The hidden costs of healthcare churn

医疗行业人员流动的隐性成本

The Indicator from Planet Money

2025-06-12

8 分钟
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单集简介 ...

Healthcare churn—when people switch insurance plans—is particularly bad in the US. In today's episode, why Americans switch healthcare plans so much, and how that can cost a lot in money ... and in health. Related episode: How doctors helped tank universal health care (Apple / Spotify)Healthcare And Economic Despair For sponsor-free episodes of The Indicator from Planet Money, subscribe to Planet Money+ via Apple Podcasts or at plus.npr.org. Fact-checking by Sierra Juarez. Music by Drop Electric. Find us: TikTok, Instagram, Facebook, Newsletter. Learn more about sponsor message choices: podcastchoices.com/adchoices NPR Privacy Policy
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  • NPR. This is The Indicator from Planet Money.

  • I'm Waylon Wong,

  • and I'm joined today by Lillian Kerbake from member station Oregon Public Broadcasting.

  • Hi, I'm here to talk about something that is very American,

  • as American as apple pie and baseball.

  • Healthcare churn.

  • And just as fun.

  • Churn is the term for when people switch insurance plans.

  • And it's particularly bad in the U.S.

  • And that's because of the segmented and sometimes chaotic way we approach health insurance.

  • Yep.

  • One year you might get insurance through your parents.

  • And then you turn 26.

  • You get kicked off.

  • Maybe you get insurance through your job.

  • But if you drop down your hours at work, you might then lose insurance.

  • Good news.

  • You now qualify for Medicaid.

  • But the month after that, if you make $1 too much, Poof.

  • Medicaid is gone and you're scrolling through marketplace plans like it's Tinder.