Regulated Markets Summit Recap

November 13, 2025

marketplace medicaid Medicare

At the 9th annual Regulated Markets Summit, Evernorth leaders and industry experts discussed challenges and opportunities in today’s complex regulatory health care environment. They provided actionable insights for key topics related to drug pricing policies, benefit design, Quality and Star Ratings and CMS audits.

Want to learn more? Please reach out to your Evernorth strategist or account team, or click here to download the recap!

perspectives

Americans continue to be satisfied with employer-sponsored coverage

A new national survey commissioned by AHIP finds American workers hold consistently positive views of employer-sponsored health coverage, with nearly 9 in 10 expressing satisfaction with their plans and a decisive 96% valuing the financial security their coverage provides. Workers view employer-provided coverage as integral to their employment decisions, with 68% ranking health insurance as […]
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April 15, 2026

EGWP marketplace medicaid Medicare

Solutions

AHIP and BCBSA provide progress update on prior authorization commitments

On April 7, The Cigna Group joined other health plans in announcing an update on the industry’s progress implementing the voluntary prior authorization commitments made in partnership with the Department of Health and Human Services and CMS last year. Since June 2025, participating health plans have eliminated 11% of prior authorizations across a range of […]
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April 15, 2026

EGWP marketplace medicaid Medicare

legislation

Washington lawmakers pass tax increase impacting insurers

Since returning in January, Washington lawmakers have been busy advancing a variety of tax increases to help manage significant budget shortfalls and introduce new revenue streams. One new source of revenue approved by both the Senate and House and included in the state’s budget is HB 2487, which removes a tax exemption for health plan-affiliated […]
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April 15, 2026

EGWP marketplace medicaid Medicare

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perspectives

Americans continue to be satisfied with employer-sponsored coverage

A new national survey commissioned by AHIP finds American workers hold consistently positive views of employer-sponsored health coverage, with nearly 9 in 10 expressing satisfaction with their plans and a decisive 96% valuing the financial security their coverage provides. Workers view employer-provided coverage as integral to their employment decisions, with 68% ranking health insurance as […]
read more >

April 15, 2026

EGWP marketplace medicaid Medicare

Solutions

AHIP and BCBSA provide progress update on prior authorization commitments

On April 7, The Cigna Group joined other health plans in announcing an update on the industry’s progress implementing the voluntary prior authorization commitments made in partnership with the Department of Health and Human Services and CMS last year. Since June 2025, participating health plans have eliminated 11% of prior authorizations across a range of […]
read more >

April 15, 2026

EGWP marketplace medicaid Medicare

Solutions

Navigating AI’s rapid change together: A health plan partnership approach

Artificial intelligence (AI) is rapidly transforming how we interact with the world around us – whether through our phones, at the doctor’s office or even the workplace – it is a technology poised to reshape industries in unimaginable ways. Within our industry, however, the future of AI is nuanced with additional factors – shifting member […]
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April 15, 2026

EGWP marketplace medicaid Medicare

Solutions

AHIP Shares Update on Plan Progress to Simplify Prior Authorization

AHIP shared progress on the voluntary, multi-year commitments made by AHIP, BCBSA, and leading health plans (including Cigna Healthcare) to streamline and simplify prior authorization. Health plans serving nearly 270 million Americans are participating in this initiative. The 2026 commitments took effect on Jan. 1 and include: reducing the scope of claims subject to prior […]
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February 12, 2026

EGWP marketplace medicaid Medicare

perspectives

PCMA Highlights Analysis Finding Government Mandates Will Limit Choice and Raise Costs for Employers

PCMA highlighted a new analysis by Matrix Global Advisers (MGA) concluding that placing government mandates on private market contracts between PBMs and employers would significantly harm employers, increase administrative burdens, and reduce plan flexibility. The analysis also found that many employers will see fewer savings in their prescription drug benefit, which may also mean higher costs […]
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February 11, 2026

EGWP marketplace medicaid Medicare