Thirteen Senate Democrats are demanding answers from the largest ACA marketplace insurers about their involvement in recent coverage terminations that cut more than 760,000 people from their health plans. The Oct. 26 letters, led by Sen. Ron Wyden, D-Ore., and…
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CMS proposed a rule Oct. 23 that would require exchanges to verify eligibility before providing financial assistance to consumers. CMS expects that its proposal would result in 332,500 fewer individuals on the exchanges each year. The proposed rule intends to…
There will be at least seven new carriers on ACA marketplaces in 2027, despite the continued pressures facing the wider market. Nationally, insurers have proposed a median 14% rate increase for 2027, the second straight year of double digit hikes.…
The expiration of enhanced subsidies at the end of 2025 altered the marketplace. In 2026, enrollment dropped, and the remaining risk pool became older and sicker. Over the summer, a Peterson-KFF Health System Tracker analysis found that insurers had requested…
Leading up to marketplace open enrollment, CMS issued guidance to insurers Oct. 19, encouraging greater oversight of agents and brokers. The memo focuses on issuers using the federally facilitated exchange. CMS expects issuers to follow much of the guidance beginning…
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AmeriHealth Caritas is growing its marketplace presence in 2027, bringing plans to two more states — Indiana and Ohio — and expanding its reach in four others. According to an Oct. 15 news release shared with Becker’s, marketplace plans will…
The IRS and Treasury Department have proposed regulations, published Oct. 15, to implement HR 1 provisions and reform premium tax credits for ACA exchanges. “The proposed rules protect eligible taxpayers while strengthening the integrity of the premium tax credit,” IRS…
CMS has reinstated a small number of enrollees who lost coverage after the agency canceled ACA policies for more than 760,000 people, according to a KFF Health News report published Oct. 15 in NPR. KFF Health News learned of the…
Enrollment in the individual market fell 18% between June 2025 and June 2026, a drop of more than 4.6 million people, according to an Oct. 14 KFF analysis. Looking at comparable periods in previous years, enrollment has generally increased, growing…
CMS ended subsidies in 2026 for 189,000 people with federally subsidized marketplace coverage who also had Medicare, Medicaid or Children’s Health Insurance Program coverage, or who were deceased, HHS said Oct. 14. Here are five things to know: 1. The…