The Gist Healthcare Podcast Wednesday, November 19, 2025
Nov 19, 2025
Medicare Part B premiums are set to rise 10% next year, impacting beneficiaries' cost-of-living adjustments. Meanwhile, the White House is negotiating to extend enhanced ACA tax credits amidst a challenging political landscape. A federal judge has approved Purdue Pharma's bankruptcy plan related to the opioid crisis, resulting in a $7 billion settlement. Additionally, GoodRx is stepping into the GLP-1 telehealth market, promising new weight-loss solutions. It's a whirlwind of healthcare updates!
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Medicare Part B Premium And Deductible Hike
- Medicare Part B premiums will rise to $202.90 in 2026, a near 10% increase over this year.
- CMS expects to collect about $14 billion from the increase and raised the deductible to $283.
Debate Over Extending ACA Enhanced Tax Credits
- The White House is discussing extending enhanced ACA tax credits but wants fraud and waste issues addressed first.
- Without a deal, millions on the exchange could face higher premiums in 2026 as credits expire.
Market Premiums Could Spike If Credits Expire
- Insurers had already planned average premium increases of about 26% for 2026, compounding the impact if credits lapse.
- About 22 million of 24 million marketplace enrollees currently receive enhanced tax credits.