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ACA

UnitedHealth’s Rocky Mountain HMO and Elevance Health’s Anthem HMO Colorado have withdrawn their plans to end coverage for multiple health plans in the state’s individual market following legislative action in the Colorado General Assembly. Both companies will continue services in…

A group of House Republicans are backing the newly filed Bipartisan Premium Tax Credit Extension Act, which would extend enhanced ACA subsidies for one year beyond their current expiration date at the end of 2025. Under the legislation, the premium…

The Colorado House has passed a bill that would look to mitigate the impact of the looming expiration of enhanced ACA premium tax credits at the end of 2025 by providing up to $100 million in state funds to stabilize…

A federal judge has paused portions of a new ACA rule that were set to take effect on Aug. 25, which included stricter eligibility verifications and limitations on premium subsidies. “Eliminating coverage for an estimated 1.8 million people will drive…

Effectuated ACA enrollment has increased 13% since 2024 and nearly 93% of enrollees qualify for enhanced premium tax credits, according to an August report from CMS. Six notes:

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On July 25, Centene’s CEO Sarah London detailed three key dynamics affecting the ACA risk pool this year after the company posted a $253 million loss in the second quarter. The morbidity of the ACA market in some states has…

Oscar Health is expecting to operate at a loss in 2025 as costs climb in the individual market.  The company reported preliminary results for the second quarter of 2025 on July 22, expecting a loss from operations of $200 million…

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