Insurers May Balk at ACA Exchange Rule’s Impact on Enrollment

  • Mar 14, 2025

    In the first Affordable Care Act regulation issued since President Donald Trump started his second term, CMS on March 10 unveiled a set of proposals that experts say would add new coverage hurdles for consumers — and may concern health insurers that want their business.  

    “It’s not like the Trump administration is looking to hide the ball,” says Zachary Baron, director of the Center for Health Policy and the Law at Georgetown University’s O’Neill Institute. “They’re pretty clear here that they do see this as going to increase burden on consumers and decrease enrollment.” 

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  • Leslie Small

    Leslie has been working in journalism since 2009 and reporting on the health care industry since 2014. She has covered the many ups and downs of the Affordable Care Act exchanges, the failed health insurer mega-mergers, and hundreds of other storylines spanning subjects such as Medicaid managed care, Medicare Advantage, employer-sponsored insurance, and prescription drug coverage. As the managing editor of Health Plan Weekly and Radar on Drug Benefits, she writes and edits for both publications while overseeing a small team of reporters who also focus on the managed care sector. Before joining AIS Health, she was a senior editor for the e-newsletter Fierce Health Payer, and she started her career as a copy editor at multiple local newspapers. She graduated with a dual degree in journalism and political science from Penn State University.

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