NEWS

Key Takeaways: Patient accounts receivable at major nonprofit health systems have surged by 5% to 25% from late 2024 to September 2025 Health care providers now face denial rates exceeding 40%, with claims lingering beyond 90 days at unprecedented levels High-deductible health plans now cover over 51% of private industry workers, shifting payment burden directly to patients For-profit health systems demonstrate stronger accounts receivable management through automation and ar

What if the sector facing the most regulatory scrutiny and policy uncertainty just delivered the strongest quarterly performance in over four years? That's exactly what happened in Q3 2025 when health care companies topped all other S&P 500 industries in earnings beats. For insurance carriers, agents, and marketers operating in this space, understanding the forces behind this outperformance is essential for strategic planning, client conversations, and market positioning. Key

Key Takeaways: Trump administration reverses course —CMS plans to cancel the Excellent Health Outcomes for All (EHO4all) metric and restore the reward factor that benefits consistently high-performing plans 12 quality measures eliminated —Administrative metrics with minimal variation between plans are being cut starting with 2029 ratings $13 billion windfall —The proposed changes will drive an additional $13.2 billion to Medicare Advantage insurers between 2028 and 2036 Star

The Medicare payment landscape just shifted beneath our feet. If you're not prepared for the 2026 Hospital Outpatient Prospective Payment System (OPPS) changes, you're already behind the conversation your clients and competitors are having. When the Centers for Medicare & Medicaid Services (CMS) finalizes payment regulations, the implications cascade through every layer of the health care marketplace. For insurance carriers balancing network adequacy with cost management, age

What if the most significant changes to health insurance enrollment in years happened with just a one-month shift in a deadline? The Affordable Care Act (ACA) marketplace stands at a crossroads. With regulatory proposals from the Trump administration aiming to reshape enrollment windows and subsidy verification processes, insurers, agents, and digital marketers face a landscape that's both challenging and full of opportunity. Understanding these changes and their ripple effe

State insurance regulators across the U.S. are drawing a line in the sand, challenging Medicare Advantage insurers who've been cutting broker commissions and limiting enrollment access. With the 2026 annual enrollment period underway through December 7, this regulatory intervention could fundamentally reshape how insurance carriers, agents, and digital marketers approach the Medicare Advantage landscape.

The current Medicare Annual Enrollment Period (AEP), which occurs from October 15 to December 7, effective January 1, 2026, represents a pivotal opportunity and a complex compliance landscape for insurance carriers, their distribution networks, and digital marketing teams. With over 67 million Medicare beneficiaries in play and market dynamics shifting dramatically, understanding the performance metrics, regulatory requirements, and strategic opportunities of this enrollment