HHS and CMS appealed a Maryland federal court’s decision to vacate parts of CMS’ 2025 “Marketplace Integrity and Affordability Rule,” according to July court filings. In the case — which has the city governments of Columbus (Ohio), Baltimore and Chicago, as well as…

There will be at least five new carriers on ACA marketplaces in 2027, despite the continued pressures facing the wider market.   Nationally, insurers have proposed a median 14% rate increase for 2027, the second straight year of double digit hikes.…

The Mississippi Insurance Department is revoking the licenses of 59 insurance agents accused of fraudulently selling ACA marketplace plans while living outside the state. All 59 agents were served notice of a hearing in June, but none appeared at the…

Indiana Health Coverage Programs got CMS approval to progress with an enrollment and certification moratorium for some Medicaid providers beginning Aug. 1. According to a July 23 bulletin, the freeze will continue for six months. IHCP can extend the pause in six-month…

Artificial intelligence is now embedded across health insurance and care delivery operations, but Aetna’s chief medical officer says the industry still has a choice in what it accomplishes with the technology, even if early results aren’t encouraging. “AI opens the…

Molina Healthcare will continue to shrink its exchange business, President and CEO Joseph Zubretsky said on a July 23 earnings call. The insurer plans to focus on its marketplace membership in roughly six states versus the 13 or 14 the…

A former employee of Cambia Health Solutions has accused the Portland, Ore.-based company of violating the False Claims Act by knowingly submitting inaccurate diagnosis data to CMS and failing to return Medicare Advantage overpayments. The whistleblower complaint, originally filed in…

The Massachusetts Division of Insurance has renegotiated lower rates — projecting $72 million in premium savings — with insurers in the state’s merged individual and small employer market. The negotiations included Blue Cross Blue Shield of Massachusetts HMO Blue, Harvard…

The Cigna Group’s board of directors July 22 declared a per-share cash dividend of $1.56 to be paid on Sept. 23.  The dividend will be paid to shareholders of record as of the close of business on Sept. 8.  The…

The No Surprises Act’s arbitration process awarded close to $15 billion to providers in 2025, according to a Wall Street Journal analysis of federal data. Payouts through the independent dispute resolution process reached $14.85 billion in 2025, up from just…