Cox HealthPlans, the insurance arm of Springfield, Mo.-based CoxHealth, will stop selling ACA marketplace plans directly starting in 2027, instead partnering with insurer Oscar Health to offer marketplace coverage. The new Oscar plans will be built around CoxHealth’s network of…
ACA
The ACA individual market risk pool is getting smaller and sicker, with risk scores rising 6.3% even as enrollment fell 12% through April, according to a July report from Wakely. The analysis drew from data representing nearly 80% of individual…
ACA insurers are pitching a median rate increase of 15% for 2027, the second year in a row of double-digit premium hikes, according to a July 8 Peterson-KFF Health System Tracker analysis that was updated Aug. 3. The tracker reviewed…
A coalition of 22 states are suing to block key pieces of CMS’ 2027 ACA marketplace rule, arguing the changes will push consumers into “barebones” coverage and revive provisions a federal court previously struck down. The complaint, filed July 31…
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…
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…