Industry News

From CMS rulemaking and Marketplace changes to Medicaid payment oversight and Medicare Advantage stability, September delivered real policy signals that matter for brokers, employers, and carriers building modern, digital benefit experiences. Here’s what changed and how to act.

Critical Medicare telehealth flexibilities expire in just 25 days, potentially eliminating virtual care access for millions of Americans and reversing five years of digital health progress unless Congress acts immediately.

As enhanced tax credits near expiration, ACA marketplace premiums are set to increase by up to 75%, potentially leaving 4.2 million Americans uninsured while employers face their steepest healthcare cost increases in a decade

Health insurers announce the largest premium increases in nearly a decade as enhanced federal subsidies expire, creating a perfect storm for millions of Americans seeking affordable coverage.

The Business Group on Health's latest survey reveals healthcare costs are rising at nearly 8% for 2025, the steepest increase in over a decade, forcing employers to make difficult decisions about coverage, cost-sharing, and benefit design as pharmacy costs and chronic conditions drive unprecedented spending.

The expiration of enhanced ACA premium subsidies threatens to dramatically increase health insurance costs for millions of Americans, with employers and brokers scrambling to prepare for the seismic shift in the healthcare landscape.

President Trump signed the 'One Big Beautiful Bill Act' on Independence Day, eliminating enhanced ACA subsidies that currently support health coverage for millions of Americans.

Starting this week, Medicare Advantage plans must notify enrollees about unused supplemental benefits in a landmark CMS requirement that could reshape how millions access healthcare services and save thousands in out-of-pocket costs.

Major insurers are drastically limiting coverage for popular weight loss medications like Ozempic and Wegovy starting July 2025, forcing employers to make difficult decisions between employee health benefits and financial sustainability.