Trump Administration Aims To Save ACA Exchange System From Enrollment Fraud

The number of people using HealthCare.gov and other Affordable Care Act public exchange programs to get health coverage will fall 40% in 2026, but the programs will still serve 15.4 million people.

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House GOP Moderates Tell Leadership They Won’t Back Senate Tax Bill Over Medicaid Cuts

More than a dozen House Republicans warned they won’t support the Senate’s version of the tax and spending bill because the proposed Medicaid cuts are too steep. Led by Rep. David Valadao (R-Calif.), 15 other vulnerable Republicans sent a letter to Senate Majority Leader John Thune (R-S.D.) and House Speaker Mike Johnson (R-La.) saying they support the Medicaid reforms in the ...

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Nevada Governor Vetoes Nurse Staffing Ratio Bill

Nevada Gov. Joe Lombardo on June 12 vetoed a bill that would have established minimum staffing ratios for certain hospitals in the state. Four notes: 1. The bill, introduced Feb. 3, applied to hospitals with more than 70 licensed beds located in counties with a population of at least 100,000 people. It would have required such hospitals to meet ...

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National Health Expenditures To Reach $8.6T By 2033: CMS

CMS projects national health expenditures to increase by 5.8% from 2024 to 2033, reaching $8.6 trillion by the end of the period as the last of the Baby Boomers age into Medicare.

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Federal Proposals Threaten Provider Taxes, Key Source of Medicaid Funding for States

Republican efforts to restrict taxes on hospitals, health plans, and other providers that states use to help fund their Medicaid programs could strip them of tens of billions of dollars. The move could shrink access to health care for some of the nation’s poorest and most vulnerable people, warn analysts, patient advocates, and Democratic political ...

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House Lawmakers Demand Answers From Covered California On Sending Data To LinkedIn

“This story was originally published by CalMatters. Sign up for their newsletters.” Citing an investigation by The Markup and CalMatters, lawmakers in the House of Representatives are questioning why California’s state health insurance exchange shared sensitive health data with LinkedIn. In a letter sent last week to Jessica Altman, executive director of the state’s exchange, the lawmakers write ...

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Trump Administration Makes Sweeping Changes To Obamacare, Ends ‘Dreamer’ Coverage

The Trump administration is shortening ObamaCare’s annual open enrollment period and ending the law’s coverage of immigrants who entered the U.S. illegally as children, according to a final rule announced Friday. The Biden administration made it easier and more affordable to sign up for Affordable Care Act plans, causing enrollment to swell to an all-time high. The Trump ...

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CMS Finalizes Rule Aimed At ‘Improper’ Sign-Ups On The ACA Exchanges

The Centers for Medicare & Medicaid Services (CMS) has finalized a rule that it says will address “the surge of improper enrollments” on Affordable Care Act (ACA) exchanges as well as take on wasteful spending. The agency said late Friday that there are likely millions of people who were improperly enrolled in ACA exchange plans. The CMS ...

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AHIP 2025: Insurer Coalition Vows To Fight Trump Budget Bill To Final Hour

At AHIP’s annual conference, the trade group told reporters they oppose the reconciliation bill moving through Congress because of the impacts it would have on Medicaid and the individual market. AHIP executives said they will continue to work with other prominent healthcare organizations to convince lawmakers to protect federal health programs and help Americans remain ...

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Health Plans Take Action to Simplify Prior Authorization

New Commitments Aim to Accelerate Decision Timelines, Increase Transparency, Expand Access to Affordable, Quality Care

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