ACA insurers requested a median rate increase of 15% for 2027, according to a Peterson-KFF Health System Tracker analysis. However, some states are pushing back — while others are abiding by those requests — as they finalize increases. The set…
ACA
The Trump administration says it will mail $500 checks to nearly one million Americans in 30 states to refund what it called “overcharges” from ACA exchange fees collected under the Biden administration. On Sept. 10, the White House said insurers…
Enrollment in state-based ACA marketplaces has fallen 8.5% since last year, according to an Aug. 31 report from the State Marketplace Network that analyzed data from 18 states. Seven notes: 1. At the start of 2026, the 18 state-based marketplaces…
Consumers searching for health coverage online are being aggressively routed toward limited benefit products and away from ACA marketplace plans, according to a secret shopper study from Georgetown University published Aug. 13. The study comes as marketplace enrollment has declined…
Oregon has received approval from CMS to launch a state-run ACA marketplace starting Nov. 1. The new platform, Explore Health, will let Oregon residents shop for ACA plans, check subsidy eligibility and enroll in coverage directly through the state rather…
Advertisement
Oregon regulators have approved individual ACA market rate increases that average 21.6% for 2027 coverage. In the small group market, the state reduced insurers’ proposed average rates from 17% to 15.5%, with some reductions of up to 8%, according to…
Oscar Health expects between 250,000 and 300,000 of its marketplace members to be retroactively disenrolled in connection with CMS program integrity initiatives and fraud, waste and abuse enforcement, the insurer disclosed Aug. 7. The expected disenrollments represent roughly 8% to…
A federal judge has thrown out a False Claims Act lawsuit accusing Sentara Health Plans of fraudulently inflating ACA marketplace premiums in Virginia after multiple large insurer competitors left the market in 2017. Chief U.S. District Judge Elizabeth Dillon found…
Eleven insurers have announced they will stop offering individual ACA marketplace plans, either nationally or in specific states, after the 2026 plan year. The withdrawals come amid declining enrollment nationwide, rising premiums and the expiration of enhanced premium tax credits…
Not all CMS data is telling the same story when it comes to ACA enrollment in Texas. As of January, nearly 4.2 million Texans had selected ACA plans for 2026, up from nearly 4 million in 2025. That marked the…