Explore effective strategies for U.S. healthcare professionals to navigate and overcome prior authorization denials, including regulatory context, appeals process insights, and advocacy tools.

SCAN Group launches a multi-media campaign exposing systemic problems in Medicare Advantage insurance, focusing on coverage gaps, patient access issues, and the impact on healthcare costs during Medicare enrollment.

Pennsylvania Insurance Department launches education tour ahead of 19% average premium hikes in the individual health insurance market for 2026, addressing rising healthcare costs and the expiration of Enhanced Premium Tax Credits.

Monthly premiums on Pennsylvania's ACA exchange may spike up to 300% if federal enhanced premium tax credits expire, affecting 450,000+ enrollees and market stability.

CMS delays the Medicare Advantage rule requiring midyear reminders about unused supplemental benefits to 2026, addressing insurers' readiness and data tracking challenges.

A federal court blocks key provisions of the CMS Marketplace Integrity and Affordability rule affecting ACA exchanges, prompting an appeal from the Trump administration. Changes impact health plan design, enrollment rules, and taxpayer costs.

State insurance regulators warn of up to 55.3% rate increases as federal tax credits end, leading to higher consumer insurance costs.

Boeing workers face loss of health insurance after five weeks on strike, with contract negotiations delayed. The labor dispute highlights key issues in aerospace worker benefits and pay structures.

ACA insurance premiums are set to increase by a median 18% in 2026 due to rising healthcare costs and legislative changes, with potential coverage losses and affordability challenges ahead.

A federal judge blocks major provisions of CMS's new ACA Marketplace rule, pausing stricter eligibility checks and subsidy limits that affect coverage for 1.8 million people.