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Nearly 1 million new customers have enrolled in the Affordable Care Act's exchanges since the open enrollment period began on Nov. 1, with a total of over 5.3 million sign-ups so far. The Centers for Medicare & Medicaid Services (CMS) reported that 4.4 million individuals have returned to marketplace plans for 2025, indicating a strong demand for affordable healthcare. The enrollment period continues until Jan. 15, with many eligible for premium tax credits, allowing 80% of enrollees to secure plans for $10 or less per month.
The Biden administration has proposed a rule to allow Medicare and Medicaid to cover popular weight-loss drugs like Wegovy and Ozempic for millions of obese Americans, potentially costing taxpayers up to $35 billion over the next decade. This move, aimed at treating obesity as a disease, could benefit an estimated 7.5 million additional people, although research suggests that around 28 million on Medicaid may qualify. Opposition from Robert F. Kennedy Jr., a nominee for HHS secretary, highlights a debate over whether to fund these drugs or invest in healthier food and gym memberships instead.
Humana has filed a lawsuit against the Centers for Medicare and Medicaid Services (CMS) over the 2025 Medicare Advantage and Part D Star Ratings, claiming the agency did not adhere to its own rules and failed to provide necessary data. The complaint highlights significant changes in cut points that drastically reduced Humana's star ratings, impacting the quality bonus payments essential for lowering costs or enhancing benefits for enrollees. Humana seeks the retraction and recalculation of the ratings, emphasizing the critical importance of these ratings in the half-trillion-dollar Medicare program.
Hospitals across the U.S. are facing critical shortages of sterile IV solutions, prompting the American Hospital Association to urge the Biden administration to take immediate action, including invoking the Defense Production Act. The shortages, exacerbated by Hurricane Helene's impact on Baxter International's North Carolina facility, have led some health systems to reschedule non-emergency procedures to conserve supplies. The situation is expected to worsen unless federal measures are implemented to increase production and distribution flexibility.
Healthcare provider associations are seeking clarity on notification responsibilities following the Change Healthcare data breach, which may have affected one in three Americans. The breach has led to significant financial strain on providers, with many reporting revenue losses and increased operational costs. UnitedHealth Group anticipates a $1.6 billion loss this year due to the ransomware attack, while lawmakers demand answers regarding cybersecurity measures and the impact on the healthcare system.
Xavier Becerra
People
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