Many Oregonians will experience significant increases in health insurance premiums in 2026 as temporary ACA subsidies come to an end.
Impact of Expiring Health Insurance Credits in Oregon Over 111,000 Oregonians who buy health insurance through the state’s affordable care market face hefty increases in their premiums for next year, unless Congress steps in. The situation stems from the fact that Republicans in Congress chose not to renew key taxes, which were part of a […]
OHSU Creates Policy to Redirect Patients With Out-of-Network Insurance
OHSU’s New Policy on Out-of-Network Insurance Oregon Health & Science University (OHSU) is taking steps to handle patient flow when it comes to out-of-network insurance, aiming to support its budgetary needs. This shift could influence where many individuals in Oregon receive their healthcare services. The recently introduced policy specifies the procedures OHSU administrators must follow […]
Most states see health insurance marketplace rate increases exceeding 20 percent, according to Cantwell.
Health Insurance Price Increases Looming This Fall Data from Senator Maria Cantwell’s office indicates that people with the top market insurance plans in many states should brace for significant price hikes this fall. Cantwell has called on Congressional leaders and President Trump to explore options for extending expired healthcare grants. On Thursday, she released a […]
Missouri’s biggest health insurance company is required to pay nearly $90 million in rebates to its customers.
Missouri Insurers Must Issue $90 Million in Refunds The largest insurers in Missouri are required to reimburse policyholders around $90 million. Ambetter, a subsidiary of Centene Corporation, based in Clayton, is expected to send out checks totaling $87.5 million to Missouri customers. These rebates will be in line with the medical loss ratio guidelines set […]
Montana woman with a broken arm and no insurance faced a $97,000 bill.
Deborah Buttgereit’s Unexpected Medical Journey When Deborah Buttgereit collapsed outside her home in Bozeman, Montana, she immediately realized that a trip to the hospital was unavoidable. “I could hear my bones moving in my elbow,” recalled the 60-year-old after slipping on ice last December. An emergency room scan revealed significant damage to her left arm […]
WakeMed becomes part of Triangle health organizations advocating for a new agreement with insurance companies.
Wakemed Patient Coverage at Risk with UnitedHealthcare Negotiations Wakemed issued a warning on Wednesday about the potential loss of coverage for patients who rely on UnitedHealthcare for their insurance if the two parties can’t come to a contract agreement. The healthcare provider had entered into a contract with UnitedHealthcare in 2022, which is set to […]
Private health insurance companies are using AI to decide on care approvals and denials. Medicare is expected to do the same soon.
Medicare Pilot Program to Utilize AI for Pre-Authorization The Trump administration is set to initiate a program next year aimed at assessing how artificial intelligence can help save costs by denying certain Medicare services. This initiative reflects an approach similar to that of private insurance companies. The pilot program intends to cut down on what […]
New federal regulations mandate $1 billion in customer refunds from Missouri’s largest health insurance provider
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Here’s how to receive a COVID-19 booster and have your insurance cover the cost.
Drugstores Prepare for Covid-19 Vaccine This Fall Drugstores are gearing up to provide the latest Covid-19 vaccine this fall, and it seems insurance companies will still cover the costs, even if major health organizations don’t necessarily recommend it anymore. On Friday, a vaccine advisor appointed by Health Secretary Robert F. Kennedy Jr. refrained from endorsing […]
What will health insurance in Pennsylvania cost in 2026? Pennie users prepare for a rise
Without an extension of the enhanced tax credits for the Affordable Care Act, average costs for plans on penny exchanges could increase by over 80%. The potential expiration of enhanced tax credits may significantly raise health insurance costs for many. If Congress does not act, these costs are anticipated to surge, possibly affecting coverage for […]