Cost Car

• Rates of US adults skipping needed care due to unaffordable costs rose to 12.4% in 2024, up from declines seen 2019-2021. • Forgone care varies by state, insurance type, and chronic disease status, exacerbating health disparities nationwide. • Gallup polls identify healthcare costs as the top health issue, surpassing access and obesity concerns for Americans.

• A Gallup poll reveals 61% of Americans are 'extremely' or 'very' concerned about rising healthcare costs and insurance premiums, now topping all other domestic issues. • Concern spans parties: 89% of Democrats, 80% of independents, and 72% of Republicans express high worry over healthcare affordability. • The finding surpasses fears about the economy or inflation, highlighting healthcare as a unifying voter priority ahead of elections.

• US healthcare costs for employers are forecasted to increase more than 9% in 2026, driven by regulatory changes, labor shortages, and rising demand. • Growing use of specialty drugs, particularly GLP-1 medications for weight loss and diabetes, significantly contributes to the cost surge. • Businesses face pressure to redesign benefits packages amid these economic pressures on public health spending.

• The share of Affordable Care Act customers in plans exceeding $6,000 yearly doubled following expiration of Covid-era assistance, signaling household budget pressures. • US Centers for Medicare and Medicaid Services data shows 2026 enrollment fell 5% to 23.1 million, with further drops expected from premium non-payers. • This cost surge underscores ongoing affordability challenges in the Obamacare marketplace post-subsidy end.

• A new analysis identifies Louisiana and Kentucky as among the most stressed US states in 2026, with stress levels significantly influenced by geographic factors. • Rising healthcare costs are forcing residents to skip medical care, contributing to elevated stress levels across affected regions. • The stress disparities highlight how healthcare affordability challenges vary by state, with geographic and economic factors playing key roles in residents' wellbeing and access to care.

• Patients and providers in Colorado reported rising health care costs due to Trump administration policies including H.R.1 Medicaid requirements and ended ACA tax credits, discussed at a March 25 virtual roundtable with Sen. John Hickenlooper. • Nearly 250,000 Coloradans risk losing Medicaid coverage, exacerbating rural health care deserts where 82% of hospitals operate on unsustainable margins, per Craig Memorial Regional Health CEO Jennifer Riley. • Uninsured patients will seek emergency care at the highest cost level, straining providers and worsening access, especially for women's health services.

• A new report reveals that rising healthcare costs are forcing approximately 1 in 3 US adults to reduce basic spending on essentials like utilities, transportation, and prescription medications. • The financial strain is most severe among uninsured Americans, with about 62% reporting they have made trade-offs to afford medical costs, while nearly 3 in 10 insured Americans also report cutting back. • The impact spans income levels: approximately half of households earning $48,000 to $180,000 have delayed major life decisions because of healthcare costs, and one-third of those earning $180,000 to $240,000 report similar delays.