Funding Gap
Massachusetts Group Insurance Commission seeks $240M to cover health claims deficit driven by rising provider prices and prescription drug utilization, including GLP-1 medications.
Democratic Governors Challenge Proposed Federal Rule Restricting State Health Insurance Marketplaces
Democratic governors oppose Trump-era CMS rule limiting state control over ACA health insurance marketplaces, citing disruption to enrollment, eligibility, and essential benefits coverage.
North Dakota House Advances ACA-Compliant State Employee Health Plan
North Dakota's House passes Senate Bill 2160 to shift state employee health insurance to an ACA-compliant plan, aiming to improve benefits flexibility and manage rising healthcare costs without increasing employee premiums.
Trump Administration's Proposal Targets Obamacare Exchange Fraud, Saving $150B
The Trump administration's new rule aims to reduce fraud and improper payments on Obamacare exchanges, potentially saving $150 billion and lowering premiums by over 5%.
Alabama Debates Health Plan Bill for Farmers with Consumer Protection Concerns
Alabama's House Bill 477, if passed, could change health insurance landscape for farmers by allowing ALFA to offer specialized plans, albeit with significant consumer protection concerns.
Summary Judgment Recommended in UnitedHealth Medicare Reimbursement Case
A case involving UnitedHealth Group and allegations of improper Medicare reimbursements highlights compliance and regulatory challenges in U.S. health insurance.
Oregon Leads with First Insurance Coverage for Psilocybin Services
Oregon's Bendable Therapy partners with Enthea Insurance to offer the first private coverage for psilocybin services, reducing costs and expanding access to psychedelic therapy.
Successful Enrollment in Oregon Health Insurance Marketplace for 2025
The Oregon Health Insurance Marketplace showcases strong enrollment figures and financial assistance strides for the 2025 plan year, emphasizing continuous improvements in health care accessibility and affordability in Oregon.
New Jersey Bill Seeks to Eliminate Prior Authorization for Serious Mental Illness Medications
A New Jersey bill aims to expedite access to essential medications for serious mental illnesses by requiring insurers to remove prior authorization and step therapy.
Colorado Warns of Severe Impacts from Potential Medicaid Cuts
Colorado officials warn that proposed Medicaid cuts could lead to massive healthcare disruptions, affecting thousands of lives and the state’s economy.