The federal government has shut down for the first time since 2019 after lawmakers failed to reach a funding deal, with the fate of enhanced ACA subsidies, set to expire at year’s end, hanging in the balance. Premium tax credits…
ACA
The ACA marketplace’s open enrollment period kicks off on Nov. 1, but HealthCare.gov and states have price previews already available. The shopping window will remain open until Jan. 15, 2026, but those assessing their coverage face uncertainty. The fate of…
A Colorado state audit criticized Connect for Health, a nonprofit organization that runs the state’s health insurance marketplace, for its sponsorship practices, financial management and reporting in a Sept. 16 report. The state’s General Assembly requested the audit following Connect…
Sixty-five percent of U.S. voters believe Democrats should accept a continuing resolution to end the government shutdown instead of holding out for extended ACA funds, according to a Harvard CAPS-Harris Poll. The survey ran Oct. 1-2, gathering results from 2,413…
New Mexico lawmakers are advancing legislation that would use state funds to offset the impending expiration of ACA enhanced premium tax credits. The bill, passed Oct. 1 in the state’s House of Representatives, would take effect immediately if signed by…
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Insurers have until Sept. 30 to issue ACA Medical Loss Ratio rebates for 2024. The Medical Loss Ratio mandates insurance companies spend at least 80% or 85% of their premium dollars on medical care, not administrative expenses or profits. If…
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…
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…