Daniel Kuperstein

Employee benefits attorney tweeting on legislative & regulatory developments & trends. What I write here isn't legal advice. The views expressed are my own.

[AHIP @AHIPCoverage]

Hospital spending now tops $1.6 trillion — the single largest driver of insurance premiums. Anticompetitive hospital consolidation, unpredictable pricing, and private equity takeovers are fueling the rise at Americans' expense. https://t.co/0zwEiTQTI1

[Gideon Lukens @GidLukens]

Directly funding cost-sharing reductions (CSRs), as Republicans are apparently considering, would INCREASE out-of-pocket premiums for millions of #ACA marketplace enrollees, cut funding by tens of billions of $, and leave hundreds of thousands of ppl uninsured.

[Corporate Synergies @Corp_Syn]

Federal ACA updates, with current obligations & smarter strategies to reduce exposure on our #webinar 6.17.26: #ACA Benefits Compliance Updates for Employers & Plan Sponsors with @dkuperstein. REGISTER: https://t.co/doNygEuTaM

[Matt McGough @mcgough_matthew]

For 2027, even more insurers are leaving the Marketplace. As of early June, six carriers have announced exits: Cigna, CareSource, PacificSource, Scott and White, Providence Health, and Taro Health. Cigna alone is leaving 11 states.

https://t.co/eHjmBHESOJ

[Corporate Synergies @Corp_Syn]

CE WEBINAR: ERISA Attorney @dkuperstein reviews ICHRAs, preventive care mandates & reporting, with practical guidance. Join us for Employer #ACA Benefits Compliance Updates on 6.17.26. REGISTER: https://t.co/doNygEuTaM

[Daniel Kuperstein @dkuperstein]

Marty Makary resigns as FDA commissioner after internal tensions: https://t.co/5Q7E2D7LJk

[Chris “Law Dork” Geidner @chrisgeidner]

BREAKING: Justice Sam Alito issues an administrative stay of the Fifth Circuit’s mifepristone ruling through 5p ET May 11, setting briefing for this week.

The stay means the mifepristone can be mailed currently. The FDA’s 2023 REMS is in effect during the stay.

[Larry Levitt @larry_levitt]

One or two health systems control the entire market for inpatient hospital care in almost half of metropolitan communities.
https://t.co/1HMni8QqVx

[Larry Levitt @larry_levitt]

We don't have good data from the federal government yet on ACA enrollment following the expiration of enhanced premium subsidies. But, the leading ACA insurer, Centene, says its enrollment has dropped from 5.5 million at the end of last year to 3.6 million.
@FierceHealth

[Thomas Rid @RidT]

M Street and Wisconsin in Georgetown taken over by a large crowd of celebrating Iranians, chanting USA USA … not what I was expecting during my run today.

[Dr. Maalouf ‏ @realMaalouf]

It’s 1 AM in Iran right now and everyone is out in the streets celebrating.

Iranians deserve a life with freedom. 🦁

[Bill Ackman @BillAckman]

46 million working Americans don’t have a 401k plan, pension plan or other savings plan for their retirement.

Tonight, President @realDonaldTrump announced that he was going to create a savings plan that will model that of the Thrift Savings Plan https://t.co/NE92ZiEYc8 for government employees. Let’s call it the Trump Savings Plan.

The Trump Savings Plan will allow workers without a savings plan to put aside a portion of their income every year with a Federal match of $1,000 — with the potential for the match to increase with congressional approval — that will be invested in the stock market and will grow tax free until their retirement.

We need every working American to own a piece of capitalism so that while they sleep, they can save for their retirement and the next generation.

And importantly, the program pays for itself even with a 5% government match, as the participants retire with the resources they need, and are no longer reliant on welfare programs and are not a future burden to the welfare system.

I predict that increasing the government match for the Trump Savings Plan will be one of the few bipartisan pieces of legislation approved by Congress next year for how can a member of Congress vote against giving every working American the same savings plan that they have?

This is an amazing initiative for our country. Thank you President Trump for your leadership!

[Larry Levitt @larry_levitt]

New: Health care affordability is a big concern for people. But, don't underestimate the complexity of our health insurance system as a burden, especially prior authorization.

[Cynthia Cox @cynthiaccox]

ACA signups are down by over a million people - the first drop in years - as enhanced premium tax credit expiration drives up monthly premium payments.

But in New Mexico, signups are actually up by 14%. The state funded a temporary replacement of the lost federal support.

[Jonathan Ingram 🇺🇸 @ingramlaw]

2026 is ObamaCare’s second-highest enrollment level ever recorded, despite the temporary COVID credits — which are sent directly to insurance companies — expiring on schedule.

There is still a LOT of fraud to clean out.

[Sahil Kapur @sahilkapur]

NEW: Senate ACA funding talks collapse

Even the optimists are now pessimistic.

Senate is gone for a week.

Open enrollment ends today.

Blame game intensifying.

Most Republicans want this money gone; looks like they’ll get it.

Story w/ @katietaylor_121 https://t.co/20SFrpzAh6

[Chris Pope @CPopeHC]

"It's not the prices"
https://t.co/nKX7Fe801Z

[Daniel Kuperstein @dkuperstein]

Health expenditures increase due to greater volume and intensity of care:

[Health Affairs @Health_Affairs]

Despite the attention to prices and insurer profits, the main driver of spending growth is greater volume and intensity of care. | Forefront

@Michael_Chernew | @harvardmed

https://t.co/0NMPc5Llg4

[Matt McGough @mcgough_matthew]

The Marketplace's enhanced premium tax credits expired as of January 1. As a result, enrollees' monthly premium payments increased 114%.

A small handful of states have moved to blunt the impact on consumers, but their efforts bring only limited relief.

https://t.co/GVfsRz44vS

[Kyle Tibbitts @KyleTibbitts]

This is an impressive chart.