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Percentage of Enrollees Who Fail to Make ACA Payments Rises to 14%

by AJMC | Apr 15, 2026 | ACA, Industry News

About 14% of individuals who were enrolled in Affordable Care Act (ACA) plans were not able to meet their first payment in the new year, according to a new analysis published in The Wall Street Journal.1 The results of the survey and analysis, conducted by actuarial...

Marketing to Individuals Dually Eligible for Medicare and Medicaid

by CMS | Apr 15, 2026 | Industry News, Medicaid, Medicare

We are asking that you take a look at this policy again. While this is not new policy, CMS determined it was pertinent to recommunicate this policy and its implications; this, more than likely, signals that there will be closer scrutiny and lower tolerance for...

Baylor Scott & White Health Plan will stop providing Medicaid and ACA Marketplace coverage in Texas

by Kera News | Apr 15, 2026 | ACA, Industry News, Medicaid

The Baylor Scott & White Health Plan will stop offering Texas Medicaid and individual marketplace health insurance plans this year, the provider announced Tuesday. The Dallas-based health plan will leave the Texas Medicaid Managed Care Program at the end of...

States, Insurers Await Needed Details to Implement New US Medicaid Work Rules

by Reuters | Apr 13, 2026 | Industry News, Medicaid

The Trump administration’s new law that Americans must work or volunteer to qualify for Medicaid healthcare benefits, set to take effect next year, has left states waiting for details on how to comply and with ​limited funding promised, according to six industry...

Report: Growth in MA Is Associated with Lower Total Medicare Spending

by MedCity News | Apr 13, 2026 | Industry News, Medicare

Enrollment in Medicare Advantage has steadily increased over the past two decades. The number of MA enrollees grew from about 11 million (25% of total Medicare beneficiaries) in 2010 to 32 million (54% of Medicare beneficiaries) in 2024.  Now, new research from the...

ACA: Four Key Takeaways from This Year’s Open Enrollment

by MedCity News | Apr 12, 2026 | ACA, Industry News

Health insurance dominated the news in the last few months of 2025. With the Affordable Care Act (ACA) enhanced premium tax credits expiring on the first day of the new year, the future of individual insurance was up for debate. Would the ACA Marketplace survive a...
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