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Docs Outside The Box

ACA Premium Spike 2026: What Doctors, Residents & 1099 Physicians MUST Know. #473 Part 1

08 Dec 2025

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SEND US A TEXT MESSAGE!!! Let Drs. Nii & Renee know what you think about the show!The Affordable Care Act marketplace is facing a massive premium spike in 2026 — and Congress is running out of time to stop it.In this episode of Docs Outside The Box, Dr. Nii and Dr. Renee break down exactly why ACA premiums are increasing, what happens if Congress does nothing, and how this will impact:Medical studentsResidents & fellowsEarly-career doctors1099 independent contractorsLocums physiciansPatients relying on marketplace plansWhether you buy your own insurance or you care for patients who do — this episode gives you the real-world implications and action steps you need right now.In This Episode You’ll Learn:✔️ Why ACA marketplace premiums could jump 40–60% ✔️ How expiring federal subsidies affect patients AND physicians ✔️ Why independent contractors will feel the biggest financial hit ✔️ The impact on hospitals, uninsured rates & ER volume ✔️ What doctors can do NOW to prepare (financial steps included)🎧 Perfect Episode For:Medical students navigating their first insurance decisionsResidents & fellows in high-deductible plansNew attendings planning their 2026 budgetsLocums docs & 1099 contractors buying their own insuranceAny clinician wanting clarity on the latest healthcare policy changesFREE DOWNLOAD -  7 Considerations Before Starting Locum Tenens - https://darkos.lpages.co/7-considerations-before-locumsLINKS MENTIONED ACA Premium Spike Analysis — HealthSystemTracker https://www.healthsystemtracker.org/brief/how-much-and-why-aca-marketplace-premiums-are-going-up-in-2026/?utm_source=chatgpt.comSubsidy Expiration Breakdown — Center on Budget and Policy Priorities https://www.cbpp.org/research/health/health-insurance-premium-spikes-imminent-as-tax-credit-enhancements-set-to-expire?utm_source=chatgpt.comCongressional Update on ACA Debate https://cnycentral.com/news/nation-world/congress-enters-crunch-time-to-figure-out-how-to-deal-with-aca-subsidies-affordable-care-act-obamacare-health-insurance-premiums?utm_source=chatgpt.comIndependent Contractors & ACA Tax Credit Changes https://jasonfintips.com/insurance-risk-management-blog/affordable-health-insurance-for-independent-contractors-understanding-the-new-aca-tax-credit-changes/?utm_source=chatgpt.comSIGN UP FOR OUR NEWSLETTER!  WATCH THIS EPISODE ON YOUTUBE!Send us a Voice Message - Locumstory. Learn how locum tenens helps doctors make more and have the lifestyle they deserve!. Check them out HERE!

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