Healthcare Policy & Legislative

In the past week, notable issues surrounding the Affordable Care Act (ACA) have emerged, as millions of Americans face increased costs and dwindling coverage options due to the expiration of enhanced premium tax credits, resulting in a surge of uninsured individuals. The KFF reports that one in ten ACA enrollees in 2025 are now uninsured, with many citing significantly higher premiums and out-of-pocket expenses, underscoring growing financial pressures that directly affect value-based care initiatives (KFF follow-up survey). Compounding these challenges, CMS has proposed a controversial plan to introduce non-network plans to ACA exchanges, which has drawn criticism from payers and hospitals, raising concerns about potential disruptions in care continuity and provider relationships crucial for the success of ACOs and other value-based payment models (Fierce Healthcare.