Healthcare Policy & Regulatory Changes
Expert articles and analysis related to healthcare policy & regulatory changes.
AI Summary â Last 30 Days
In the last 30 days, significant shifts in value-based care (VBC) and Medicare policy have emerged as the new Trump administration prioritizes structural changes across healthcare delivery systems. CMS is moving to phase out traditional communication methods like fax and mail, which aligns with ongoing efforts to streamline data sharing and enhance digital interoperability in VBC initiatives. Meanwhile, proposed changes to ACA marketplace rules are raising concerns among hospitals about potential cost shifts, thus impacting payment models associated with Medicare Advantage Special Needs Plans, as highlighted in the report on the surge in MA special needs plans. These regulatory adjustments underscore the broader strategic repositioning towards more innovative financing and care delivery models, which are critical for ACOs and population health management strategies in this evolving landscape.
Related Articles
Providers urge CMS to scrap ACA exchanges overhaul
Providers urge CMS to scrap ACA exchanges overhaul  Modern Healthcare
Payers, hospitals pan CMS' plan to bring non-network plans to ACA exchanges
Payers, hospitals pan CMS' plan to bring non-network plans to ACA exchanges  Fierce Healthcare
Evidence Shows ACAâs Mandated Benefits Alone Donât Drive Up Costs. The Debate Continues.
The Affordable Care Act put in place a package of benefits that health insurance plans must cover. Critics contend this mandate has jacked up premiums. Evidence supporting that claim is mixed.
ACA Non-Network Plans: How Big of a Disruption?
On February 9, 2026, the US Department of Health and Human Services (HHS) released the proposed Notice of Benefit and Payment Parameters (NBPP) for 2027. Under the proposed rule, non-network plans wou...
ICD-10 Leniency Ends While MACRA Advances
ICD-10 Leniency Ends While MACRA Advances  AAPC
âNon-networkâ health plans see opportunity in ACA proposal
âNon-networkâ health plans see opportunity in ACA proposal  Modern Healthcare
Sixteen years after the ACA changed access to healthcare, millions are expected to lose coverage
Sixteen years after the ACA changed access to healthcare, millions are expected to lose coverage  HealthLeaders Media
Implications of Proposed NBPP on Bronze Plans
The proposed 2027 NBPP introduces a significant shift in ACA marketplace dynamics by allowing Bronze plans with higher-than-standard out-of-pocket maximums, enabling ultra-low actuarial value designs ...
Millions of Americans are going uninsured following expiration of ACA subsidies
Millions of Americans are going uninsured following expiration of ACA subsidies  Health Leaders Media
Many ACA Customers Are Paying Higher Premiums. Most Blame Trump and Republicans, Poll Finds.
A KFF poll offers insights into peopleâs insurance coverage decisions and how those choices could play into their vote in Novemberâs midterm elections.