Relevant and even prescient commentary on news, politics and the economy.

States Mitigating Lost Federal Tax Credits

Excellent commentary and explanation by Michigan’s Charles Gaba. Charles has been writing on the ACA and healthcare for years going back to when I lived in Michigan. He offers up excellent knowledge and explanation on the topic of states reacting to the lack of tax credits for their citizens, “There Will Be Graphs: A deeper […]

The Republican House Bill is More Than Cuts to Medicaid

Charles Gaba (former Michigan neighbor) at ACA Signups gives an excellent take on what is going to happen once subsidies disappear at year end, cuts to Medicaid, and increased premiums for ACA insurance. And yes, I said increased ACA insurance premiums. Charles states there will be people leaving the ACA due to premium increases. I […]

Just Some News on RFK Firing the Entire CDC Vaccine Advisory Panel

ACA Expert; Charles Gaba, April 22, 2025 My Monkey’s Paw prediction is coming true: RFK Jr. fires entire CDC vaccine advisory panel | ACA Signups So, all of that was last summer. Skip ahead ten months and voila, the U.S. Supreme Court did indeed hear arguments in the case yesterday…and while the headline from the AP […]

Michigan: Cuts to Medicaid will increase costs for hospitals and small businesses, and strain the state budget

A followup to Andrew Sprung’s (xpostfactoid) piece on the impact to individuals. This is one report of many detailing what will happen in one state, the state of Michigan. Multiply this many times over to begin to understand why a Tax Break bill failing to pay for itself (passed under Reconciliation) is not so necessary […]

Eleven* Years of #ACA Medicaid Expansion in One Image

Eleven* Years of #ACA Medicaid Expansion in One Image, ACA Signups, Charles Gaba I just posted a colorful graph which tracked ACA Qualified Health Plan (QHP) enrollment over eleven years of Open Enrollment Periods. Below I’ve done the same thing for ACA Medicaid Expansion. The data comes from the Centers for Medicare & Medicaid Services quarterly Medicaid […]

Biden-Harris Admin announces over 21.6M ACA enrollees thru 12/23

What Charles is telling us is the 21+ million new ACA enrollees is a record. What he also adds at the end of his commentary is this is not the final number. There are more uncounted enrollees to be added to this number from after Christmas. Record year for healthcare coverage. This is good news. […]

trying to “terminate” healthcare coverage for over 40 million Americans

Healthcare in the United States of America has always been difficult and the costs are commercially driven with some give to what the market will bear. While not perfect, the ACA was a huge step forward in providing affordable healthcare. Unfortunately, Ted Kennedy died shortly afterwards. Senator Kennedy was also advocating for Long Term Care. […]

CMS Releases June 2023 enrollment data: Medicaid/CHIP enrollment dropping

Charles Gaba at ACA Signups in Michigan has been doing the yeoman’s labor of tracking Medicaid, Chips (for children) and the ACA. A good blog to read. He is my go-to person for information on the ACA, etc. CMS releases June 2023 enrollment data: Medicaid/CHIP enrollment dropped another 1.2 million as #MedicaidUnwinding ramped up, ACA […]

Update on CMS implementation of the Inflation Reduction Act on its 1st anniversary

Passing along information on Biden’s Inflation Reduction Act, one year out, and the impact on the US. Update on CMS implementation of the Inflation Reduction Act on its 1st anniversary, ACA Signups, Charles Gaba via the Centers for Medicare & Medicaid Services (CMS) (note: this press release actually came out on August 16th):

Insurance Carriers Are About To Rebate Another $1.1 Billion To Policyholders Thanks To The ACA

My old Michigan standby on the PPACA. If there was something I needed to know, I could always count on Charles knowing the answer. I believe some of the state and federal politicians also relied on Charles for information. What is also kind of cool is Michigan Governor Gretchen Whitmer issuing a directive on Medicaid […]