Higher Premium Payments or Higher Deductibles: The Tradeoffs ACA Enrollees Face By Emma Wager Twitter, Justin Lo, and Cynthia Cox Twitter January 14, 2026

Higher Premium Payments or Higher Deductibles: The Tradeoffs ACA Enrollees Face By Emma Wager Twitter, Justin Lo, and Cynthia Cox Twitter https://www.healthsystemtracker.org/brief/higher-premium-payments-or-higher-deductibles-the-tradeoffs-aca-enrollees-face/?utm_campaign=KFF-This-Week&utm_medium=email&_hsenc=p2ANqtz-8ijVIuCYTyY-GWr-iAMea8q6MLqydScIIIWu9yvtrhkjXKviJAKBsDGVTjzfcx9ZI0j-xmiRqaziNayPSKDB9Zb9pz8A&_hsmi=398943376&utm_content=398943376&utm_source=hs_email January 14, 2026 Some Affordable Care Act (ACA) Marketplace enrollees are choosing between plans that charge higher premium payments and plans with higher deductibles. Many enrollees are considering these tradeoffs following the expiration of the ACA’s enhanced premium tax credits at the end of 2025, according to a new Health System Tracker analysis. President Trump Proposes Codifying MFN Drug Pricing Deals But Key Details Are Missing https://www.kff.org/quick-take/president-trump-proposes-codifying-mfn-drug-pricing-deals-but-key-details-are-missing/?utm_campaign=KFF-This-Week&utm_medium=email&_hsenc=p2ANqtz-9zYKQlu7zvZ9M_lTxq1YwQFyncQ2YJRoFBsJhnIKTI5Opd6i1g58GkSo3esgTlCbjP_0kN74rJXi8SWbwGNz812V7eOQ&_hsmi=398943376&utm_content=398943376&utm_source=hs_email Juliette Cubanski, Deputy Director, Program on Medicare Policy: "While codifying most-favored-nation drug pricing could be helpful for bringing more transparency to these arrangements and guaranteeing that drug companies will deliver on what they’ve promised, policymakers would need substantially more information to turn these backroom voluntary deals into law." The ‘Great Healthcare Plan’ Leaves Open Questions for People with Pre-existing Conditions https://www.kff.org/quick-take/the-great-healthcare-plan-leaves-open-questions-for-people-with-pre-existing-conditions/?utm_campaign=KFF-This-Week&utm_medium=email&_hsenc=p2ANqtz-85-fvTdH7PWgrOc7OMunVz7DRhIENRdDHKEV1Xmm8_8xWxyuKxPoEH5QewZRE4ov-tYuGMMXEK9entNsV8xxTGpg2xAw&_hsmi=398943376&utm_content=398943376&utm_source=hs_email Cynthia Cox, Senior Vice President, Director of the Program on the ACA: "Until the 'Great Healthcare Plan' takes shape and details are filled in, it leaves open questions about out-of-pocket costs, premiums, federal spending, and health coverage for people with pre-existing conditions." Larry Levitt, Executive Vice President for Health Policy: https://bsky.app/profile/larrylevitt.bsky.social?utm_campaign=KFF-This-Week&utm_medium=email&_hsenc=p2ANqtz-9alWN5iAq3Me1HBn2hap-Gijfpwv2yxLn9CB3d90SlP96830rqVGxrE_7TEKp1Udo_--doC5eFpNW4Gyq_SZ0poda9QA&_hsmi=398943376&utm_content=398943376&utm_source=hs_email "President Trump’s 'Great Healthcare Plan' includes some ideas with bipartisan support, like more price transparency and regulating pharmacy benefit managers. But, they’re wrapped in partisan proposals that would undermine the ACA."