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Health Insurance Pricing

Health insurance rate development, trend assumptions, and actuarial pricing methodologies.

Recent News

Mapping the Global Health Landscape: Analysis of Fourteen International Organizations

KFF

Ceded US health insurance premium sees 300%+ growth over the past decade: AM Best

Reinsurance News

2027 Rate Changes - Connecticut: +11.2% indy, +15.1% sm. group (FINAL)

ACA Signups

2027 Rate Changes - Indiana: +17.1% indy, +14.5% sm. group (preliminary)

ACA Signups

DC paid leave cuts expose a risk brokers can't ignore

Insurance Business

Vanderbilt lawsuit puts employer appeals authority in the crosshairs

Insurance Business

Rep. Pallone probing No Surprises Act arbiters amid concern about IDR costs, volume

Fierce Healthcare

Congress passes stopgap funding bill, blocks political approvals for science funding

Fierce Healthcare

Zing Health taps debt for $30 million raise

Coverager

Group health insurer margins thinned - and renewals will show it

Insurance Business

UnitedHealthcare to nix prior auth on 1,700 services on Oct. 1

Fierce Healthcare

Plan Sponsors Face Challenges to Providing Mental Health Parity

PLANSPONSOR

Bamboo Insurance files for IPO with New York Stock Exchange listing

Insurtech Insights

New paid leave bill puts private insurance at the center

Insurance Business

Huscarl raises $5.6 million for AI actuarial platform

Coverager

2027 Rate Changes - Vermont: +3.0% indy mkt; +4.3% sm. group mkt (FINAL)

ACA Signups

2027 Rate Changes - Maine: +14.8% indy mkt; +13.5% sm. group mkt (FINAL)

ACA Signups

Trump admin blocks over $1.6B in potentially fraudulent Medicare lab payments: CMS

Fierce Healthcare

2027 Rate Changes - Florida: +15.3% indy market (unweighted); +11.4% sm. group market (unweighted)

ACA Signups

2027 Rate Changes - Texas: +14.1% indy market; +16.9% sm. group market

ACA Signups

Protected: Who Do We Trust to Decide What Health Care Gets Covered, and at What Price?

KFF

Protected: What Do We Get for the Cut Health Insurers Take?

KFF

Protected: Are Health Insurers to Blame for Our Health System Problems?

KFF

Opportunity for benefits brokers 'never been higher', says NFP’s Tony Greene

Insurance Business

Why a harder sign-up could get more employees using their benefits

Insurance Business

How to Manage Pandemic Risk

Insurance Thought Leadership

2027 Rate Changes - Arkansas: +6.0% indy market; +8.9% small group market

ACA Signups

US Attorney's Office scandal yields favorable deal for ex-hospital CEO charged with embezzlement

Fierce Healthcare

2027 Rate Changes - Ohio: +13.0% indy market; +16.4% sm. group market

ACA Signups

Connecticut health insurers seek second year of double-digit premium hikes

Insurance Business
Featured Analysis

Healthcare Cost Trends 2026: What Actuaries Need to Know About the Forces Reshaping Medical Spending

Medical cost trends at 8.5–9.5%, GLP-1 drug costs reshaping pharmacy spend, behavioral health surges, oncology spending acceleration, and actuarial implications for pricing, reserving, and employer plan design.

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