The Gist Healthcare Podcast Wednesday, October 1, 2025
Oct 1, 2025
Unpack the tense political drama around extending Affordable Care Act tax credits as lawmakers scramble to avert a shutdown. Discover how a new agreement between the Trump administration and Pfizer aims to cut drug prices for Americans. Dive into the competitive landscape of AI in healthcare, where lawsuits are flying over alleged code theft and market strategies. A mix of policy, pricing, and tech rivalry makes for a riveting discussion!
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ACA Subsidy Cliff Threatens Enrollment
- Enhanced ACA premium tax credits drove historic exchange enrollment during their expansion.
- Those subsidies expire at year-end unless Congress permanently extends them.
Prepare For CMS Contingency Impacts
- Prepare for a possible shutdown because CMS will suspend many exchange functions during a lapse.
- Expect outreach, surveys, certifications, and new regulations to be delayed or halted under contingency plans.
Programs Face Legal Expiration Risk
- Key legal authorities for certain health programs could lapse if Congress doesn't act.
- These include telehealth reimbursement, hospital-at-home payments, and elevated safety-net hospital rates.