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Vance, Kennedy, and Oz unveil a sweeping Medicare-Medicaid fraud crackdown as Mount Sinai and Anthem's contract standoff exposes patients to out-of-network risk.

CBO's February 2026 baseline added $1 trillion to projected Medicare outlays after Part D insurers bid 35% higher per-enrollee costs—seven times what CBO expected.

CMS proposes scrapping standardized ACA plans and authorizing non-network coverage for 2027 — landing the same week Senate premium tax credit negotiations collapse and carriers post bruising earnings.

Feb 2-8 delivered a fundamental reordering of Medicare Advantage. UnitedHealth and Elevance are shrinking. Humana is climbing. TrumpRx launched. The shutdown ended without an ACA subsidy fix. Here is what changed.

January 2026 delivered historic PBM reform, a record Medicare Advantage fraud settlement, flat MA rate proposals, HSA-eligible Bronze plans, Medicare drug price negotiations taking effect, and sweeping state mandates. Here is everything that happened and why it matters.

December 2025 delivered landmark bipartisan PBM reform bills, a major Blue Cross Blue Shield affiliation, California's subsidy lifeline, AI-native insurtech funding, and sweeping employer plan design changes heading into 2026.

November 2025 brought a negative outlook confirmation from AM Best, Aetna's full ACA marketplace exit, record employer premiums in the KFF survey, a historic dependent care FSA increase, state PBM reform momentum, a federal mental health parity pause offset by California's advance, Kaiser Permanente's Nevada entry, and an ICHRA adoption surge reshaping the individual market.

From Google Cloud’s new data on AI agent budgets to SIAA’s distribution OS and fresh funding for pharmacy, telehealth, and cybersecurity platforms, here’s how the mid-October 2025 news cycle resets the roadmap for payers, brokers, and employers.

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.