CMS Releases Final Rule To Address ACA Exchange Enrollment Fraud, Saving ACA Enrollees 5% 

The Centers for Medicare & Medicaid Services (CMS) released the 2025 Marketplace Integrity and Affordability Final Rule. Its stated aim is to reduce individual health insurance premiums by approximately 5% on average and save taxpayers up to $12 billion in 2026. The rule addresses what CMS describes as widespread fraud in Affordable Care Act (ACA) Exchange enrollments.;

CMS states that an estimated five million people may have been improperly enrolled in 2024, potentially costing taxpayers $20 billion. The rule includes temporary measures that will sunset at the end of the 2026 plan year to address immediate concerns while ensuring . . .