The GAO's latest findings reveal ongoing fraud risks in the ACA's advance premium tax credit program, highlighting vulnerabilities in enrollment controls and CMS fraud management strategies.

Congress faces a critical deadline as ACA subsidies near expiration, risking coverage loss for millions. Legislative hurdles and partisan divisions complicate efforts to extend subsidies before 2025.

Explore the Affordable Care Act's effects on healthcare affordability, coverage expansion, and the ongoing debate over its role in U.S. health insurance costs and market dynamics.

CMS proposes 2027 Medicare Advantage star ratings changes, removing Health Equity Index, adding depression screening measure, and refining enrollment policies to enhance care quality and plan comparisons.

Rising Medicare Advantage enrollment among dialysis patients following the 21st Century Cures Act presents new challenges in care coordination, provider access, and regulatory oversight, impacting insurers and policymakers.

This analysis explains how ACA subsidies make health insurance affordable by capping participant costs at 8.5% of income and supporting those above 400% of the federal poverty level. It discusses the challenges and compromises of the ACA in the U.S. insurance market.

Nearly 70 million Medicare beneficiaries face the approaching open enrollment deadline. Learn how to navigate Medicare.gov for enrollment and potential cost savings.

The Department of Health and Human Services ends the Richardson Waiver, impacting public notice and comment in healthcare rulemaking. Industry groups express concerns over transparency and stakeholder engagement.

CMS released 2027 proposed Medicare Advantage rules focusing on simplifying Star Ratings, expanding risk adjustment data use, and streamlining reporting requirements.

CMS releases the Calendar Year 2026 OPPS-ASC Final Rule, impacting Medicare reimbursement rates for hospital outpatient services, radiopharmaceuticals, and 340B drug pricing.