US EditionHealth care will get more expensive for some in 2026 – and cheaper for others
Medicare drug costs drop over 50% on average due to negotiated prices, while ACA premiums may rise by up to 114% as enhanced subsidies expire, experts say.
- Starting Jan. 1, Medicare enrollees will see lower drug costs, while ACA enrollees face higher premiums and coverage uncertainty in 2026.
- The Inflation Reduction Act of 2022 gave Medicare authority to negotiate drug prices, while Republican lawmakers in Congress and President Donald Trump cut Medicaid funding and ended ACA subsidy extensions.
- AARP's report found out-of-pocket costs for the negotiated drugs will fall next year by more than 50% on average, covering the 10 costliest drugs including Eliquis and Xarelto, used by nearly 9 million older adults.
- KFF analysis found some people could pay up to 114% more in premiums next year, early enrollment data show more ACA enrollees leaving coverage, and low-income adults in non-expansion states remain in a 'coverage gap'.
- Larry Levitt said there may be hope if Congress extends subsidies next year, retroactive to Jan. 1, while the administration uses tariff threats and TrumpRx.gov to lower drug prices.
26 Articles
26 Articles
NBC Chicago
Health care will get more expensive for some in 2026 – and cheaper for others
A major health care divide is coming in 2026. Some Americans may finally catch a break on rising costs, as the first negotiated Medicare drug prices go into effect. Others will end up paying more, as Affordable Care Act tax credits expire and Medicaid coverage becomes more uncertain amid drastic cuts in state funding. The divide is the result of decisions made by the last two administrations. In 2022, President Joe Biden signed the Inflation Red…
Telemundo 20
In 2026, there is a major gap in health care. Some Americans may eventually see a relief in rising costs as Medicare’s first negotiated drug prices will come into effect. Others, on the other hand, will end up paying more, due to the expiration of tax credits from the Affordable Health Care Act and the growing uncertainty about Medicaid coverage in the face of drastic cuts in state funding. The division is the result of decisions made by the las…
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