Episode #262
ACA Marketplace Turbulence: Fraud, Brokers, and Coverage Loss
This episode is brought to you by Semafor Healthcare. Delivered weekly from David Lim, Semafor Healthcare connects the dots between decisions in government, business, and technology to reveal how they impact the future of healthcare. Each edition will provide the analysis you need to understand and stay ahead of a rapidly changing landscape. Subscribe for free . Health Affairs Publishing's Jeff Byers welcomes Senior Editor Meg Winchester back to the pod to discuss the Trump administration's decision to terminate ACA marketplace coverage for more than 760,000 people as part of a broader effort to combat fraud, waste, and abuse. They examine how the disenrollments were carried out, the potential implications for consumers and insurers, and what the move could mean for the future stability of the ACA marketplaces. Join Health Affairs Publishing on October 21 for an Insider exclusive event exploring risk adjustment, coding incentives, spending, and outcomes with Richard Kronick and Matthew Fiedler . Related Links: Administration Cancels Coverage For More Than 760,000, Blocks New Agents And Brokers ( Health Affairs Forefront ) Withholding Medicaid Dollars Won’t Stop Fraud. It Will Hurt People ( Health Affairs Forefront ) The Troubling Termination Of 760,000 ACA Marketplace Members ( Health Affairs Forefront ) Semiannual Report to Congress ( HHS ) ACA Exchange Enrollment in 2026 ( ASPE ) Sign up for Health Affairs' free newsletter to catch up on our new articles, podcasts, and events. Subscribe to Semafor Healthcare for free .
