Pocket Broker

The article discusses the final 2027 payment rule issued by the U.S. Department of Health and Human Services (HHS), which introduces significant changes to marketplace coverage under the Affordable Care Act (ACA). Key changes include expanded access to catastrophic plans, new eligibility verification requirements, and the elimination of standardized plans. A new lawsuit has been filed challenging many of these changes, claiming they are contrary to the ACA. The article also highlights changes to state-based exchange standards and the proposed enhanced direct enrollment option for states, which was ultimately not finalized due to the complexity of feedback received.