HEALTHCARE POLICY | MARKET ANALYSIS Cigna’s ACA Exit Is the Latest Domino. The Death Spiral Is Already Here. Alexandra Sczcepaniak | COO, Solidarity Health Network, Inc. | May 2026 Cigna just announced it’s exiting the ACA Marketplace at the end of 2026. 369,000 people will need to find new coverage — or go without. This […]
Category: News
I Was Not Going to Let Them Win
I Was Not Going to Let Them Win By Anne Glorioso, CEO · Solidarity Health Network, Inc. · Cleveland, Ohio 2006, something new came along called the Retiree Drug Subsidy — RDS, for those of you playing along at home. For the uninitiated: the RDS program was a federal subsidy available to employers and plan […]
The Medigap Crisis We Helped Create
The Medigap Crisis We Helped Create By Alexandra Szczepaniak, Chief Operating Officer | Solidarity Health Network Medigap Plan G premiums are up anywhere from 12% to 26% depending on your carrier and state. And our industry helped build this problem. Five years ago, a Medigap rate increase over 10% was considered unusual. Now it’s rare […]
So… the Government Changed Everything About Health Insurance
So… the Government Changed Everything About Health Insurance. Cool, Cool, Cool. By Anne Glorioso, CEO · Solidarity Health Network, Inc. · Cleveland, Ohio If you work in ACA (Affordable Care Act) compliance, you already know last summer was A Lot. And I mean A LOT. Two massive policy actions dropped within 40 days of […]
My Best Clients Are People I Never Enrolled – The business case for telling the truth
Blog 2 of the “Why I Do This” Series | By Anne Glorioso, CEO, Solidarity Health Network ——————————————————————————————————————————————————————————– ———————– I know that title sounds like a terrible business strategy. Bear with me. In the mid-1990s, I was asked to hold meetings for a group of workers who had just lost their jobs in a […]
I Had a Crossword Puzzle and No Plan – 30 years later
How I accidentally started a career I ended up loving By Anne Glorioso, CEO, Solidarity Health Network Let me set the scene for you. It’s 1995. I just graduated from Kent State University. I have a degree, a diploma, and absolutely zero idea what I want to do with my life. So I did what […]
Your Provider Roster Is Either Right or It’s a Problem
What ACA health plans — and the employers and brokers who work with them — need to know about provider directory rules, and why “close enough” stopped being good enough a long time ago. Let’s start with the uncomfortable truth: a lot of ACA health plans are out there right now with provider directories that […]
Credentialing Isn’t Paperwork. It’s the Backbone of Your Network.
Every health plan and every provider network has a credentialing function. Not every health plan and every network has a credentialing *system* — and the difference between those two things is where most of the downstream pain in this industry comes from. Credentialing is the gate. It determines who is permitted to bill the plan, […]
PBM Transparency is coming. Here is what Plan Sponsors need to know
The Department of Labor’s proposed PBM disclosure rule just closed its public comment period — and the pressure to finalize it is intense. SHN breaks down what’s at stake for your plan. If you sponsor a self-insured health plan, you’ve probably wondered at some point whether your pharmacy benefit manager is being straight with you. […]
If Your TPA Never Pushes Back, They’re Not Protecting You
Compliance failures rarely announce themselves. They don’t show up with warning lights and sirens. They accumulate quietly — in a dependent verification that was skipped, a plan document that drifted from what’s actually being administered, an eligibility file that hasn’t been reconciled in months. By the time a plan sponsor discovers the problem, it’s usually […]