xpostfactoid
Andrew SprungMostly about the ACA: Obamacare to Trumpcare to Bidencare
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xpostfactoid.substack.comLatest Issues
ACA enrollment erosion update
Last week, Paige Cunningham at Notus reported that effectuated ACA marketplace enrollment in April was down 21% from end-of-OEP plan selection totals in the 30 states using HealthCare.gov. For all states, April totals were 17% below end-of-...
Fascism, with vending machines
Those chairs are provided by volunteers
Forgive me for going off-topic once more to report what I’ve witnessed at Delaney Hall, the immigration detention center in Newark, NJ, operated by Geo Group. I am a regular visitor to one young man...
CSR forsaken: Long-term trends and 2026 changes in the ACA marketplace
When considering how the most seismic changes in the ACA marketplace’s 13-year history have shaken out, it’s important to keep in mind that the market mainly serves very low-income people. Consider*:
- 64% of all marketplace enrollees in...
Republicans in Congress want to strip-mine the Texas ACA marketplace to pay for war against Iran
Silver load, RIP?
To fund Trump’s depraved, immoral and illegal assault on Iran, Axios reports that a Texas sage is proposing a fresh cut to ACA marketplace premiums:
House Budget Committee Chairman Jodey Arrington (R-Texas) is reviving...
Low-income ACA enrollees shifted heavily from high-CSR silver to bronze in 2026
Charles Gaba, via a trick that presents itself to the highly motivated, has got hold of the 2026 Public Use Files (PUFs) for the ACA marketplace before they’re officially announced and has parsed them 26 ways. He’s also kindly shared the tr...
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Writing about healthcare policy at https://xpostfactoid.blogspot.com https://www.healthinsurance.org/authors/andrew-sprung/ and elsewhere
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