Latest Articles and Resources
Click Below To Jump by Topic
Latest Articles
- This Week in Health Insurance — April 11, 2025This week’s series covers: 2026 Medicare Final Rule Supports LTC Providers, Relaxes AI Oversight, Excludes Obesity Drug Coverage 2026 Medicare Rate Adjustment Benefits Insurers, Pressures Physicians, Raises Access Concerns Evolving Medicare Advantage Trends: Implications for Access, Choice, and Equity.
- This Week in Health Insurance — April 4, 2025This week’s series covers: Medicare Advantage in 2025 sees Part B savings rise as benefits shrink, ACA Marketplace rule public comments close soon, HIPAA security updates under review by OCR.
- How Autopilot™ is Revolutionizing Health Insurance Distribution with AI & Human OversightAutopilot™ by Healthcare.com is the first AI-powered enrollment platform designed to match high-intent consumers with the right health insurance distributors. By analyzing over 100 million data points, Autopilot™ optimizes the matching process to eliminate inefficiencies and improve ROI for distributors. AI-powered targeting allows distributors to refine their strategies, reach the right consumers, and boost customer acquisition.
- This Week in Health Insurance — March 19, 2025Medicare Advantage costing 20% more than Traditional Medicare in 2025, according to MedPAC, Congress extending Medicare Telehealth waivers until September 2025, and CMS ending the Medicare generic drug discount program.
- This Week in Health Insurance — March 12, 2025CMS proposes new Marketplace integrity and affordability rules, plans to end the Medicare Advantage VBID model by 2025 due to costs, and the House approves a six-month Telehealth extension while advancing the funding bill to the Senate.
- This Week in Health Insurance — March 5, 2025ATA calls on Congress to act by March 31st on permanent Medicare Telehealth rules and fair payment rates. The Supreme Court will review the ACA preventive services case, examining religious freedom and insurance coverage. HHS removes the Richardson waiver, easing public input requirements for rule changes.
- This Week in Health Insurance — February 25, 2025Arizona Passes Bill Banning AI in Medical Decisions, Mandating Doctor Review, CBO Warns Expiring ACA Subsidies Could Leave 3.8M Uninsured, Raise Premiums and Rural Hospital Closures Accelerate as Medicare Tightens Telehealth Access
- What’s Happening This Week in Health Insurance — February 13, 2025CMS Partners with Department of Government Efficiency (DOGE) to Improve Operations, Announces Next Round of Drug Price Talks
- What’s Happening This Week in Health Insurance — February 5, 20252025 D-SNP Changes: CMS replaces quarterly SEP with monthly SEPs for full-benefit dual-eligible individuals. 2026 Marketplace Rule Updates: CMS enhances oversight, transparency, health equity, and cost-sharing rules, and requires standardized plans.
- 2025 D-SNP (Dual Eligible Special Needs Plan) ChangesThe 2025 Final Rule from the Centers for Medicare & Medicaid Services…
- What’s Happening This Week in Health Insurance — January 31, 2025FCC’s One-to-One Consent Rule Delayed, Then Overturned by Eleventh Circuit Court, AHIP Report Predicts Medicare Advantage Challenges with Insufficient Funding, Texas Sen. Schwertner Files Bill to Curb AI Use in Health Insurance Claim Decisions
- The Evolving Role of AI in Health Insurance — Part 2: Transparency and AccountabilityPart two of our series explores how AI is reshaping health insurance. Its integration into utilization management (UM) offers efficiency but sparks concerns over transparency, accountability, and equity.
- What’s Happening This Week in Health Insurance — January 22, 2025Trump Administration Issues Executive Order, Revoking Previous ACA Policy, Second Round of Medicare Price Negotiations from the Biden Administration, ACA Enrollment Periods and Drug Pricing Pilots Repealed by Trump
- The Evolving Role of AI in Health Insurance Part 1Explore how AI is transforming Utilization Management in health insurance, improving efficiency, accuracy, and decision-making in this first installment of our series.
- What’s Happening This Week in Health Insurance — January 15, 2025Special Enrollment Period for wildfire victims, HHS’s AI strategy for advancing public health, proposed cybersecurity rules to protect healthcare data, and insights from AARP’s report on rising Medicare drug costs and price negotiations.
- What’s Happening This Week in Health Insurance — January 8, 2025The Biden Administration’s achievements in ACA enrollment, the proposed updates to HIPAA security rules from HHS, and the expansion of Medicare Telehealth services.
- Navigating Complexities in the 2025 ACA Marketplace Open Enrollment PeriodHealthcare.com outlines potential reasons for the decline in ACA Enrollment and how…
- Open Enrollment Period: 2025 Snapshot of Plan Selections by StateAs of November 22, the Centers for Medicare & Medicaid Services (CMS)…
- 2025 Medicare Costs: Premiums, Deductibles, and Coinsurance BreakdownA Look at Medicare Part A, Part B, and Part D Costs…
- What’s New in the ACA Marketplace for 2025As the 2025 open enrollment period approaches, here are 5 important updates…
ACA Marketplace Health Insurance
Medicare Insurance
Glossary
Research & Analysis
More Health Insurance Content
More Medicare Insurance Content
Other Healthcare.com Educational Resources
HealthcareInsider.com: A Healthcare.com site offers insights, news, and analysis on health insurance trends, policies, and consumer information.
MedicareGuide.com: A Healthcare.com site dedicated to simplifying Medicare options and coverage, helps users navigate their healthcare choices effectively.