Sweeping Affordable Care Act Changes Proposed for 2027 (Katie Keith)

Original Description

Health Affairs’ Jeff Byers welcomes Georgetown University’s Katie Keith back to the podcast to break down the newly proposed HHS rule that could bring major changes to the ACA beginning in 2027.

They discuss the proposal’s biggest shifts, including a major push toward expanding catastrophic plans, new marketplace eligibility restrictions tied to the One Big Beautiful Bill Act, and potential impacts on premiums, marketplace enrollment, insurers, and consumers.

Related Links:

* HHS Proposes Sweeping Changes for 2027 Marketplace Plans (Part 1) ( https://www.healthaffairs.org/content/forefront/hhs-proposes-sweeping-changes-2027-marketplace-plans-part-1?utm_medium=podcast&utm_source=this+week&utm_campaign=forefront ) (Health Affairs Forefront)

* HHS Proposes Sweeping Changes for 2027 Marketplace Plans (Part 2) ( https://www.healthaffairs.org/content/forefront/hhs-proposes-sweeping-changes-2027-marketplace-plans-part-2?utm_medium=podcast&utm_source=this+week&utm_campaign=forefront ) (Health Affairs Forefront)

* Trump Team’s Planned ACA Rule Offers Its Answer to Rising Premium Costs: Catastrophic Coverage ( https://kffhealthnews.org/news/article/aca-trump-proposal-catastrophic-coverage-premiums-care-networks/ ) (KFF Health News)

* CMS proposes sweeping ACA exchange rule ( https://www.healthcaredive.com/news/cms-aca-rule-catastrophic-plans-standard-plans/811838/ ) (Healthcare Dive)

Health Affairs This Week

Episode 234

February 16, 2026

★ Episode details: https://share.transistor.fm/s/fdc2df03

★ Additional episodes: http://www.healthaffairs.org