The health insurance industry finds itself in a precarious position as major players report staggering financial losses within government-funded programs such as Medicare Advantage (MA), Medicaid, and the Affordable Care Act (ACA) exchanges. Once considered stable revenue streams, these programs
Amid the heated debates in Congress over reopening the government and revising health care legislation, a cloud of confusion hangs over the public regarding the true impact of proposed changes in H.R. 1 and the extension of enhanced Advanced Premium Tax Credits (APTCs). Many Americans remain
As the calendar turns toward the 2026 open enrollment period for health insurance in New York, a disturbing trend is emerging that threatens the financial and physical well-being of countless residents, and it demands urgent attention. Starting November 1, the NY State of Health Marketplace
In a striking move that underscores growing unease in the healthcare sector, a group of House Democrats has launched a legislative effort to halt a new Medicare prior authorization model set to roll out next year, driven by deep concerns over patient well-being. This initiative targets a system
In a sharply worded piece published in a prominent local outlet, U.S. Representative André Carson, a Democrat from Indiana, has delivered a powerful critique of the U.S. government shutdown that started on October 1, pinning the responsibility firmly on Republican leadership. With the GOP holding
In the ever-changing landscape of U.S. healthcare, a pivotal question looms large: can risk-based contracts within Medicare Advantage (MA) plans truly curb the pervasive issue of low-value care—those procedures and tests that offer minimal clinical benefit compared to their cost or potential harm?
