Debunked Episode 22: With ACA Subsidies Set to Expire and the Open Enrollment Window Closing, Members of Congress Brainstorm Alternatives

What are the alternatives to extending ACA subsidies for the 22 million people who purchase health plans on the ACA Marketplace? That’s the focus of the latest episode of the Debunked podcast, hosted by MedCity News Editor in Chief Arundhati Parmar and Samir Batra, managing partner of Health Innovation Pitch. The post Debunked Episode 22:…

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Tracking Applications for Rural Health Transformation Funds

Since the Nov. 5 deadline passed for states to apply for their shares of the new $50 billion federal Rural Health Transformation Program funding, officials at the Centers for Medicare & Medicaid Services have declined to publicly release the applications. Federal officials are using those submissions, most of them more than 100 pages long, to decide how to divide the…

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Modern Interoperability: How APIs Can Heal a Fragmented System

The go-to mechanisms for differential payment – network design, case management, quality measurement and prior authorization – increasingly rely on APIs capable of handling not only claims data but, more importantly, the clinical data critical to intelligent decision-making. The post Modern Interoperability: How APIs Can Heal a Fragmented System appeared first on MedCity News.

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Republicans Left Tribes Out of Their $50B Rural Fund. Now It’s Up to States To Share.

The Trump administration is touting its $50 billion Rural Health Transformation Program as the largest-ever U.S. investment in rural health care. But the government made minimal mention of Native American tribes in sparsely populated areas and in need of significant improvements to health care access. Federally recognized tribes can’t directly apply for a share of…

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Poll: 1 in 3 ACA Marketplace Enrollees Say They Would “Very Likely” Shop for a Cheaper Plan If Their Premium Payments Doubled; 1 in 4 Say They “Very Likely” Would Go Without Insurance

If the amount they pay in premiums doubled, about one in three enrollees in Affordable Care Act Marketplace health plans say they would be “very likely” to look for a lower-premium Marketplace plan (with higher deductibles and co-pays) and one in four would “very likely” go without insurance next year, finds a new survey of…

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2025 KFF Marketplace Enrollees Survey

This survey explores how ACA Marketplace enrollees expect to respond if their premium payments doubled as expected in 2026 when enhanced premium tax credits are set to expire. About a third would very likely look for a lower-cost plan, even if it had higher deductibles, and about a quarter would very likely end up uninsured….

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