A recent analysis of 2024 enrollment data identified 2.8 million Americans either enrolled in Medicaid or the Children’s Health Insurance Program in multiple states or simultaneously enrolled in both Medicaid/CHIP and a subsidized Affordable Care Act Exchange plan, according to the Centers for Medicare and Medicaid Services.
Health plans must prepare for changes after new rules
Health plans must prepare now for changes in the way Americans access individual market insurance now that the One Big Beautiful Bill has become law and the Centers for Medicare and Medicaid Services finalized the Marketplace Integrity and Affordability Rule.
The evolving role of TPAs in building health plans
Through deeper data access, flexible plan design and a focus on member education, TPAs help employers strike a more sustainable balance between cost and care.
How ICHRAs put downward pressure on health plan costs
Individual coverage health reimbursement arrangements have remained a hot topic since their inception in 2020, sparking enthusiasm, debate and most importantly, adoption.
Nationwide has completed the acquisition of The Allstate Corporation’s employer stop loss segment for $1.25 billion.
The National Association of Benefits and Insurance Professionals presented the 2025 Harold R. Gordon Memorial Award to James R. Stenger.
Medicare leads for agents: Balancing compliance and growth
How do we effectively reach and engage potential clients while strictly adhering to the complex web of federal regulations?
Supreme Court allows Medicaid cuts to Planned Parenthood
The court ruled in favor of South Carolina over its effort to defund Planned Parenthood, concluding that individual Medicaid patients cannot sue to enforce their right to pick a medical provider.
Health plan regulatory changes happening ‘fast and furious’
Legislative and regulatory changes affecting health plans are happening fast and furious as a new administration reaches its six-month mark.
12 steps to successful long-term care planning
The missing link in long-term care planning isn’t only about products or strategies, it’s about people’s mindsets.
Health insurers tell HHS, CMS they’ll fix prior authorization system
Health insurers pledged to streamline and improve the prior authorization processes for Medicare Advantage, Medicaid, Affordable Care Act marketplace and commercial plans covering nearly eight out of 10 Americans.
CMS increases MA broker compensation for 2026
The Centers for Medicare and Medicaid Services is adjusting agent compensation for Medicare Advantage upward, representing the largest MA increase in broker compensation in years.
The Centers for Medicare & Medicaid Services is finalizing a major rule aimed at combating what it described as “the surge or improper enrollment in the Affordable Care Act exchanges.”
How LTCi impacts the family caregivers of Alzheimer’s victims
Long-term care insurance doesn’t benefit only the policyholder – it also benefits the family caregiver at a time when that caregiver needs help.
The National Association of Benefits and Insurance Professionals strongly objects to United Healthcare’s recent decision to eliminate agent commissions across more than 100 Medicare Advantage plans in more 20 states.
The National Association of Benefits and Insurance Professionals responded to the Medicare Payment Advisory Commission’s portrayal of Medicare agents.
Study: Many Americans fear Medicare won’t be there when they need it
Americans are increasingly concerned about the future of Medicare, with many fearing that the program will not be around when they need it.
Census: uninsured rates dropped significantly with ACA
New census data confirm that uninsured rates nationwide have been dropping significantly post-Affordable Care Act.
