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Health Insurance Newsletter

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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.

November 5, 2025
Photo illustration shows medical professional devising a plan for a caregiver. Caregivers-need-a-coach-to-navigate-the-LTC-journey.

Caregivers need help from LTC insurers

When a long-term care event occurs, family members need help navigating the complexities of daily life while supporting their loved one.

November 4, 2025

Long-term services: Lots of ideas but who will pay for them?

There are plenty of ideas on how to meet the nation’s need for long-term services and supports, but a lack of will on how to pay for them.

October 29, 2025

States lead effort to fix America’s long-term care crisis

States are stepping up to respond to the need for long-term services and supports in innovative ways.

October 27, 2025
Molina announced it will not sell health plans in some ACA markets (AI-generated image)

Molina exiting some ACA markets as stock price takes a dive

Molina Healthcare is pulling out of one-fifth of the counties where it sells health insurance exchange plans, the company announced.

October 23, 2025
Photo illustration showing prescription pills, cash and the Molina Healthcare logo. Molina-wont-pay-commissions-on-new-ACA-business.

Molina Healthcare won’t pay commissions on new ACA business

Molina Healthcare announced it will not pay agent commissions on new business on the Affordable Care Act marketplaces.

October 22, 2025
Photo showing a patient and his caregiver. LTCi-makes-a-difference-in-family-caregiving.

LTCi makes a difference in family caregiving, study finds

Caregiving can be expensive and chaotic. Having long-term care insurance can make a difference in how families deal with caregiving.

Annual family premiums for employer-based coverage rise 6%

October 22, 2025

On average, workers contribute $6,850 annually to the cost of family coverage, with employers paying the rest.

Voters say health care costs are their top concern

October 22, 2025

A poll shows that health care costs were a top priority even before the government shutdown thrust health care tax credits into the spotlight.

October 22, 2025
Why are so few younger adults considering long-term care insurance? (AI-generated image)

LTCi: The other side of the story

LTCi can be an important part of overall financial planning, but products must be priced correctly.

NAIFA calls for national action on unfair trade practices in Medicare markets

October 21, 2025

National Association of Insurance and Financial Advisors President Doug Massey has called on state insurance regulators to take decisive action to protect consumers and insurance professionals from unfair trade practices in the Medicare marketplace.

October 21, 2025
Photo illustration of a couple looking in shock at their medical bills. ACA-marketplace-shoppers-experience-sticker-shock.
Congress’ failure to approve extending enhanced tax subsidies is one factor driving higher premiums in the Affordable Care Act marketplace for 2026. (AI-generated image)

ACA marketplace shoppers experience ‘sticker shock’

Congress’ failure to approve extending enhanced tax subsidies is one factor driving higher premiums in the Affordable Care Act marketplace for 2026.

October 17, 2025
Photo illustration showing a hand with a number 3 floating above it. 3-things-to-know-as-Medicare-AEP-is-here.
Medicare’s annual open enrollment began this week with millions of beneficiaries weighing their coverage options for 2026. (AI-generated image)

3 things for consumers to know as Medicare annual open enrollment begins

Medicare’s annual open enrollment began this week with millions of beneficiaries weighing their coverage options for 2026.

October 15, 2025
Medicare Annual Enrollment Period is the time when clients have questions about their coverage for the coming year (AI-generated image)

6 client questions you must answer during AEP

The Annual Enrollment Period is the time of year when licensed agents and brokers in the Medicare space receive the most questions from existing and potential clients.

October 15, 2025
Risings costs and market uncertainty are impacting health insurance (AI-generated image)

Health care in US faces ‘a triple shock’

The scheduled expiration of enhanced Affordable Care Act tax credits, increasing costs for Medicare and Medicaid, and the impact of tariffs on pharmaceuticals and medical supplies have created what analyst called “a three-headed monster.”

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