Marketplace Issues/Stability
The AHA and the Federation of American Hospitals Nov. 18 released a study conducted by Dobson | DaVanzo, underscoring the threat to patient care by expanding physician-owned hospitals in rural communities.
The health care field has entered a period of disruption, from sweeping coverage changes to the rise of artificial intelligence (AI)-enabled tools.
The enhanced premium tax credits (EPTCs) help middle-class Americans purchase affordable, comprehensive coverage on the Health Insurance Marketplace. These tax credits are set to expire at the end of 2025, putting millions of families at risk of higher costs and coverage losses.
The AHA Aug. 28 published a blog responding to a series of reports from the Paragon Health Institute alleging large-scale “fraud” in health care, this time focusing on enrollment in the Health Insurance Marketplace.
It is imperative that policymakers understand that Paragon developed their allegations of large-scale “fraud” in health care using inaccurate data, dubious assumptions, and an apparent lack of understanding of how health insurance actually works.
Health Insurance Marketplace insurers will propose a median premium increase of 15% for 2026, according to an analysis of preliminary rate filings published July 18 by the Peterson Center on Healthcare and KFF.
AHA President and CEO Rick Pollack joined me for a Leadership Dialogue conversation to help us understand the key provisions that apply to health care.
The Centers for Medicare & Medicaid Services June 20 finalized its 2025 Marketplace Integrity and Affordability rule, intended to establish new standards for the health insurance marketplaces and address improper and fraudulent enrollments.
The Senate Committee on Finance has released bill text for its portion of the budget reconciliation bill. It appears that the provisions further undermine the ability for hospitals to provide care to Medicaid patients.
The House-passed One Big Beautiful Bill Act (OBBBA, H.R. 1) makes significant changes to the Affordable Care Act (ACA) marketplaces that would lead to millions of people losing their coverage and becoming uninsured.