xpostfactoid

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Downhill slope: gradual or steep?
While the ACA marketplace’s Open Enrollment Period (OEP) for 2026 is wrapping up with a relatively modest drop of about 5% from OEP 2025, marketplace observers expect the losses to deepen as the year progresses. That’s primarily for two reasons: 1) most...

Note: Free xpostfactoid subscription is available on Substack alone, though I will continue to cross-post on this site. If you're not subscribed, please visit xpostfactoid on Substack and sign up.
Families USA launches a campaign
The mood was grim but determined at Families USA’s Health Action 2026 conference in D.C. last week. Broadly speaking, the focus was dual: mitigating the harm wrought by Republicans’ $1 trillion-plus cuts to Medicaid and the ACA marketplace (and RFK Jr...

Note: Free xpostfactoid subscription is available on Substack alone, though I will continue to cross-post on this site. If you're not subscribed, please visit xpostfactoid on Substack and sign up.
Will Plan Year 2025 forever be Obamacare's Babe Ruth?
Charles Gaba has issued a timely warning that most of the enrollment loss in the ACA marketplace this year, resulting from expiration (so far) of the enhanced premium subsidies funded only through 2025, will only be evident after CMS releases its first...

Note: Free xpostfactoid subscription is available on Substack alone, though I will continue to cross-post on this site. If you're not subscribed, please visit xpostfactoid on Substack and sign up.
Yesterday I came across a post by an Obamacare enrollee who in 2026 fell off the newly restored “subsidy cliff” -- the income threshold above which premium subsidies are once again unavailable....