New & Notable
Trump unveils healthcare affordability plan
The "Great Healthcare Plan" is vague, but would send money directly to ACA enrollees and entrench Trump’s drug pricing deals.
— Healthcare Dive
2026 ACA enrollment lags by 1.5M signups amid subsidy fight
ACA marketplace enrollment decreased for the first time since 2020, potentially due to lapsed premium subsidies.
UnitedHealth ‘aggressively’ gaming Medicare Advantage, Senate investigation finds
Staffers for Sen. Chuck Grassley, R-Iowa, dove into 50,000 pages of documentation from UnitedHealth for the new report, which accuses the company of maintaining a workforce dedicated to upcoding.
— Healthcare Dive
Medicaid work requirements to cause 1M missed cancer screenings
Medicaid coverage losses will impact how many people can access preventive care, resulting in a million missed cancer screenings.
House votes to revive enhanced ACA subsidies
— Healthcare DiveSponsored Sites
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Optum Specialty Fusion
At Optum, we’re evolving health care so everyone can have the opportunity to live their healthiest life. It’s why we put your unique needs at the heart of everything we do, making it easy and affordable to manage health and well-being. Together, for better health.
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Veradigm Network to Payer
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Financial Responsibility
CareCredit
We do something very simple at CareCredit: We help people get the care they want for themselves and their families.
Healthcare Strategies: A Podcast
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A podcast for healthcare professionals seeking solutions to today's and tomorrow's top challenges. Hosted by the editors of Xtelligent Healthcare Media, this podcast series focuses on real-world use cases that are leading to tangible improvements in care quality, outcomes, and cost.
Guests from leading provider, payer, government, and other organizations share their approaches to transforming healthcare in a meaningful and lasting way.
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Latest News
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Employer-sponsored insurance costs outpaced inflation in 2024
Experts state that spikes in employer-sponsored insurance premiums will strain employees' pocketbooks again this year.
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Aetna, Cigna, United called out for price transparency failures
A study rates Aetna, Cigna and UnitedHealthcare on compliance with Transparency in Coverage requirements, finding major gaps among all three major U.S. payers.
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ACA Marketplace enrollees want coverage, but many to go without
A KFF report shows that 1 in 4 ACA Marketplace enrollees is very likely to go uninsured if monthly premiums double, raising concerns about the expiration of enhanced premium tax credits.
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Employers prioritize cost containment amid rising medical costs: Survey
As medical and pharmacy costs continue to rise, employers are focusing on health benefit cost containment for employees and the organization, a new report shows.
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Payers focus on regulatory compliance ahead of 2026
In addition to regulatory pressure, payers are focused on rising healthcare costs, member engagement and investments in AI heading into the new year.
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Medicare Advantage plans see payments rise with chart reviews
A KFF analysis shows that one in six Medicare Advantage enrollees undergoes a chart review, often leading to additional diagnoses that increase payments to plan sponsors.
Features
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5 healthcare pros on the trends defining primary care
The 2025 Payer + Provider Virtual Summit explored AI, value-based care and community-based partnerships, offering strategies on how to promote primary and preventive care.
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How payers can regain consumer trust via personalized care
Creating personalized health plans is central to regaining consumer trust. To do that, payers must outline safeguards for member data and create seamless experiences.
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With trust low and costs high, do payers stand to lose members?
Healthcare payers might see fewer enrollments as members face higher prices for a product they don't trust or see as high value.
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Breaking down the ABCs of rising alternative health plans
More employers are seeking alternative health plans, like AHPs and ICHRAs, to bend the cost curve, but education is key to navigating their growing popularity.