Cerulean News
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Centene Lifts 2026 Guidance as Medicare Cost Controls Offset Lower Membership - WSJ
Centene has raised its 2026 financial guidance, attributing the increase to cost controls within its Medicare business which are counteracting a decline in membership.
Included because: National insurer financial performance. Fits U.S. health coverage, insurance, or policy news (83% confidence).
What to know about the Affordable Care Act's open enrollment period now underway
The Affordable Care Act's open enrollment period has begun, and individuals seeking health insurance for 2027 may encounter increased premiums and a reduced selection of plans.
Included because: Vermont ACA open enrollment impacts coverage and premiums.
It's ACA open enrollment time. Here are the changes for health insurance shoppers - WAMC
The Affordable Care Act's open enrollment period has commenced, presenting changes for individuals seeking health insurance.
Included because: National ACA open enrollment impacts coverage and premiums.
The little-known Medicare program that could help about 63 million caregivers
This article discusses a little-known Medicare program that could potentially assist approximately 63 million caregivers.
Included because: National Medicare program could affect Vermont seniors.
How the law protecting Americans from surprise medical bills is driving up healthcare costs
This article discusses how the law designed to protect Americans from surprise medical bills may be contributing to rising healthcare costs. It uses the example of an accident victim being taken to an out-of-network hospital for emergency care.
Included because: Surprise medical bill law impacts healthcare costs and insurers.
Rising health costs and coverage changes are big concerns for older adults as Election Day nears
Rising healthcare costs and changes in coverage are significant concerns for older adults as the election approaches, impacting their finances and political priorities, with Medicare open enrollment underway.
Included because: Health costs and coverage changes affect older adults and Medicare.
STAT+: The 4 biggest ways the midterms could change health policy, according to policymakers, lobbyists, and experts
The midterms are expected to significantly impact American health policy, regardless of the election outcomes, with experts anticipating broad changes.
Publisher preview: WASHINGTON — No matter what happens on Election Day, the midterms will have sweeping implications for American health care. The future of essential health policies, the politics surrounding health issues, and insight into the inner workings of the remade federal health infrastructure will all be affected by Tuesday’s outcomes. A Congress controlled by Democrats could slow down policymaking and amp up investigations. If Republicans maintain a majority, on the other hand, that could supercharge the party’s legislative agenda.
Included because: National health policy changes affect insurers.
Health insurance plan costs on Healthcare.gov to rise by double digits in 2027
Health insurance plan costs on Healthcare.gov are projected to rise by double digits in 2027, continuing a trend from the previous year.
Included because: National ACA marketplace premium increases affect Vermont.
Letter to the Editor: Why I respect Pam McCarthy
This is a letter to the editor from a Swanton resident and former Vermont Department of Health District Director expressing respect for Pam McCarthy.
Included because: Vermont health agencies
Annual Meeting Notice
This is a notice for the Annual Meeting of Washington County Mental Health Services, Inc., to be held on November 12, 2026, in Montpelier, Vermont.
Publisher preview: NOTICE The Annual Meeting of Washington County Mental Health Services. Inc. will be held on Thursday, November 12, 2026, 6:00 – 8:00 P.M. Alumnx Hall, 45 College St., Montpelier, Vermont 05602 Agenda 1) Welcome and Introductions 2) Approval of the 2025 Annual Meeting Minutes 3) Report of the Nominating Committee 4) Speakers 5) Award Presentations 6) Adjournment
Included because: Vermont mental health services
Dartmouth Health to Bring Hospital-Level Care to Rural Homes - The Keene Sentinel
Dartmouth Health is planning to offer hospital-level care directly in people's homes in rural areas.
Included because: New care delivery models impact providers and payers.
Medicaid changes increasing insurance costs for businesses - The Keene Sentinel
Changes to Medicaid are reportedly increasing insurance costs for businesses.
Included because: Medicaid changes affect insurance costs for businesses.
The sweepstakes to pick a Medicare plan is on - The Keene Sentinel
The article discusses the period when individuals can choose their Medicare plans.
Included because: Medicare plan selection is a key federal program.
Walk-in urgent care for mental health planned in Rutland
Rutland Mental Health plans to open a walk-in urgent care facility in Rutland next year for individuals experiencing mental health crises.
Included because: Vermont mental health care access
Community nurse programs are getting a lot of airtime this election. Here’s how they work. - VTDigger
This article discusses community nurse programs that are receiving attention during the election, noting they offer holistic support but cannot provide hands-on care or bill insurers.
Included because: Health insurance role in community health
How one of the country’s largest Medicaid plans is bracing for HR 1’s impact - Becker's Payer Issues
This article discusses how one of the country's largest Medicaid plans is preparing for the impact of HR 1.
Included because: Medicaid policy impact
Obamacare Dealt Yet Another Blow as Premiums Jump Again - The New York Times
This article reports that Obamacare has been dealt another blow as premiums are rising again.
Included because: ACA and marketplace policy
FAQ: PBM Reform, 340B, and Medicare Shifts Payers Face in 2027 - The American Journal of Managed Care
This article provides an FAQ on PBM reform, 340B, and Medicare shifts that payers will face in 2027.
Included because: PBM, Medicare policy changes
Affordable Care Act Rates to Rise Steeply—Again - WSJ
The Wall Street Journal reports that Affordable Care Act rates are expected to rise steeply again.
Included because: National ACA marketplace premium increases affect Vermont.
UnitedHealth Group in the headlines: 10 updates - Becker's Payer Issues
This article provides updates on UnitedHealth Group, a major national insurer.
Included because: National insurer news is relevant to the industry.
Northeastern Reproductive Medicine and Olympic medalist Paula Moltzan champion fertility awareness
Northeastern Reproductive Medicine and Paula Moltzan are raising awareness about fertility preservation and equitable insurance coverage for reproductive care.
Included because: Vermont health care and insurance coverage.
Judge blocks Trump administration’s Medicaid rule forcing sick recipients to prove they can’t work
A judge has blocked a Trump administration rule that would have required Medicaid recipients to prove they are unable to work.
Included because: Federal health policy on Medicaid.
With a tight Vermont governor’s race, who is cornering the college vote?
The article discusses the Vermont gubernatorial race and candidates' proposals, including universal primary care funded by taxes.
Included because: Vermont health care policy and coverage.
Porter Medical nurses ratify fifth contract - Vermont Business Magazine
Nurses at Porter Medical have ratified their fifth contract.
Included because: Vermont hospital and nurse labor news.
Optum targets ASC growth in markets it already serves
Optum is expanding its ambulatory surgery center business in existing markets, leveraging its parent insurer's negotiated rates.
Included because: National health insurance industry news.