A coalition of cities, physicians and small businesses are challenging recently finalized changes to the ACA marketplace they argue will cause at least 3 million people to lose health coverage, marking the latest in a series of legal challenges to…
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CareSource will not offer individual marketplace or off-exchange health plans in Indiana for 2027 coverage. Current coverage will remain active through the end of 2026, the insurer said May 15. CareSource also offers individual coverage in Georgia, Nevada, Ohio, West…
Health plans that aren’t built around provider networks will be allowed on the ACA individual marketplace beginning in 2028, marking a structural change to a system that has operated exclusively on network-based models since the ACA launched more than a…
PacificSource Health Plans will exit the individual insurance market, as well as cease all operations in Montana, the company confirmed to Becker’s. “These are not decisions made lightly. We know they will affect people’s coverage and livelihoods, and we recognize…
Vermont’s ACA insurers, Blue Cross and Blue Shield of Vermont and MVP Health Care, requested lower premium increases for individual and small group plans in 2027, according to May filings. BCBS Vermont said its average requested increases were the lowest…
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The average ACA deductible has jumped 37%, an increase of more than $1,000 per person, from 2025 to 2026, according to a KFF analysis published May 19. The analysis pulls from CMS and state open enrollment reports, along with KFF…
CMS has finalized a broad set of changes to the ACA marketplace that will affect how insurers design plans, how eligibility is verified, and who qualifies for federal subsidies. The final rule, published by the agency on May 15, arrives…
Hospitals are confronting a new and unexpected pressure point in 2026: Fewer patients losing coverage are transitioning to Medicaid. The slowdown, emerging alongside ACA exchange attrition, is adding to uninsured volumes and complicating payer mix assumptions for some of the…
Major insurers continue to pull back from the ACA marketplace as enrollment declines, bronze plan uptake surges and the expiration of enhanced premium subsidies reshape the risk pool heading into 2027. 1. The latest exits Cigna will exit the ACA…
Over one-third of Centene’s marketplace members are enrolled in bronze plans, CEO Sarah London said during an April 28 earnings call. Centene ended the previous quarter with just under 3.6 million marketplace members. Less than half are in silver plans,…