Democrats Push For a Last-Minute Vote to Extend ACA Credits
Congress’s failure to renew the ACA’s enhanced premium tax credits risks creating a healthcare crisis for millions
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Efforts To Curb ACA Enrollment Fraud Face Real-World Test
The current Affordable Care Act open enrollment season is the first big test of new federal guardrails against fraud. The rules aim to head off unauthorized ACA plan enrollments or switches by rogue agents and entities looking to make money via enrollment commissions. Such sign-ups triggered more than 274,000 consumer complaints through August this year….
Luego de prometer atención médica universal, el gobernador de California debe reconsiderar la cobertura para inmigrantes
SACRAMENTO, California — El gobernador Gavin Newsom no esperaba enfrentarse a otra crisis sanitaria. En marzo, mientras el presidente Donald Trump y los republicanos del Congreso intensificaban el debate nacional sobre la posibilidad de recortar la atención médica para los estadounidenses pobres y con discapacidades, el gobernador demócrata tuvo que informar a los legisladores estatales…
What the Health? From KFF Health News: RFK Jr.’s Vaccine Schedule Changes Blocked — For Now
The Host Julie Rovner KFF Health News @jrovner @julierovner.bsky.social Read Julie’s stories. Julie Rovner is chief Washington correspondent and host of KFF Health News’ weekly health policy news podcast, “What the Health?” A noted expert on health policy issues, Julie is the author of the critically praised reference book “Health Care Politics and Policy A…
Struggling UnitedHealth Group is a Huge Smoking Black Box
By JEFF GOLDSMITH In mid-April 2025, UnitedHealth Group (UNH) reported its 1Q25 operating results, including a modest shortfall in expected earnings and lowered its 2025 earnings forecast by 12%. The company blamed accelerating medical costs and federal policy changes for their most profitable service line, Medicare Advantage. Market reaction was swift and savage. UNH stock…
Responding to Federal Medicaid Reductions: Which States Are Most at Risk?
A new KFF analysis examines a range of measures that may make it harder for states to respond to possible federal Medicaid cuts and finds that six states (Kentucky, Mississippi, Missouri, New Mexico, South Carolina, and West Virginia) rank in the top five for multiple risk categories. Across four broad categories of measures that could…
Building Service Infrastructure for “Made-To-Order” Therapies
By reimagining clinical trials as the initial step in designing a service ecosystem, organizations can accelerate time to delivery and lay the groundwork for successful commercialization. The post Building Service Infrastructure for “Made-To-Order” Therapies appeared first on MedCity News.
Individual Market Insurers Requesting Largest Premium Increases in More Than 5 Years
This analysis of preliminary rate filings submitted by 105 ACA Marketplace insurers in 19 states and DC shows that ACA Marketplace insurers are requesting a median premium increase of 15% for 2026, which would represent the largest hike in premiums since 2018, the last time policy uncertainty contributed to sharp premium growth. The scheduled expiration…
Where to Find High-Quality Surgical Instruments at Budget-Friendly Prices
[Sponsored] High-quality surgical instruments are nonnegotiable in modern healthcare, but escalating costs are forcing leaders and clinicians to rethink how and where they source them. The post Where to Find High-Quality Surgical Instruments at Budget-Friendly Prices appeared first on MedCity News.
Medicare Program Integrity and Efforts to Root Out Improper Payments, Fraud, Waste and Abuse
This brief explains fraud, waste, abuse, and improper payments in Medicare and describes actions to ensure Medicare program integrity.