Latest News + Info
The latest information relating to the health insurance industry.
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...
2026 Healthcare Industry Outlook: Stability, Strategy & Smart Innovation
As healthcare leaders look ahead to 2026, the industry is entering a period defined less by disruption and more by adaptation. After years of volatility driven by policy shifts, workforce shortages, and rising costs, providers, insurers, and healthcare technology...
Medicare Preventive & Screening Services: What You Need to Know
Staying healthy is easier when potential problems are caught early. That’s why Medicare Part B (medical insurance) covers a wide range of preventive and screening services—helping you stay on top of your health while keeping out-of-pocket costs low. What Are...
HSAs Are Expanding. But Is That Enough to Truly Attract More Clients?
Health Savings Accounts (HSAs) have long occupied a unique space in the healthcare and financial planning world. They offer powerful tax advantages and flexibility, yet adoption has historically been limited to a specific segment of consumers. With recent policy...
Health Insurers Are Promising to Improve Prior Authorization in 2026 — And Why Providers Are Still Cautious
Prior authorization has long been one of the most frustrating aspects of the healthcare system for both providers and patients. While insurers view it as a way to manage costs and ensure appropriate care, providers argue that it creates unnecessary delays, adds...
Health Care Trends Impacting Employers in 2025
In 2025, employers continue to navigate a rapidly evolving health care landscape shaped by rising costs, shifting utilization patterns, technological innovation, and changing workforce expectations. These trends are redefining how employer-sponsored health benefits...
Mitigating Premium Increases for Fully Insured Health Plans
Rising health insurance premiums have become an ongoing challenge for employers offering fully insured health plans. Medical inflation, increased utilization of services, higher prescription drug costs, and changes in care delivery have all contributed to steady...
Why the Potential Expiration of Obamacare Subsidies Matters and What’s Happening in Congress
Right now, Washington is facing a healthcare cliff that could hit millions of Americans at the start of 2026. Lawmakers in the Republican-controlled U.S. Congress are on the brink of letting enhanced Affordable Care Act (ACA) subsidies — often called Obamacare...
