On July 4, President Donald Trump signed the “One Big Beautiful Bill Act,” which includes major changes for employee benefits. 1. Starting January 1, individuals enrolled in bronze and catastrophic ...

Last week, a coalition of more than 50 major health insurers signed a pledge at a Washington, D.C. summit to “simplify” prior authorization. Led by Secretary Robert F. Kennedy Jr. and Centers for ...

Insurers own less than 5% of primary care providers, but this share has grown significantly since 2016, a study published in the July issue of Health Affairs Scholar found. Researchers calculated the ...

Federal lawmakers have introduced a handful of bills aimed at speeding up prior authorization and cracking down on upcoding in Medicare Advantage. None of the introduced bills have been heard in ...

CMS will raise limits for payments to Medicare Advantage brokers for 2026. According to a notice from CMS published June 18, plans can pay brokers up to $694 for new enrollments in MA plans, and $347 ...

The Trump administration and insurers appear to have their own changes to reimbursement practices in store, with announcements expected next week — adding to funding changes outlined in Congress’ ...

CMS is implementing a final rule that will shorten the open enrollment period on the ACA exchange and create stricter eligibility verifications for enrollees. In a June 20 news release, the agency ...

Cigna is launching a suite of AI tools designed to help members navigate their health benefits. The new features are being rolled out in phases on Cigna’s member portal, according to a June 12 news ...

Proposed changes to Medicare Advantage are unlikely to be included in a final budget deal, The Hill reported June 11. Senators had floated adding provisions of the No UPCODE Act, which targets ...

Groups representing insurers are pushing back on proposed tighter regulations on Medicare Advantage coding. Senate Republicans are considering targeted changes to Medicare Advantage as part of the ...

Medicare Advantage insurer Devoted Health has laid off 120 employees, a small percentage of its more than 2,000 employees. “Devoted Health’s recent workforce changes are in line with our ongoing ...

CMS will audit every Medicare Advantage plan for potential overpayments annually, in what the agency called an “aggressive” plan to step up oversight. According to a May 21 news release, the agency ...