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RFK Jr. fumbles Medicare basics during second confirmation hearing

RFK Jr. fumbles Medicare basics during second confirmation hearing

Robert F. Kennedy Jr., nominee for HHS secretary, seemed unfamiliar with the massive insurance program during a hearing Thursday. Article...

Healthcare’s outlook in 2025: New administration spells uncertainty, but hope remains

Healthcare’s outlook in 2025: New administration spells uncertainty, but hope remains

Although the industry will grapple with uncertainty in a second Trump administration, some hope that yearslong headwinds could begin reversing course...

ACA enrollment breaks records again in 2025

ACA enrollment breaks records again in 2025

About 24.2 million people signed up for Affordable Care Act plans during the open enrollment period for 2025, with huge...

Stopgap funding bill includes sweeping PBM reform, preserves telehealth flexibilities

Stopgap funding bill includes sweeping PBM reform, preserves telehealth flexibilities

Lawmakers Tuesday night released the full text of a bipartisan agreement to fund the government through March. Article By: Rebecca...

‘AI arms race’ underway as payers, providers jockey for upper hand in claims review

‘AI arms race’ underway as payers, providers jockey for upper hand in claims review

Payers currently have a leg up when using AI to review claims, but providers could soon catch up, experts say....

UnitedHealth, CVS push to remove FTC Chair Lina Khan from PBM case

UnitedHealth, CVS push to remove FTC Chair Lina Khan from PBM case

Attorneys argue Khan and two other commissioners are biased against pharmacy benefit managers and should recuse themselves from an ongoing lawsuit...

Humana’s Medicare Advantage dilemma worsens amid precipitous drop in 2025 star ratings

Humana’s Medicare Advantage dilemma worsens amid precipitous drop in 2025 star ratings

Only 25% of Humana members will be in plans with four stars or above next year, down from 94% this...

US is drastically behind other wealthy nations on healthcare, despite spending the most

US is drastically behind other wealthy nations on healthcare, despite spending the most

The Commonwealth Fund analyzed the healthcare systems of 10 nations and found the U.S. ranked last in access to care,...

Fertility benefits are on the rise: report

Fertility benefits are on the rise: report

More employers now offer fertility benefits, particularly fertility medications and in vitro fertilization, according to a new report. Article By:...

Biden administration finalizes rule raising mental health coverage standards for private plans

Biden administration finalizes rule raising mental health coverage standards for private plans

The rule gives additional teeth to an almost 16-year-old law meant to force health insurers to cover mental health and...