ACA marketplace enrollment is declining nationally and Congress is struggling to extend the expired subsidies. Five updates on enhanced ACA subsidies: 1. President Donald Trump said Jan. 11 he might veto a bill to extend the subsidies, Bloomberg reported. The…
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Sen. Sheldon Whitehouse, D-Rhode Island, Sen. Elissa Slotkin, D-Mich., and Congresswoman Jan Schakowsky, D-Ill., introduced a bill aimed at starting a federal public health insurance option on the ACA marketplace. The Affordable Consumer Health Options and Insurance Competition Enhancement Act…
ACA open enrollment generally runs until Jan. 15, but Illinois, Connecticut and Pennsylvania are giving their residents more time to choose coverage. While the future of enhanced premium tax credits is still up in the air, the subsidies expired at…
Pennsylvania’s ACA marketplace, Pennie, is shedding roughly 1,000 members each day as premium costs jump following the expiration of enhanced subsidies, the Pennsylvania Capital-Star reported Jan. 8. Pennie has lost at least 70,000 enrollees since November. Current enrollment sits between…
UnitedHealth Group commissioned two independent studies from actuarial firm Milliman highlighting Medicare Advantage savings for both the federal government and beneficiaries. UnitedHealth shared the studies the same day the Senate Judiciary Committee released a report on the insurer’s “aggressive strategies”…
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Alignment Healthcare added roughly 65,000 members in 2025, bringing its total enrollment to about 275,300 as of Jan. 1. The Medicare Advantage insurer disclosed the 31% year-over-year growth on Jan. 12, following a strong annual enrollment period. The company has…
CareOregon and Health Share of Oregon have notified members that unauthorized individuals accessed their personal information, which may have been used to create fraudulent claims. The Portland-based insurers learned of the breach Oct. 27 when one or more people viewed…
Administration and automation are not the only AI use cases payers should be focused on this year, according to McKinsey Senior Partner Adi Kumar, who broke down his 2026 predictions for insurers in a Jan. 12 report. His insights were…
UnitedHealth Group leveraged “aggressive strategies” to secure higher-paying Medicare Advantage diagnoses, according to a Jan. 12 Senate report. The Wall Street Journal initially covered the news. Senate Judiciary Chair Chuck Grassley, R-Iowa, started an investigation into the insurer’s billing and…
The Blue Cross Blue Shield Association commended the House of Representatives’ vote to extend enhanced ACA tax credits in a Jan. 9 statement shared with Becker’s. A spokesperson said the credits are “the most straightforward and effective step Congress can…