Ambetter from Home State Health, a Centene subsidiary, will return $87.5 million in ACA rebates to Missouri members, according to a statement from the insurer. The rebates stem from failing to meet medical loss ratio requirements under the ACA, which outlines…
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UnitedHealthcare is set to pay $359 million in ACA-required rebates for 2024, sending checks that are slated to arrive by Sept. 30, according to a news release from the insurer. Last year, commercial payers were estimated to have spent $1.1…
Marketplace enrollment soared at over 24 million plan selections for 2025, but the enhanced premium tax credits that enabled this surge are set to expire at the end of the year. Some 4.8 million people total will lose their insurance…
ACA co-op Common Ground Healthcare Cooperative, part of CareSource, is pulling back from offering individual and family health plans in 11 Wisconsin counties in 2026. The change includes all CGHC CareSource plans offered on the exchange and directly from the…
UnitedHealth’s Rocky Mountain HMO and Elevance Health’s Anthem HMO Colorado have withdrawn their plans to end coverage for multiple health plans in the state’s individual market following legislative action in the Colorado General Assembly. Both companies will continue services in…
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A group of House Republicans are backing the newly filed Bipartisan Premium Tax Credit Extension Act, which would extend enhanced ACA subsidies for one year beyond their current expiration date at the end of 2025. Under the legislation, the premium…
The Colorado House has passed a bill that would look to mitigate the impact of the looming expiration of enhanced ACA premium tax credits at the end of 2025 by providing up to $100 million in state funds to stabilize…
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…
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…