Insurance & Payor Strategies
Expert articles and analysis related to insurance & payor strategies.
AI Summary — Last 24 Hours
In a significant development for value-based care stakeholders, the American Academy of Family Physicians has raised concerns about the potential impacts of the restructured premium tax credits on ACO operations and sustainability under the Trump administration's recent policies. CMS is expected to evaluate these impacts as it pursues innovative payment models that align incentives for improved population health management. The ongoing discussions signify a critical tension between maintaining accessibility for beneficiaries while ensuring ACOs can thrive financially under the revised guidelines. For further details, see the AAFP report on premium tax credits.
Related Articles
Addressing Unmet Health Care Needs Through Insurance Benefit Design
An equitable evaluation framework for new benefits ...
Democratic senators detail plans to take on 'Big Insurance'
Democratic senators detail plans to take on 'Big Insurance' Fierce Healthcare
Dems’ election-year health pitch targets insurers, Trump tax law
Dems’ election-year health pitch targets insurers, Trump tax law Modern Healthcare
Millions of Americans are going uninsured following expiration of ACA subsidies
Millions of Americans are going uninsured following expiration of ACA subsidies Health Leaders Media
Many ACA Customers Are Paying Higher Premiums. Most Blame Trump and Republicans, Poll Finds.
A KFF poll offers insights into people’s insurance coverage decisions and how those choices could play into their vote in November’s midterm elections.
KFF Follow-Up Survey of Marketplace Enrollees: Following End of Enhanced Credits, Half of Marketplace Enrollees Now Say Costs Are a Lot Higher, Most Expect to Cut Back on Basic Household Expenses to Afford Coverage
Following the expiration of the enhanced premium tax credits for people with Affordable Care Act (ACA) Marketplace plans, a new KFF follow-up survey of the same Marketplace enrollees KFF surveyed in 2...
Cost Concerns and Coverage Changes: A Follow-Up Survey of ACA Marketplace Enrollees
This KFF survey is a follow-up survey of adults who had ACA Marketplace insurance in 2025. The survey examines the cost concerns and coverage changes that these 2025 Marketplace enrollees are experien...
Blues' study shows employers face upcoding from health insurers, too
Blues' study shows employers face upcoding from health insurers, too BenefitsPRO
ASA backs anesthesia group in payer IDR lawsuit
The American Society of Anesthesiologists filed an amicus brief this week in the U.S. District Court for the Eastern District of Pennsylvania supporting NorthStar Anesthesia in a lawsuit brought by Un...
ACA enrollees face higher premiums. Most blame Trump, GOP: poll
ACA enrollees face higher premiums. Most blame Trump, GOP: poll Modern Healthcare