Industry News
CMS proposes 2.4% bump to inpatient pay in fiscal 2026, calls for deregulation, MAHA suggestions
The 2.4% effective pay increase would be below both the 2.6% rate CMS proposed last year and the 2.9% final rate it later landed on. Both were characterized by the hospital...
2026 Medicare Advantage and Part D Rate Announcement
In the CY 2026 MA and Part D Advance Notice, CMS proposed updates to payment factors for CY 2026 and received a wide variety of comments on our proposals. CMS appreciates the...
Enrollment in ACA Exchanges has Exploded in Recent Years
In states that currently have not expanded Medicaid, Marketplace enrollment grew 188% from 2020 to 2025, compared with the 65% growth in expansion states. In states where...
Medicare Advantage is covering more and more Americans − some because they don’t get to choose
Since the mid-2000s, the Medicare system has dramatically transformed. Enrollment in Medicare Advantage – the private alternative to the traditional Medicare program administered...
Enrollment Growth in the ACA Marketplaces
CA Marketplace enrollment has reached a record-high for a fourth year in a row, totaling 24.3 million people in 2025. Much of this growth can be attributed to the enhanced...
Pennsylvania House Moves to Protect Affordable Care Act Protections
The Pennsylvania House of Representatives has taken bold action to safeguard the Affordable Care Act (ACA) protections, passing a set of four bills with bipartisan support to...
Medicare Advantage Growth Continues Despite Headwinds
The Medicare Advantage (MA) market grew to 34.5 million in 2024 despite significant challenges, according to a new report from HealthScape Advisors and Chartis. This signifies...
OEP Answers: Helping Clients with Common Medicare Advantage Questions
The Medicare Advantage Open Enrollment Period (OEP) from January 1 to March 31 is your chance to be their go-to resource. People enrolled in an MA plan can switch to a different...
Medicare Telehealth Coverage Extended for Six Months
Just weeks before expanded telehealth services for Medicare beneficiaries were set to expire, a new announcement extends the program for an additional six months. The new...
Obama calls to expand Obamacare ‘with everything going on right now’
Former President Barack Obama said that his signature legislation, the Affordable Care Act, should be expanded in future years, arguing that the ACA should be seen as a “first...