GAO report exposes broker fraud in ACA Marketplace. CMS's enforcement and oversight shortcomings prompt Congressional inquiry into fraud prevention and consumer protection.

CMS issues proposed rule for 2027 Medicare Advantage and Part D, including STAR rating updates, special enrollment flexibilities, and enhanced data access. Comments due Jan 2026.

Explore the challenges of ghost networks in Medicare Advantage and Medicaid managed care, highlighting network adequacy issues, limited CMS enforcement, and upcoming data transparency rules.