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How much and why ACA Marketplace premiums are going up in 2027

by KFF | Sep 3, 2026 | ACA, Industry News

Note: This brief was originally published on July 8 and updated on August 3, 2026 to include proposed 2027 rates from all 50 states and the District of Columbia. Every spring and summer, health insurers submit rate filings to state regulators detailing expectations...

DOJ steps up crackdown on Medicare Advantage upcoding

by Becker’s Hospital Review | Sep 3, 2026 | Industry News, Medicare Advantage

The Justice Department’s scrutiny of Medicare Advantage risk adjustment is intensifying, with two recent settlements totaling nearly $1.1 billion highlighting federal concerns about diagnosis coding practices that can increase payments to health plans. The latest came...

28 Health Systems Dropping Medicare Advantage Plans

by Becker’s Hospital Review | Sep 3, 2026 | Health, Industry News, Medicare, Medicare Advantage

Contract breaks between major health systems and certain Medicare Advantage insurers are continuing in 2026. Providers dropping plans often cite prior authorization denials and slow reimbursement; in other cases, insurers are terminating the contracts themselves. MA...

Coming Soon: SunFire + RetireFlo CRM Integration

by Sunfire + RetireFlo | Sep 3, 2026 | Industry News, Medicare, Retirement

On 9/8, SunFire is launching a new integration with RetireFlo, the leading Medicare customer intake and survey platform for field agents.  The integration will allow agents to launch a SunFire quoting session directly from any completed member survey in RetireFlo. We...

‘We’re in wartime’: As major insurers continue pulling back on Medicare Advantage, SCAN places another contrarian bet

by Becker's | Aug 20, 2026 | Industry News, Medicare, Medicare Advantage

As insurers nationwide prepare to take their latest Medicare products to market this fall, SCAN Group is doubling down on an unconventional growth strategy meant to grab the attention of seniors and healthcare leaders...

Providence Health Plan to close completely after Medicare Advantage deal falls through

by HealthcareDive | Aug 19, 2026 | Health, Industry News, Medicare, Medicare Advantage

The regional health plan was in talks with an unnamed national insurer to keep its MA plans afloat. But the agreement sputtered “despite significant effort on all sides,” per a...
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