ACA Crunch: Fraud, Price Spikes & Fixes — Breaking Points
Update: 2025-12-17
Description
When rising healthcare prices collide with expiring subsidies, politics and policy scramble — Krystal Ball and Saagar Enjeti decode the fallout with Brian Blae from the Paragon Health Institute. Original: 24 minutes | Condensed: 2 minutes. In this short summary you’ll learn why most exchange enrollees will still get large subsidies next year, but why a small group faces steep premium hikes that drive urgent headlines; how alleged improper enrollments and fraud (millions of questionable subsidized enrollees) complicate any clean extension of pandemic-era aid; and what targeted fixes experts recommend — from site-neutral Medicare payments and competition-restoring policies to redirecting aid into individual accounts. Hosts Krystal Ball and Saagar Enjeti press Blae on trade-offs between short-term relief and long-term market reforms, and whether a three-year clean extension will pass. Keywords: healthcare, Affordable Care Act, subsidies, Medicare, health policy, hospital consolidation, prices, fraud. Listen now to get the key ideas in minutes.
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