Payer executives expect limited change in ACA subsidies

Becker's Healthcare November 15, 2024
Rylee Wilson

Payer executives expressed confidence in the continuation of enhanced subsidies in some form past 2025.

Enhanced subsidies, which help individuals with incomes up to 400% above the federal poverty line afford coverage, will expire at the end of 2025 without Congressional action.

The subsidies have spurred record enrollment in ACA plans.

Republicans will control the presidency and both chambers of Congress in 2025, and could let the enhanced subsidies sunset, according to The New York Times.

However, on a Nov. 9 call with executives transcribed by Seeking Alpha, Oscar Health CEO Mark Bertolini said the company believes both parties have an incentive to extend the subsidies.

“We’re currently at historic low in the U.S. of...

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