ACA premiums for older adults have surged nationwide following the expiration of enhanced premium tax credits at the end of 2025, with increases varying dramatically by state, according to a Feb. 26 ...

Anthem Blue Cross of California is extending the pause on its upcoming evaluation and management claim downcoding policy until April, the insurer confirmed to Becker’s Feb. 27. A Feb. 23 news release ...

Medicare Advantage growth is slowing down as payers prioritize margins over membership, and some states are recording a decline in enrollment for the first time, according to a Feb. 26 report from ...

CMS is freezing $259.5 million in federal Medicaid funding to Minnesota, citing unsupported or potentially fraudulent claims in the state’s program. “We have decided to temporarily halt certain ...

CMS has suspended new Medicare Advantage enrollment into Aspirus Health Plan, part of Wausau, Wis.-based Aspirus Health, after the insurer’s claims processor was taken over by Minnesota regulators.

BCBS Tennessee COO Scott Pierce voiced concerns over pending state bills — accusing them of eventually “forcing higher prices” — in Feb. 26 op-ed columns published in the Leaf Chronicle and The ...

State Medicaid budgets will shrink by $664 billion through 2034 as key provisions of the One Big Beautiful Bill Act (H.R. 1) take effect, with impacts varying by state depending on expansion status, ...

A coalition of more than 60 employer groups, insurers, patient advocacy and labor organizations sent a letter Feb. 24 to the Treasury Department, Labor Department and HHS, urging the Trump ...

President Donald Trump used his State of the Union address Feb. 24 to plug TrumpRx, criticize the ACA and call out possible Medicaid fraud. While the president addressed affordability more broadly, ...

Montgomery, Ala.-based Jackson Hospital is suing BCBS Alabama amid the hospital’s bankruptcy proceeding, according to a Feb. 16 filing with the Middle District of Alabama’s U.S. Bankruptcy Court.

UnitedHealthcare and Knoxville, Tenn.-based Tennova Healthcare appear to be on the brink of ending their contract beginning March 1, according to a WBRI report. Air Evac Lifeteam has sued Medical ...

Becker’s connected with 17 health plan leaders to learn how their organizations are shifting their priorities in response to continued medical cost trends and affordability concerns. Like what you see ...