Bruce Japsen

The One Big Beautiful Bill Act signed into law in July 2025 by President Donald Trump "represents the dominant near-term threat" to the nonprofit

A new KFF analysis reveals health insurers denied at least one in eight standard prior authorization requests last year across major government-subsidized plans, including Medicare Advantage, Medicaid, and ACA Marketplace. Denial rates ranged from 12% for Medicare Advantage to 18% for ACA plans, with significant variation among individual insurers. This report emerges as insurer business practices face intense scrutiny from patients, physicians, and regulators. While many insurers have since committed to reforms or eliminated prior authorization, the analysis also revealed that a substantial portion of denials, between 43% and 67%, are overturned when appealed, despite appeals being rare. This underscores persistent concerns regarding access to necessary medical treatments.

Health insurer Centene, one of the nation's largest providers of Obamacare, said chief financial officer Drew Asher plans to step down from his role as chief financial officer in December of this year.

Health insurer Centene, one of the nation's largest providers of Obamacare, said chief financial officer Drew Asher plans to step down from his role as chief financial officer in December of this year.

Electronic health record giant Epic Systems is working with medical care providers and two of the nation's largest health insurers to speed prior authorization reviews.

Following a parade of health insurance company earnings reports this summer, stocks are rising and costs appear to be under control for now.

Following a parade of health insurance company earnings reports this summer, stocks are rising and costs appear to be under control for now.

UnitedHealth Group's United Healthcare health insurance business said 1,700 diagnostic codes tied to treatments and procedures will soon no longer require prior approval.

Employee health benefit costs are expected to rise 8.2% on average in 2027 — the highest increase since 2003 - benefits consultancy Marsh says.

Corporate entities - from private equity fand hospitals to insurance companies - employ 82% of practicing U.S. physicians who say such ownership erodes their autonomy.