CMS wants to shake up ACA exchanges. Here's how.

The article focuses on the Centers for Medicare and Medicaid Services' (CMS) proposed rule to expand and reshape catastrophic health insurance plans under the Affordable Care Act (ACA). CMS aims to broaden eligibility for these high-deductible plans, allow insurers to raise annual out-of-pocket caps...

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Bibliographic Details
Published in:Modern Healthcare Vol. 56; no. 3; pp. 26 - 27
Main Author: Early, Bridget
Format: questions and answers Journal Article
Published: Crain Communications Inc. (MI) 3/9/2026
Online Access:View this record in EBSCOhost
Description
Summary:The article focuses on the Centers for Medicare and Medicaid Services' (CMS) proposed rule to expand and reshape catastrophic health insurance plans under the Affordable Care Act (ACA). CMS aims to broaden eligibility for these high-deductible plans, allow insurers to raise annual out-of-pocket caps, and permit policies lasting up to 10 years, diverging from current ACA regulations. Catastrophic plans, primarily for consumers under 30 or those with hardship exemptions, have lower premiums but high deductibles and do not qualify for subsidies. The proposals have sparked debate over their legality and potential market impact, with concerns about increased costs for consumers and insurers’ readiness for implementation.