ACA

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…

Centene has pulled its earnings guidance for 2025, citing higher aggregate ACA market morbidity. In a July 1 regulatory filing, Centene said it received data from consulting firm Wakely indicating overall marketplace growth in 22 of its 29 marketplace states…

Marketplace enrollment could decline between 47% and 57% if premium tax credits expire and proposed changes in Congress become law, according to an analysis from Wakely, a healthcare market research firm .  The “One Big Beautiful Bill,” a 1,000+ page…

Uncertainty around potential pharmaceutical tariffs is one factor driving up the cost of marketplace coverage in 2025, according to KFF.  Multiple insurers, including UnitedHealthcare plans in New York, Maryland and Oregon, and Independent Health have cited tariffs on pharmaceuticals as…