NEWS

Key Takeaways: Trump administration reverses course —CMS plans to cancel the Excellent Health Outcomes for All (EHO4all) metric and restore the reward factor that benefits consistently high-performing plans 12 quality measures eliminated —Administrative metrics with minimal variation between plans are being cut starting with 2029 ratings $13 billion windfall —The proposed changes will drive an additional $13.2 billion to Medicare Advantage insurers between 2028 and 2036 Star

The Medicare payment landscape just shifted beneath our feet. If you're not prepared for the 2026 Hospital Outpatient Prospective Payment System (OPPS) changes, you're already behind the conversation your clients and competitors are having. When the Centers for Medicare & Medicaid Services (CMS) finalizes payment regulations, the implications cascade through every layer of the health care marketplace. For insurance carriers balancing network adequacy with cost management, age

What if the most significant changes to health insurance enrollment in years happened with just a one-month shift in a deadline? The Affordable Care Act (ACA) marketplace stands at a crossroads. With regulatory proposals from the Trump administration aiming to reshape enrollment windows and subsidy verification processes, insurers, agents, and digital marketers face a landscape that's both challenging and full of opportunity. Understanding these changes and their ripple effe