Enrollment in ACA marketplace plans fell in 49 of the 50 states plus D.C. between February 2025 and February 2026, according to CMS data published in late June. Ohio, Oklahoma and Arizona posted the steepest year-over-year declines, each shedding roughly…
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Three federal lawsuits are forming a tapestry of litigation related to the future of the ACA marketplace. In recent years, CMS has pitched rules focused on promoting marketplace “integrity” by tightening eligibility, altering enrollment periods and narrowing subsidy access, to…
Blue Cross and Blue Shield of Vermont dropped its proposed Vermont Basic offering from consideration for the qualified health plan market in 2027. BCBS Vermont had pitched the product line, offering more affordable HSA-compatible plans, in May. The company said,…
Medica will no longer offer individual marketplace plans in Iowa, Kansas and Oklahoma, effective January 1, 2027. The decision affects about 4,000 members in Iowa, 600 members in the Kansas City area in Kansas, and 8,400 members in Oklahoma, the…
Blue Cross Blue Shield of Massachusetts will discontinue all PPO and EPO plans in the merged market (the combined individual and small group markets in Massachusetts) after 2026, the company confirmed to Becker’s. The insurer said it will automatically map…
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Centene’s ACA product in New Hampshire, Ambetter from NH Healthy Families, will discontinue coverage at the end of 2026. Provider agreements and member coverage will remain in effect until the end of the year, according to a June 26 update.…
ACA enrollment dropped from 22.1 million in February 2025 to 19.2 million people in February 2026, according to a June 26 HHS report. Immediately following the open enrollment period for 2025 coverage, ACA enrollment reached a record high of 24.2…
ACA marketplace premiums are on track for a second consecutive year of double-digit increases, according to a June 18 analysis of early rate filings from Georgetown University’s Center on Health Insurance Reforms. Researchers reviewed publicly available filings from 10 states…
Elevance Health will exit the small group ACA market in Ohio in 2027, the company confirmed with Becker’s. “Small businesses are increasingly seeking health coverage options that deliver affordability, flexibility, and more predictable costs,” an Anthem spokesperson said. “To meet…
CommunityCare and direct primary care technology company Mending are partnering to embed DPC providers into Oklahoma ACA plans beginning in 2027. Mending, which is winding down its own ACA plans in Maine and Oklahoma, will shift to powering DPC access…