The Georgetown Issue Brief focuses on a set of reforms to the major medical commercial market health insurance–the coverage provided to an estimated 161 million Americans through their employer or directly purchased through ACA Marketplaces.
The authors make the case for change, contending that health insurance for Americans is...National News
All eyes are on UnitedHealth Group's last quarterly financial report of 2025 (Q4). The insurance giant's financials are expected to signal the relative strength of the economic sector's effort to prop up much of the job growth in the American economy and respond to aggressive threats from the Trump administration.
UnitedHealth Group...Arizona News
Thin Blue Line provided gap coverage to retired police officers and firefighters, but failed to pay claims earlier this year after Arizona beneficiaries paid millions in premiums.
AG Mayes announced Thin Blue Line agreed to pay hundreds of unpaid claims. According to AZFamily, Thin Blue Line is under federal investigation, leaving...National News
According to Georgetown University Center McCourt School of Public Policy on Health Insurance Reforms, in 2026 Marketplace enrollment is projected to shrink by up to 57%, and Marketplace insurers are proposing median increases of 18% for 2026 plan premiums. Meanwhile, the Trump administration provided a boost to alternative coverage...National News
Several insurers lowered investors' expectations after an underwhelming second quarter. Financial analysts have noted that fiscal setbacks are rapidly becoming endemic to the health insurance sector.
On Tuesday, UnitedHealth Group revised its financial projections for the remainder of the year and will now project less than half of...CMS Rules
Last week, a coalition of Democratic-led states filed suit against the Trump administration's Centers for Medicare and Medicaid Services (CMS), in response to a final rule issued by the agency. The rule adds acute regulations to the Affordable Care Act (ACA) marketplace, which the plaintiffs allege will cause the number of uninsured...
Last week, President Donald Trump signed the GOP's One Big Beautiful Bill into law, representing the single largest cut to government health programs in history.
The Medicaid cuts will not be evenly distributed and some states will be more significantly impacted than others. Virginia, Louisiana, Nevada, Illinois and New Jersey are...
Centene threw out its earnings guidance for the year after projections showed that the company will make $1.8 billion less than expected through the exchange risk-adjustment program.
In a news release on Tuesday, Centene announced that a report by the independent actuarial firm Wakely found that 22 of the company's 29 Marketplace...
Last week, the U.S. House of Representatives passed a reconciliation package with significant changes for Medicaid and the Affordable Care Act (ACA) Marketplace as part of what President Donald Trump's calls a "big beautiful" spending vision for his second term in office.
The Congressional Budget Office (CBO) estimates that the part...
Congressional Republicans have reached a tentative agreement on the shape that a budget reconciliation bill could take, and it includes significant changes to healthcare funding with Medicaid cuts at the center of the plan. The House Energy and Commerce Committee released a legislative text that includes work and reporting requirements...
The Trump administration has made clear that it intends to restrict enrollment in Affordable Care Act (ACA) plans, most recently with a rule proposed by the Centers for Medicare and Medicaid Services (CMS) that would implement a number of changes that are intended to lower plan costs.
However, some argue that the changes will make it...
Subsidies for health insurance plans through enhanced premium tax credits are set to expire by the end of the year, and new studies show the change will have major economic ramifications across the country, including Arizona.
Since they were authorized by the American Rescue Plan Act of 2021, the enhanced subsidies lowered monthly...Arizona News
Last year, the Arizona Alliance of Community Health Centers, including sub-awardees, the University of Arizona Center for Rural Health and Adelante Healthcare, were among the organizations in Arizona that received $3.5 million in CMS navigator funding to educate underserved and vulnerable populations about affordable health insurance...Arizona News
A new analysis looked at the rates of claims denials among ACA Marketplace plans in 2023 and found that nearly one in five in-network claims and 37% of out-of-network claims were denied.
The denial rate varied from plan to plan with some plans reaching in-network denials of 54% and some as low as 1%. The KFF analysis also showed that...Arizona News
Since the start of the Marketplace Open Enrollment Period (OEP) on November 1, the Centers for Medicare and Medicaid Services reports that 988,000 consumers currently without Marketplace coverage have chosen a 2025 health plan through the Marketplace. Nearly 4.4 million existing consumers have already returned to the Marketplace to...Arizona News
Publications from across the healthcare sector considered the impact of expiring enhanced premium tax credits to Americans and insurers as Republicans prepare to control the executive branch and Congress in the new year. Experts predict that ACA Marketplace premiums in Arizona would increase 87% or $780 annually without the expanded...Arizona News
On September 8, 2024, The Arizona Health Care Cost Containment System (AHCCCS) dismissed the recommendation of an administrative law judge and denied the appeal of Mercy Care, Health Choice Arizona and Banner-University Family Care after all three local non-profits contested the agency's award of its Arizona Long Term Care EPD contracts...National News
National health spending continues to skyrocket and is expected to eclipse one fifth of the total U.S. economy by 2032, according to projections released last week by the Centers for Medicare and Medicaid Services (CMS) Office of the Actuary.
The Office of the Actuary estimates that national health spending rose to $4.8 trillion in...Arizona News
The Biden administration finalized a rule that will allow recipients of the Deferred Action for Childhood Arrivals (DACA) program to receive healthcare under the Affordable Care Act.
More than 100,000 previously uninsured DACA recipients, also known as Dreamers, are anticipated to enroll in the ACA Marketplace and the Basic Health...National News
Last week, the Assistant Secretary for Planning and Evaluation (ASPE) for the U.S. Department of Health and Human Services (HHS) published an issue brief on the changes over time in the demographics of Marketplace insurance coverage.
The brief, Marketplace Enrollee Demographics, Plan Generosity, and Plan Premiums in HealthCare.gov...
