Cost Metrics

Over the past week, emerging cost concerns have intensified among Affordable Care Act (ACA) Marketplace enrollees, with a new KFF survey indicating that 51% report their health care costs are significantly higher since the expiration of enhanced premium tax credits. This surge in costs has implications for value-based care programs, particularly for Accountable Care Organizations (ACOs), as many enrollees are expected to cut back on basic household expenses to afford coverage, potentially leading to adverse effects on population health management efforts. Additionally, Moody's has presented a negative outlook for insurers in 2026 due to ongoing cost pressures, which could influence payment models and further strain provider-payer dynamics in the evolving landscape of Medicare and Medicaid policy. For further insights, see the KFF survey results here and Moody's industry outlook here.