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Judge Pauses CMS Rule Reshaping ACA Marketplaces

by Healthcare Finance | Jul 20, 2026 | ACA, CMS, Industry News

A federal judge has temporarily halted eight provisions of a Trump administration rule that would reshape the Affordable Care Act (ACA) marketplaces, finding that the changes would likely cause irreparable harm to cities, healthcare providers, small businesses and...

More Insurers Sue CMS Over Medicare Advantage Stars

by Healthcare Dive | Jul 13, 2026 | CMS, Industry News, Medicare Advantage

SCAN Health Plan and Alignment Healthcare both sued the CMS in D.C. district court last week, arguing regulators robbed them of higher star ratings in the privatized Medicare program. The CMS reran MA star ratings for insurers in June after losing a lawsuit brought by...

CMS Releases Medicaid Work Requirements Guidance for States

by Healthcare Dive | Jun 1, 2026 | CMS, Industry News, Medicaid

The Trump administration on Monday released long-awaited Medicaid work requirements guidance for states, finalizing a rule that will affect healthcare access for millions of Americans — and create a roadmap for the beleaguered state officials looking to operationalize...

CMS Final Rule Lowers Costs, Cracks Down on Fraud, and Expands State Control

by CMS | May 15, 2026 | CMS, Industry News

The Trump administration on Friday, May 15th finalized a major rule reshaping the Affordable Care Act exchanges, including increasing access to nontraditional and cheaper policies that come with much higher deductibles. ARTICLE Summary: Lower costs + more plan...

Elevance ‘Surprised and Disappointed’ By CMS Medicare Advantage Sanction Threat: CFO

by Becker's Payer | Mar 11, 2026 | CMS, Industry News, Medicare Advantage

Elevance said it was “surprised and disappointed” by a recent CMS sanction threat, which would suspend enrollment in Medicare Advantage prescription drug plans, CFO Mark Kaye said March 10 at the Barclays 28th Annual Global Healthcare Conference in Miami. The...

CMS Issues ACA 2027 Proposed Rules

by American Hospital Association | Feb 6, 2026 | ACA, CMS, Industry News

The Centers for Medicare & Medicaid Services Feb. 9 released its 2027 proposed standards for the health insurance marketplaces, including the issuers and brokers who assist marketplace enrollees. Notably, the proposed rule would allow CMS to certify non-network...
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