Episode Details

Missouri’s health insurance enrollment plummeted by nearly 25% in February, with 86,500 fewer people signing up for ACA marketplace plans — the steepest drop since the pandemic — as enhanced tax credits expired and premiums soared. Kansas saw a similar plunge. Experts blame affordability, not fraud, pointing to higher-income enrollees hit hardest by premium spikes. Insurers are now projecting 14% average rate hikes for 2027, forcing tough choices: pay more, buy less coverage, or go uninsured — a trend that could destabilize the insurance pool and make care even less accessible.

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