Ruling nullifies CMS’s expanded oversight of ACA eligibility, halting new verification, enrollment period, and reinstates pre-rule compliance standards for marketplaces.
CMS
A new federal rule will reshape the ACA marketplace in terms of operations and compliance while sparking significantly higher out-of-pocket costs.
The regulator described the move as part of a broader effort to modernize Medicaid oversight and strengthen the program’s long-term sustainability.
The House Appropriation Committee cites mounting delays, transparency gaps, and risks to patient care – putting the future of the CMS WISeR pilot in doubt.
New federal rule pegs Medicaid eligibility to monthly work reporting, triggering major changes for states and warnings from advocates about potential coverage losses.
Despite spending more on healthcare than all its peer nations, the US continues to deliver poorer outcomes, deeper inequities, and shrinking access to primary care.
The updated IDR rule seeks to streamline a strained arbitration process, even as insurers and providers trade blame over rising costs and the growing role of private equity in out-of-network billing.
Hospitals concerned rule would reduce state-directed payments far more than Congress intended, placing additional strain on safety net hospitals that serve large numbers of low income patients.