The Centers for Medicare & Medicaid Services Feb. 9 released its 2027 proposed standards for the health insurance marketplaces, including the issuers and brokers who assist marketplace enrollees. Notably, the proposed rule would allow CMS to certify non-network health plans as qualified health plans, beginning in plan year 2027. The proposed rule also would repeal the standardized plan options and would allow states to establish a new exchange option known as the State Exchange Direct Enrollment option. Many of the policies proposed build on changes finalized in the 2025 Marketplace Integrity and Affordability rule. CMS is accepting comments for 30 days following publication in the Federal Register.

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The Centers for Medicare & Medicaid Services has released an updated report on complaint data and enforcement of health insurance market reforms. CMS said…
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A survey released June 4 by the Commonwealth Fund on insurance coverage denials found that 1 in 5 privately insured U.S. adults reported that they or a family…
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The House Education and Workforce Committee May 21 unanimously passed the Transparency in Billing Act (H.R. 8684). The bill would require off-campus hospital…
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A KFF analysis published May 19 examined early indicators of how the expiration of the enhanced premium tax credits has impacted effectuated enrollment levels…
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The Centers for Medicare & Medicaid Services May 15 released its 2027 final standards for the health insurance marketplaces, including the issuers and…
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A blog by Noah Isserman, AHA director of health insurance and coverage policy, explains why Anthem’s nonparticipating provider policy limits patients’ …