The federal government has been paying billions more for Medicare Advantage enrollees than it would under traditional Medicare, but tighter rules are starting to close the payment gap. Key Takeaways Payment gap narrows— The federal government is projected to pay 14% more for Medicare Advantage enrollees in 2026 than it would under traditional fee-for-service Medicare, down from 20% in 2025. $76 billion still at stake— Despite meaningful progress, the overpayment gap still amounts to an...

When courts become the last line of defense for public health funding, the insurance industry should pay close attention. Key Takeaways A federal judge blocked the cuts —A U.S. District Court judge issued a preliminary injunction stopping the Trump administration from eliminating more than $600 million in Centers for Disease Control and Prevention (CDC) health grants to Illinois, California, Colorado, and Minnesota. Chronic disease prevention —Funding at risk covers HIV prevention, pediatric...

Health care revenue doesn't slow in a vacuum. When the numbers shift, they carry consequences for every player in the ecosystem, from the insurers setting premium rates, to the agents advising plan selection, and the marketers trying to reach newly vulnerable populations before competitors do. The 2025 data is in, and the picture it paints calls for clear-eyed strategy.