Wisconsin Hit By Dwindling Options As Subsidy Cuts Hit ACA Marketplace
The impending end of federal subsidies on policies on the Affordable Care Act marketplace is starting to have a real impact on the choices available to Americans. The latest state to suddenly find a shrinking in options is Wisconsin where Common Ground Health Care Cooperative is now telling customers in 11 Wisconsin counties that it […]
Pennsylvania Health Insurance Rates Set to Surge
Pennsylvania insurance commissioner Michael Humphreys has warned of steep health insurance premium hikes for 2026, attributing the increases to the impending expiration of federal enhanced premium tax credits and broader healthcare cost pressures. In an interview with WPSU's Anne Danahy, Humphreys detailed proposed rate adjustments that could drive healthier individuals out of the market, exacerbating […]
Medicaid Cuts Jeopardize Care for North Carolinians with Severe Intellectual Disabilities
Proposed federal and state Medicaid reductions are putting at risk essential support services for thousands of North Carolinians with severe intellectual and developmental disabilities (IDD), experts and families warn. Nonprofits like TLC, a Raleigh-based provider of group homes and round-the-clock care, face mounting pressures that could force staffing shortages, service disruptions, and even closures, leaving […]
U.S. Health Insurance Coverage Holds Steady at 92.0% in 2024
Despite growing concerns over rising costs and anger over denials of coverage, the U.S. health insurance landscape showed little sign of change in 2024, with the uninsured rate remaining steady at 8.0%, or 92.0% of the population covered, according to the U.S. Census Bureau’s latest numbers released on Tuesday. The 2025 Current Population Survey Annual […]
CVS Caremark Sued Over GLP-1 Drug Coverage Restrictions
A class-action lawsuit filed against CVS Caremark in the Southern District of New York on Wednesday accuses the pharmacy benefit manager of unlawfully denying coverage for Zepbound, a popular GLP-1 weight loss drug from Eli Lilly, in favor of a competing product from Novo Nordisk. The suit, brought under the Employee Retirement Income Security Act […]
HHS Cracks Down on Health Data Blocking to Improve Patient Access
The U.S. Department of Health and Human Services (HHS) announced a major initiative to combat the practice of information blocking in healthcare, aiming to ensure patients have better access to their electronic health information. The move, unveiled in a press release, is part of a broader effort to enhance transparency and empower patients in managing […]
Facing Soaring Health Insurance Costs, Some Americans Turn to Direct Primary Care
As health insurance premiums continue to climb, a growing number of Americans are seeking alternatives to traditional coverage—turning to a model known as Direct Primary Care (DPC). This approach, which involves patients paying a flat monthly fee directly to their primary care provider, is gaining traction among those frustrated by high deductibles and unpredictable out-of-pocket […]
Chicago Launches Special Unit to Tackle Healthcare Fraud
Healthcare fraud – which further drives up costs for ordinary Americans – is reaching such a scale that The United States Attorney’s Office in Chicago has announced the creation of a new Healthcare Fraud Section, a move aimed at intensifying the fight against criminal healthcare fraud in the region. The new section, which will operate […]
Health Experts Warn Insurance ‘Churn’ Killing Americans Through Underinvestment in Prevention
Two prominent health policy experts are warning that a little-known feature of America’s health insurance system is causing unnecessary deaths by discouraging insurers from investing in disease prevention and chronic care management. Writing in STAT, University of Pennsylvania’s Ezekiel Emanuel and Vanderbilt’s John Graves argue that “churn”—the frequent switching of health insurance plans—creates perverse incentives […]
The Cost of Survival: Study Links Insurance to Life-or-Death Transfers
Holding the wrong insurance card may be a matter of life or death, according to new research from the University of Michigan. A study of over 700,000 critically ill patients has revealed a troubling connection between a patient’s insurance status, the likelihood of being transferred to a specialty hospital, and a significantly higher risk of […]