ACA Impacts

In the past week, the expiration of ACA subsidies has led to a surge in uninsured rates, with recent surveys indicating that one in ten 2025 ACA enrollees are now without coverage. This shift is exacerbated by rising healthcare costs, as nearly half of returning enrollees report their expenses have significantly increased, prompting potential cuts to essential household spending to maintain coverage. Tensions are rising among stakeholders, including payers and hospitals, in response to CMS's controversial proposal to include non-network plans in ACA exchanges, further complicating the benefits landscape for value-based care models and ACO strategies as they navigate these market disruptions. KFF follow-up survey and Health Leaders Media.