ACA

Lawmakers want answers from 10 major insurers about their role in a CMS-led effort resulting in the canceling of coverage for more than 760,000 people.

CMS proposes requiring eligibility verification before ACA premium subsidies are granted, implementing new anti-fraud provisions for 2028.

AHA report says reimbursement gaps, workforce shortages, and policy changes are intensifying financial strain on rural hospitals.

CMS says it canceled unauthorized Marketplace enrollments, targeted non-compliant brokers, and added new safeguards to reduce fraud.

The new members will reshape the influential panel that guides what preventative services will be covered by the Affordable Care Act.

Urban Institute projects up to 2.3 million young adults could lose Medicaid under OBBBA work rules and six-month redeterminations.

A Peterson-KFF analysis shows ACA premiums climbing in 2027 due to rising medical costs, inflation, higher utilization, and shifts in the marketplace risk pool.

Healthcare organizations might think the delay in HIPAA changes will buy them time before having to deal with compliance issues, but legal and data security experts advise against putting them off.