US Health Insurers Target Improved Underwriting Performance in 2026

• Trump's One Big Beautiful Bill Act has darkened the outlook for approximately 17,000 federally-funded health clinics across the United States, which collectively stand to lose $32 billion in government support. • The policy represents a significant threat to community health infrastructure that serves vulnerable populations, though specific implementation details and timeline remain under review. • Federal health clinics provide essential services including primary care, preventive services, and treatment for underinsured and uninsured Americans in underserved communities.

• Advocate Health will launch the country's largest hospital-based drone delivery network, beginning in Charlotte, NC, using Zipline drones to deliver prescriptions, lab specimens, and medical supplies across three of its markets. • The system is projected to conduct approximately 100,000 deliveries per year, significantly expanding healthcare logistics and supply chain capabilities within hospital systems. • This initiative represents a major technological advancement in hospital operations and marks a shift toward automated delivery infrastructure in American healthcare systems.

• Perplexity announced b.well as the infrastructure partner behind its health data integration, enabling citation-backed AI search capabilities for actual patient records and medical information retrieval. • The partnership aligns with broader industry trends toward integrating large language models with electronic health record systems, following OpenAI's ChatGPT Health launch and other healthcare AI initiatives. • b.well has emerged as a significant health AI infrastructure company, having also launched bailey (a white-label health assistant) and expanded partnerships with Samsung to transform Galaxy phones into portable health records with point-of-care data sharing.

• The SPIRIT-HF study, presented at ACC.26 in New Orleans (March 28-30, 2026), found that spironolactone increased hospitalizations and serious adverse events in patients with HFpEF (heart failure with preserved ejection fraction) or HFmrEF (mildly reduced ejection fraction). • Results raise significant safety questions about the drug's efficacy in these patient populations, potentially challenging current treatment protocols. • The findings were presented to cardiologists and cardiovascular specialists at the American College of Cardiology's annual conference, the largest gathering of heart disease specialists.

• Jerome Adams, former Surgeon General, discussed on CBS's Face the Nation a surge of more than 1,500 confirmed measles cases in the U.S. since January 2026, per CDC data. • A notable spike is occurring in Utah, contributing to the national increase in this highly contagious disease. • The outbreak highlights ongoing vaccination challenges and public health risks in under-immunized communities.

• A March 29, 2026 survey reveals 57% of healthcare executives rank AI-based clinical tools as their top technology initiative. • Conversely, 57% of patients believe AI is not yet mature enough for doctors to trust in clinical decisions. • Samsung Medison unifies its U.S. medical imaging businesses under Samsung HME America to streamline operations.

• Tuberculosis cases in the U.S. rose to over 10,600 in 2024, marking the third consecutive annual increase and the highest total since 2013, at about 3 per 100,000 people. • Health experts attribute the rebound to pandemic-related underdiagnosis, untreated latent infections, and increased international travel from high-prevalence areas. • Local public health TB programs remain understaffed, straining response capacity amid the uptick.

• A new analysis identifies Louisiana and Kentucky as among the most stressed US states in 2026, with stress levels significantly influenced by geographic factors. • Rising healthcare costs are forcing residents to skip medical care, contributing to elevated stress levels across affected regions. • The stress disparities highlight how healthcare affordability challenges vary by state, with geographic and economic factors playing key roles in residents' wellbeing and access to care.

• A new American College of Cardiology study of over 6,800 U.S. adults shows consuming more than nine daily servings of ultra-processed foods raises heart attack, stroke, or death risk by 67% compared to one serving. • Each additional serving increases risk by over 5% overall and more than 6% among Black Americans, with findings presented at the ACC Annual Scientific Session in New Orleans on March 28-30. • Dr. Michele Arthurs of Kaiser Permanente advises checking labels and strategies like pre-eating healthy meals or pairing chips with oranges to cut intake.

• U.S. health care and social assistance sectors added 693,000 jobs in 2025, accounting for all net employment gains and preventing a 570,000 job loss in the broader economy. • Despite the growth, experts warn it conceals a productivity crisis driven by administrative burdens, outdated technology, and inefficient care delivery models. • The commentary urges policy reforms to boost efficiency, as unchecked spending threatens fiscal sustainability amid aging populations.

• Major U.S. health insurers are limiting coverage of GLP-1 drugs like Ozempic and Wegovy to their original FDA-approved use for diabetes management, excluding weight loss treatments. • According to industry analyst Andy, this shift reverses prior expansions amid rising costs and supply shortages, affecting millions of patients seeking obesity care. • The policy change aims to control spending on these high-demand medications, which have seen off-label use surge, potentially pushing patients toward alternatives or out-of-pocket payments.

• The leading U.S. medical school accreditation body, LCME, removed language from its 2027-2028 standards requiring schools to teach about health inequities and disparities. • The previous standards mandated instruction on "health care disparities" and "approaches to reduce health care inequities," which were replaced with language on self-directed learning skills. • The change comes as the Trump Department of Justice probes three medical schools, amid growing political pressure on diversity and equity initiatives in medical education.