A federal judge has paused portions of a new ACA rule that were set to take effect on Aug. 25, which included stricter eligibility verifications and limitations on premium subsidies. “Eliminating coverage for an estimated 1.8 million people will drive…
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Effectuated ACA enrollment has increased 13% since 2024 and nearly 93% of enrollees qualify for enhanced premium tax credits, according to an August report from CMS. Six notes:
Arkansas Gov. Sarah Huckabee Sanders is calling on the state’s insurance commissioner to reject proposed individual ACA rates filed by Centene and Arkansas Blue Cross Blue Shield. Centene’s QCA Health Plan requested a 54% rate increase, and BCBS’ HMO plan…
On July 25, Centene’s CEO Sarah London detailed three key dynamics affecting the ACA risk pool this year after the company posted a $253 million loss in the second quarter. The morbidity of the ACA market in some states has…
A broad coalition of insurers, hospitals, healthcare trade associations and civic groups are urging congressional leaders to extend enhanced ACA premium tax credits before their expiration at the end of 2025. “If Congress fails to extend the tax credit, the…
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Oscar Health is expecting to operate at a loss in 2025 as costs climb in the individual market. The company reported preliminary results for the second quarter of 2025 on July 22, expecting a loss from operations of $200 million…
ACA premiums are set to rise by 15% on average in 2026, The Wall Street Journal reported July 18. The Journal used data analyzed by KFF to report rate increases for the largest insurers in 19 states. BCBS Illinois is…
Insurers are requesting the highest ACA premium increases since 2018, according to an analysis by the Peterson-KFF Health System Tracker published July 18. Insurers are requesting a median increase of 15% based on preliminary rate filings. KFF analyzed rate increase…
Centene added more than 1.2 million individual members between the fourth quarter of 2024 to the first quarter of 2025, according to a report by Mark Farrah Associates. The health plan data aggregator published an analysis of individual market enrollment…
Total risk adjustment payments in individual and small group insurance plans increased modestly in 2024, according to new data from CMS. The agency published its annual summary report of risk adjustment payments June 18. The risk adjustment program is designed…