Professor says Texas' insurance complexity and coverage gap underpin high prices

May 1, 2026

Ken Yanda told the select committee that the U.S. insurance market’s layered intermediaries and Texas’ unexpanded Medicaid have left roughly 1,000,000 people in a coverage gap, driving uneven costs and pressure across markets.

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Ken Yanda, a professor of population health at the University of Houston College of Medicine, told the Select Committee on Health Care Affordability that the U.S. insurance marketplace is structurally complex and that Texas’ decision not to expand Medicaid has left a sizable coverage gap.

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