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Health Insurance Newsletter

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ACA insurers still reject 1 in 5 claims, leaving millions with unpaid bills

November 25, 2025

Affordable Care Act insurers approved more claims in 2024, although the improvement remains modest.

November 24, 2025
ACA

New ACA proposals in the works as ‘subsidy cliff’ looms

As the Affordable Care Act “subsidy cliff” looms, reports say President Donald Trump plans to announce a new proposal for addressing health care costs.

Cost, not coverage, is the real barrier to workers accessing health care

November 21, 2025

Vitable Health released its inaugural Small Business Benefits Index, revealing significant perception gaps between small business employers and employees on healthcare access and affordability.

November 21, 2025
A broken piggy bank with prescription bottles spilling out.

Health care reform must include addressing high costs

Federal cuts to Medicaid will end up increasing costs to the nation’s health care system as low-income people who lose their coverage will seek treatment in emergency rooms and other high-cost facilities.

More full-time workers juggle caregiving responsibilities

November 20, 2025

A new report from Guardian Life found that the percentage of full-time working Americans who also manage caregiving duties for a loved one has risen sharply since 2019.

ACA marketplace premiums surge 20% nationwide in 2026

November 18, 2025

Affordable Care Act Marketplace premiums will rise an average of 20% nationwide in 2026, according to a new analysis by MoneyGeek.com, which reviewed rate filings from all 50 states and Washington, D.C.

Caregivers of those with special needs face workplace challenges

November 18, 2025

A new study from New York Life Group Benefit Solutions highlights the growing realities faced by caregivers of people with special needs — an often-overlooked workforce segment balancing demanding care responsibilities with their professional lives.

High hospital and provider prices are top driver of health insurance rates

November 18, 2025

Across the country, people are experiencing sticker shock when they open their annual insurance rate notices and discover their 2026 premium increases.

Cigna Healthcare launches Clearity, a new copay-only health plan

November 18, 2025

Cigna Healthcare, the health benefits division of The Cigna Group, announced the launch of Clearity by Cigna Healthcare, a copay-only health plan.

November 18, 2025

Senator proposes swapping ACA tax credits for prepaid HSAs

Sen. Bill Cassidy, (R-La.), introduced a plan that could significantly shift the landscape for those who obtain health insurance through the Affordable Care Act marketplace.

November 18, 2025

Medicare Supplement or Medicare Advantage? Which is best for you?

What do these plans include and who are they for?

1 in 8 adults taking a GLP-1 drug for weight loss, KFF reports

November 17, 2025

About one in eight adults (12%) say that they are currently taking a GLP-1 drug such as Ozempic or Wegovy either to lose weight or treat a chronic condition, an increase from 18 months ago, although the high costs of the medications remain a concern, a new KFF Health Tracking Poll finds.

AI will redefine workplace benefits by decade’s end

November 17, 2025

Artificial intelligence is poised to transform workplace benefits, according to Transamerica’s new research report “Prescience 2030: The Next Wave.”

November 14, 2025
Illustration with the American flag covered with question marks and the letters "ACA." Outlook-for-extending-enhanced-ACA-subsidies-uncertain.

Outlook for extending enhanced ACA subsidies uncertain

The outlook for extending enhanced Affordable Care Act subsidies is uncertain, since the bill that ended the 43-day government shutdown did not include an extension of those subsidies.

States prepare for impact of Medicaid policy changes

November 13, 2025

As states completed the “unwinding” of pandemic-era continuous coverage, Medicaid enrollment fell 7.6% in FY 2025 and is expected to be largely flat in FY 2026, according to KFF’s 25th annual Medicaid Budget Survey. 

NABIP urges Congress to act on escalating health care costs

November 13, 2025

The National Association of Benefits and Insurance Professionals welcomes the reopening of the federal government but cautions that the short-term funding measure offers only temporary stability while delaying action on the nation’s most pressing health care challenges affecting families, individuals, seniors, and businesses alike.

November 12, 2025

PBM reform: Employers are finding their own fix

Pharmacy costs remain one of the toughest challenges in employer-sponsored health plans, and comprehensive federal reform is likely a long way off.

November 10, 2025

Medicare to cover obesity drugs for certain groups next year

Medicare will cover GLP-1 weight loss drugs for specific patient groups, beginning in mid-2026, under a deal the Trump administration struck with drugmakers Eli Lilly and Novo Nordisk.

Support for extending enhanced ACA tax credits remains high, KFF finds

November 6, 2025

As the government shutdown continues, public support remains high for extending the enhanced ACA tax credits set to expire at the end of the year, with three quarters (74%) of the public in favor of extending them, a new KFF Health Tracking Poll finds.

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