If more people switch ACA plans, more people will be double counted.
 
This would artificially increase the number of “enrollees” who appear to have no claims.

Yup. This was one of the points I made a couple weeks ago in this piece:

acasignups.net/25/09/28/how...

I’m getting a lot of questions about notices insurers are sending out to ACA/Obamacare enrollees about premiums for next year.

I’m curious to see a notice letter if you have one and want to share. My DMs are open.

@louisenorris.bsky.social @kgmom219.bsky.social

The EDGE data used to show ACA “enrollees” without claims actually tracks “enrollments,” double-counting people who switch plans.

CMS says this causes a “small” overcount.

But EDGE enrollment totals are about 50% (11+ million) higher than other CMS enrollment data.

I have to agree with @cynthiaccox.bsky.social we have not passed the point of no return for the bulk of the financial damage of the 2026 Republican rate increases. It does require Congress to act with some speed. www.kff.org/quick-take/i...

⚡ KFF’s @cynthiaccox.bsky.social explains how Congress can still prevent the vast majority of ACA enrollees from facing higher premium costs — even if insurer premiums are already locked in. #QuickTake https://on.kff.org/46V968K

⚡ KFF’s @cynthiaccox.bsky.social explains how millions of people are expected to lose health insurance coverage over the next decade with cuts to Medicaid and the ACA in the reconciliation bill, as well as other ACA changes not in the bill. #QuickTake on.kff.org/3GrJ9V5

17 million people estimated to be without health insurance if the current version of the OBBBA under consideration by Senate passes, according to most recent CBO estimates. www.kff.org/quick-take/a... #healthinsurance #access #affordability @cynthiaccox.bsky.social @kff.org

Medicaid cuts put lives and communities at risk.

“Without Medicaid… I would be dead.”

Home care. Rural hospitals. Coverage for 100,000+ kids — all threatened.

The CBO says 16 million more could be uninsured by 2034.

The stakes couldn’t be higher.

If you want to understand how appropriating funding for ACA cost-sharing subsidies saves the government money and decreases premium assistance for enrollees, check out this analysis from 8 years ago by me and
@cynthiaccox.bsky.social.
www.kff.org/affordable-c...

Also unlike the ACA repeal debate, I am unsure how widely the projected loss of coverage for ~10 million people is known. The ACA debate was clearly healthcare focused. This time, I'm seeing lots of articles referencing the "budget bill," "policy bill," "tax bill," etc. The stakes are less clear.

Covered California (CA’s ACA marketplace) is projecting that 30% of people enrolled through Covered California will lose/drop marketplace coverage as a result of Republican cuts.

Again, I ask, where is the health care industry lobby?

This is 600,000 fewer marketplace plans in California, alone.

Per this estimate, the GOP bill would leave an extra 38,000 Mainers without health insurance - on top of the current figure of 82,000.

Maine hasn’t seen that number of uninsured people since ~2015 when the economy was much worse and LePage kicked folks off MaineCare.

#mepolitics

NEW: STATE BY STATE
How many more people might be #uninsured with the House GOP Reconciliation Bill?

www.kff.org/affordable-c... @kff.org @mattrae.bsky.social @jaredortaliza.bsky.social @alicelburns.bsky.social

All eyes are on #Medicaid, and for good reason. But the ACA #Obamacare Marketplaces are also expecting big coverage losses. @drewaltman.bsky.social @kff.org
www.kff.org/from-drew-al...

NEW: Many workers, especially those who work shifts or gigs, have volatile incomes.
ACA #obamacare enrollees with less predictable incomes could face coverage barriers and bigger penalties under the House GOP reconciliation package & other expected policy changes @kff.org www.kff.org/affordable-c...

Some provisions of the House reconciliation package aren’t getting much media coverage, but they could mean big changes for the Affordable Care Act
chirblog.org/the-sleeper-... @sabrinacorlette.bsky.social @jasonlevitis.bsky.social @clinkeyoung.bsky.social

KFF CEO @drewaltman.bsky.social is now on Blue Sky! Follow him for everything health policy @kff.org @kffhealthnews.org

Not necessarily buying these estimates but...of the changes/cuts CBO has analyzed, almost the largest impact on the uninsured--3.8m--comes from the least discussed change, not extending the enhanced ACA tax credits.

As this study shows, there are many areas of improvement needed in our healthcare system.

How has the quality of the U.S. healthcare system changed over time? www.healthsystemtracker.org/chart-collec... by @lynnemargalit.bsky.social @emmawage.bsky.social @cynthiaccox.bsky.social via @kff.org

(1/2) NEW: Enrollment in the ACA Marketplaces more than doubled since 2020, growing by 12.9M enrollees. Of that increase, 11.4M of the new enrollees (88% of the growth) are from states where President Trump won during the 2024 election. www.kff.org/policy-watch... @cynthiaccox.bsky.social

“If you have any concerns” about being infected with measles, “do not just show up at the pediatrician’s office. Do not just show up at the ER,” Brown said. “Call first so they can be prepared.”

www.nbcnews.com/health/kids-...

hello ok i am awake what did i miss
tell me every thing

Now that doctors have changed the way they screen for cervical cancer, many women are being told they tested positive for “high-risk” HPV. What does this mean? Does it give you a high risk of cancer? Does it mean the HPV shot failed? Learn more in my latest story!

www.nbcnews.com/health/cance...