King of Prussia, Pa.-based Universal Health Services is seeing almost no offset from commercial coverage as patients drop off the ACA exchanges, CFO Steve Filton said on the for-profit system’s July 28 earnings call. Responding to an analyst question about…
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The expiration of the ACA’s enhanced premium tax credits appears to be playing out positively for several insurers, while some of the nation’s largest hospital operators are absorbing a wave of newly uninsured patients who continue to seek care. The…
HHS and CMS appealed a Maryland federal court’s decision to vacate parts of CMS’ 2025 “Marketplace Integrity and Affordability Rule,” according to July court filings. In the case — which has the city governments of Columbus (Ohio), Baltimore and Chicago, as well as…
There will be at least five 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 Mississippi Insurance Department is revoking the licenses of 59 insurance agents accused of fraudulently selling ACA marketplace plans while living outside the state. All 59 agents were served notice of a hearing in June, but none appeared at the…
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Molina Healthcare will continue to shrink its exchange business, President and CEO Joseph Zubretsky said on a July 23 earnings call. The insurer plans to focus on its marketplace membership in roughly six states versus the 13 or 14 the…
The Massachusetts Division of Insurance has renegotiated lower rates — projecting $72 million in premium savings — with insurers in the state’s merged individual and small employer market. The negotiations included Blue Cross Blue Shield of Massachusetts HMO Blue, Harvard…
CalOptima Health, the public Medi-Cal insurer for Orange County, Calif., will soon begin selling individual plans on the state’s ACA marketplace, Covered California, for the 2027 plan year. CalOptima will offer coverage in Orange County and is the only new…
A federal judge has paused eight provisions of CMS’ 2027 ACA marketplace rule, blocking a slate of eligibility, verification and plan design changes just days before they were set to take effect July 20. Judge Brendan Hurson of the U.S.…
A newly proposed federal bill would create a government-run public health insurance option sold on the ACA exchanges and permanently extend the enhanced premium subsidies that lapsed at the end of 2025. The Medicare-X Choice Act, introduced July 15 by…