Enrollment for ACA Coverage Declined for the First Time
Amid Republican talk to repeal and replace the Affordable Care Act, and a temporary halt on ads calling people to sign up, enrollment through HealthCare.gov dipped. According to POLITICO, 9.2 million people signed up for coverage through HealthCare.gov, a decline over the previous open enrollment season. The deadline to sign up had been January 31, and just days before the Trump administration decided to nix the remainder of the ad campaign calling people to sign up. Enrollment numbers for the 11 states and the District of Columbia that use their own exchanges have yet to be counted.
Block Grant Idea Faces Increased Opposition
Meanwhile, President Donald Trump and Republicans in Congress are facing increased opposition to an idea of using block grants to fund Medicaid. Block grants would provide a fixed amount of money to each state, and opponents say it would reduce benefits, according to Forbes. AARP has come out against the proposed strategy, claiming that it would end guaranteed access to care. With opposition mounting, some think Republicans will back off of block grants—which the party has been interested in for 20 years—and instead turn to per capita caps.
California Bill Bans Drug Coupons
A new bill in California would ban coupons from drug makers to help lower the cost of copayments for some drugs. California Healthline reported that the bill would prohibit coupons for drugs that have cheaper, FDA-approved equivalents. According to assembly member Jim Wood, who introduced the bill, drug coupons are driving patients to use higher-priced drugs, which in turn drive up premiums.
AI in Health Care: Balancing Governance, Innovation, and Trust
September 2nd 2025In this conversation with Reuben Daniel, associate vice president of artificial intelligence at UPMC Health Plan, we dive into how UPMC Health Plan builds trust with providers and members, discuss challenges of scaling AI effectively, and hear about concrete examples of AI's positive impact.
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Infertility Coverage Boosts ART Use and Pregnancy Success: Richard A. Brook, MS, MBA
August 26th 2025In this episode, Richard A. Brook, MS, MBA, discusses his study showing that infertility treatment coverage increases assisted reproductive technology (ART) use and improves pregnancy outcomes.
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