Explore how CMS's Medicare Advantage Star Rating system's opaque methodologies create regulatory arbitrage and financial risks for insurers like Elevance Health, Humana, and UnitedHealthcare, shaping the healthcare insurance landscape.

Pharmaceutical companies are adopting direct-to-consumer drug sales, bypassing insurers and PBMs. This strategy impacts drug pricing, patient out-of-pocket costs, and insurance market dynamics in the U.S.

Several U.S. states plan to partially replace expiring federal health insurance subsidies to protect lower-income individuals from rising premiums in the individual market.

Pennsylvania insurance carriers propose average 19% premium hikes for ACA plans in 2026 amid expiring federal tax credits. State review ongoing; public comment open through Sept. 2.

U.S. health insurance premiums are projected to rise sharply in 2026, outpacing general inflation and driving higher out-of-pocket costs amid waning tax credits. Employer-based coverage and ACA marketplace premiums will pose significant affordability challenges.

Wisconsin health insurance premiums on the ACA marketplace are set to increase up to 34.5% due to the lapse of the Enhanced Premium Tax Credit, impacting 850,000 residents. Legislative efforts focus on reinstating this subsidy to stabilize costs.

Explore how subtle political strategies are challenging the Affordable Care Act's preventive care mandates by targeting key advisory committees crucial for vaccine and preventive service coverage.

Prior authorization delays in insurance are impacting cancer care delivery, prompting calls for reform to eliminate administrative barriers and improve patient outcomes.

Federal health agencies issue narrowed COVID-19 vaccine recommendations, creating insurance coverage uncertainty for fall 2025 vaccines amid evolving approval criteria and risk-based eligibility.

Overview of Colorado health insurance marketplace use, focusing on small business coverage during COVID-19 and related health impacts.