Health insurance
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Insurance executive and marketing CEO sentenced in $233m ACA fraud scheme
Texts exchanged by the defendants revealed a scheme that targeted low-income individuals experiencing homelessness, unemployment, and other challenges.
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CMS rule proposal takes aim at Affordable Care Act plan options
The CMS administrator says the rule would lower costs and reinforce accountability, but critics say it’s designed to steer more consumers toward high-deductible plans.
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CMS proposes flat rates for 2027 Medicare Advantage to ensure ‘sustainability’
The agency is also proposing a shift in the risk-adjustment model traditionally used in the MA program.