Latest News + Info
The latest information relating to the health insurance industry.
The Wild West of Weight Loss
Karleigh McClain did everything she thought she was supposed to do. She researched her options, signed up with a reputable-seeming telehealth company, met virtually with a provider, and started a weight loss medication that had helped her lose 50 pounds just a few...
Medicare Steps Into the GLP-1 Era, and the Cost Question Looms Large
For the first time in its history, Medicare is preparing to cover weight loss drugs at scale. Beginning July 1, 2026, the new Medicare GLP-1 Bridge will give eligible Part D beneficiaries access to medications like Wegovy, Zepbound, and the newly approved Foundayo for...
Most Hospitals Land in the Middle as CMS Updates Its Star Ratings
The Centers for Medicare and Medicaid Services refreshed its Overall Hospital Quality Star Rating this week, and the new numbers tell a familiar story. Most American hospitals are clustered in the middle of the distribution, with a small group of standouts at the top,...
Medicare Is Covering GLP-1 Weight Loss Drugs Starting July 1 — Here’s What the Headlines Are Missing
https://www.youtube.com/watch?v=WQDsMje-WPE Medicare is about to do something it has never done before: cover prescription weight loss drugs. Starting July 1, 2026, eligible Medicare beneficiaries can get Wegovy, Zepbound, or Foundayo for just $50 a month through a...
Why Health Insurance Matters More Than You Think
Most people already know health care is expensive, but the numbers tell a stark story. About 6 in 10 adults say they are very or somewhat worried about affording health care for themselves and their families, making it the top financial concern, ahead of food and...
The Weight Loss Pill Revolution: What Patients Actually Want
For years, the promise of GLP-1 weight loss treatment came with a catch: a weekly injection. Now, for the millions of Americans who would rather skip the needle entirely, two oral alternatives are on the market, and doctors say demand is real. Novo Nordisk's oral...
Millions of Medicare Advantage Enrollees Lost Their Plans. Here’s What Happened Next.
When Medicare Advantage insurers began sounding alarms about payment system changes last year, few could have predicted the scope of what followed. As 2025 drew to a close, more than 2.6 million Americans found out that the Medicare Advantage plan they'd chosen and...
New Billing Fees for Fully Insured Groups: What to Expect in 2026
New Billing Fees for Fully Insured Groups: What to Expect in 2026 Beginning with the 2026 plan year, Blue Cross and Blue Shield of Illinois and other fully insured lines of business are introducing new administrative billing fees. These updates are designed to create...
BCBSIL and Prime Healthcare Negotiations: What You Need to Know
(BCBSIL) and Prime Healthcare are currently negotiating their contract, and the outcome could impact network access starting June 1, 2026. Prime Healthcare has notified BCBSIL that it plans to have its hospitals, facilities, and doctors leave BCBSIL networks on June...
Why CMS Is Rolling Back Limits on Non-Standard ACA Plan Options — And What It Means for the Individual Market
In February 2026, the Centers for Medicare & Medicaid Services (CMS) unveiled a major proposed change to the way health insurance plans are offered on the Affordable Care Act (ACA) exchanges. After several years of rules designed to simplify consumer choice by...