Record health insurance enrollment on the 2025 exchanges driven by ACA subsidies faces uncertainty amid proposed federal cuts. CMS reports enrollment up 13%.

CMS issued final rules and updates for Medicare Advantage and Part D programs for 2026, including Inflation Reduction Act implementations and inpatient care protections.

The Trump administration is advancing plans to make Medicare Advantage the default enrollment for all Medicare recipients, raising concerns about beneficiary choice and increased costs to taxpayers.

Explore how conservative proposals to alter Medicare enrollment could boost Medicare Advantage participation, impacting program costs and market dynamics.

Federal workforce reductions have eliminated two ACA caseworker divisions, increasing resolution delays amid record 24 million ACA enrollees and upcoming regulatory changes.

CMS fines three PACE organizations totaling $142,788 for failure to meet essential service and documentation requirements, highlighting compliance challenges in managed care programs.

Federal workforce reductions within CMS are cutting ACA caseworker staff, risking delays in resolving coverage issues amid upcoming ACA regulatory changes. The strain impacts consumer support and marketplace stability.

CMS has cut two ACA caseworker teams amid federal staff reductions, risking longer resolution times for 24 million enrollees and raising concerns about fraud and policy change impacts.

Federal workforce cuts have reduced caseworker support for ACA enrollees, complicating resolution of health coverage issues as new rules increase complexity.

CMS finalizes key aspects of the 2026 Medicare Advantage and Part D programs rule, including expanded insulin coverage, payment plans, and new pharmacy requirements for network participation.