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…
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,…
The percentage of ACA enrollees who failed to make payments rose significantly in January, The Wall Street Journal reported April 15. Four things to know: 1. The Journal’s report is based on analysis by actuarial firm Wakely Consulting Group, which…
Baylor Scott & White Health Plan is exiting the Texas Medicaid managed care market by the end of August and will no longer offer individual marketplace plans past 2026. The insurer, part of the Dallas-based health system, administers Medicaid benefits…
Washington, Colorado and Nevada rolled out public health plan options in 2021, 2023 and 2026, respectively. Over the years, seven other states have weighed introducing marketplace-based plans led, at least in part, by the state government. Becker’s connected with leaders…
Advertisement
Montana saw the largest increase in catastrophic plan enrollment from 2025 to 2026, while Pennsylvania saw the largest decrease, according to CMS data analyzed by KFF. Catastrophic plan enrollment grew nearly 25% nationally, from 54,000 to almost 68,000, even as…
Texas saw the largest increase in bronze ACA plan enrollment from 2025 to 2026, while West Virginia saw the largest decrease, according to CMS data analyzed by KFF. Bronze plan enrollment grew 26% nationally, from 7.3 million to 9.2 million,…
AP of South Florida, a Florida-based insurance brokerage, has agreed to plead guilty to one count of major fraud against the U.S. for its role in a fraudulent ACA enrollment scheme. In a parallel civil resolution, AssuredPartners, a national brokerage…
Washington, D.C. has the highest average monthly premium for ACA enrollees who received advance premium tax credits in 2026, while Texas has the lowest, according to a KFF analysis. After enhanced premium tax credits expired at the end of 2025,…
ACA enrollment reached 23.1 million in 2026, a 5% decrease from 2025, CMS reported March 27. While enrollment is down about 1.2 million consumers from the open enrollment period last year, 2026 enrollment is still 8% and 41% higher than…