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Matthew Fiedler’s testimony on reducing private health insurance premiums

Shutterstock / Valeri Luzina
Editor's note:

The following testimony was given to the U.S. Congress Joint Economic Committee on December 17, 2025. Video of the hearing is available here

Matthew Fiedler testified at a hearing held by the U.S. Congress Joint Economic Committee to discuss how policymakers can reduce premiums for private health insurance, including plans obtained from employers and on the individual market. His testimony made four main points:

  • Substantially reducing health insurance premiums—without shifting costs onto enrollees or excluding high-cost people from coverage—requires reducing either health care prices or utilization.
  • Increasing competition in health care markets could reduce prices, although achieving large reductions would likely require more aggressive steps.
  • Saving money by reducing utilization may be more challenging.
  • Efforts to reduce insurance premiums, while valuable, are not a substitute for extending the enhanced premium tax credits.

Read the full testimony here

  • Acknowledgements and disclosures

    The author thanks Loren Adler, Aviva Aron-Dine, and Richard Frank for comments on a draft of this testimony. The author also thanks Chloe Zilkha for assistance with fact-checking this testimony and Rasa Siniakovas for editorial and publishing assistance.

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