On June 12, a Maryland federal judge vacated parts of CMS’ rule designed to govern marketplace integrity and affordability. The excised provisions include the $5 premium penalty on automatic re-enrollees, revocations of guaranteed insurance for people with past-due premiums, eligibility…
ACA
ACA sign-ups during the open enrollment period for 2026 were down 5% year over year, the most substantial dip since marketplaces launched in 2014 — but that’s not even the full story. The Commonwealth Fund reviewed CMS and state marketplace…
Mending, formerly Taro Health, will no longer serve as a health insurance carrier in 2027, Co-Founder Jeff Yuan told Becker’s. The company had offered on- and off-exchange plans in Maine and Oklahoma. A June 8 news release from Maine’s Bureau…
Rate season for individual market coverage in 2027 is underway, with several states releasing insurers’ proposed premium filings. The bulk of state filings are not expected to be publicly available until later this summer. Seven updates: Editor’s note: this article…
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…
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…