Updated
Updated · The New York Times · Jul 30
Hospitals Report 20% Jump in Uninsured Patients as Obamacare Enrollment Falls 3 Million
Updated
Updated · The New York Times · Jul 30

Hospitals Report 20% Jump in Uninsured Patients as Obamacare Enrollment Falls 3 Million

3 articles · Updated · The New York Times · Jul 30

Summary

  • Hospital systems said uninsured patient volumes have risen sharply this year—by about 20% in some cases—driving more emergency-room visits, unpaid bills and charity care.
  • Executives tied the surge to reduced Affordable Care Act subsidies after Congress ended the more generous pandemic-era tax credits, leaving many consumers paying significantly more for 2026 coverage.
  • Government figures show Obamacare enrollment has dropped by about 3 million, or 13%, since the start of the year, and insurers expect further attrition.
  • Large nonprofit and for-profit chains said the shift is already cutting revenue by hundreds of millions of dollars nationwide, with some patients also delaying elective procedures such as knee replacements.

Insights

If ACA premiums and deductibles keep rising, will more patients skip care and push hospital bad debt even higher next year?
Are coverage losses mainly an affordability crisis, or partly the result of stricter cleanup of improper ACA enrollments?