The final numbers aren't in yet, but it looks like premiums for Medicare Part D prescription drug insurance policies will increase for 2026, and they could increase substantially. Part D policies are insurance policies issued by private sector companies and overseen and regulated by CMS. The program has been in existence since 2006 and is partly subsidized by the federal government.
A federal judge in Texas on Tuesday rejected Elevance Health's challenge of the U.S. government's calculation for the health insurer's star ratings for some of its government-backed Medicare plans after the company said improper rounding cost it at least $375 million.
Health insurers offering plans on Pennie, the state ACA exchange, say rising costs and expiring enhanced premium tax credits are driving the increase requests.
Copycat versions of popular drugs like Ozempic and Mounjaro have continued to proliferate in a postshortage era, with some experts saying 'regulatory neglect' is allowing for potentially dangerous, unapproved drugs to reach consumers.
Health insurers selling plans in New Jersey's ACA market are proposing double-digit rate increases for 2026 because of rising health care costs and the expected end of federal subsidies, according to filings with the New Jersey Department of Banking and Insurance.
Experts are warning that more than 500,000 Ohioans are poised to lose insurance subsidies starting next year. In many cases, the increased costs they’ll face will be so big that more than 100,000 will lose their coverage, they warn. The subsidy is known as the "enhanced premium tax credit." It was created during the coronavirus pandemic to make insurance purchased on the marketplace created by the ACA more affordable. It’s available to people making between 100% and 400% of federal poverty guidelines. For a family of three, that’s between $26,650 and $106,600 a year. Nearly 20 million Americans and 530,000 Ohioans receive it. More than 90% of those who get insurance through the ACA marketplace receive the subsidies, and they’re set to expire at the end of the year.