Where PBM reform stands across the US
(By: Ella Jeffries for Becker’s Hospital Review) States are advancing legislation to restrict how pharmacy benefit managers operate. In doing
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IRMAA surprises
The Income-Related Monthly Adjustment Amount (IRMAA) is not a penalty, but rather a pricing structure. IRMAA was created under the
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CMS to cap state Medicaid payments to save $775B: 7 things to know
(By: Alan Condon for Becker’s Hospital Review) CMS on May 20 proposed a rule that would cap certain state Medicaid
Read MoreWhat We Know So Far About 2026 ACA Marketplace Enrollment, Premiums, and Deductibles
(Authors: Matt McGough, Jared Ortaliza, Justin Lo, and Cynthia Cox for Kaiser Family Foundation Published: May 19, 2026) The enhanced
Read MoreThe power of spiritual care in supporting homeless Veterans
(Source – news,va,gov) For Veterans experiencing homelessness, recovery goes beyond just securing housing—it also involves restoring meaning and a sense
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Annual payments to Medicare Advantage brokers may have topped $10B: Study
(By: Elizabeth Casolo for Becker’s Hospital Review) Between 2014 and 2022, payments to Medicare Advantage brokers grew from $3.9 billion
Read MoreThe Average Marketplace Deductible Grew by About $1,000 Per Person in 2026, With More Enrollees Shifting to Higher-Deductible Plans as Enhanced Tax Credits Expired
(Source – Tammie Smith for The Kaiser Family Foundation published May 19, 2026) The average Affordable Care Act (ACA) Marketplace
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UnitedHealthcare’s commercial medical costs 13.9% below benchmark
(By: Elizabeth Casolo for Becker’s Hospital Review) In 2022, UnitedHealthcare’s total cost of care — based on commercial large group
Read MoreEroding ACA Enrollment Portends Higher Insurance Rates
(By Julie Appleby for KFF Health News) Enrollment in the Affordable Care Act continues to erode as some customers struggle
Read MoreMedicaid Changes in House and Senate Reconciliation Bills Would Increase Costs for 1.3 Million Low-Income Medicare Beneficiaries
(Authors: Maiss Mohamed, Alice Burns, and Jeannie Fuglesten Biniek for The Kaiser Family Foundation Published: May 14, 2026) On May
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