Discover and read the best of Twitter Threads about #ACA

Most recents (24)

Good lord. The first 2 anti-expansion speakers during public comment are just spewing utter garbage.
The first Zoom speaker is claiming that if they expand Medicaid, it will somehow cause people to WANT to earn less so that they'll qualify for it. Which might make some sense if the rest of the ACA didn't exist for those who earn more, or if they could afford ANY coverage NOW.
The second Zoom speaker claims that Wyoming has crappy oversight over Medicaid waste/fraud/abuse, therefore they shouldn't expand it. Here's an idea: Expand it *and* improve your oversight process? Just spitballing here.
Read 62 tweets
📣 NEW: How much more would it cost the federal government if every holdout state expanded Medicaid via the #ACA?
acasignups.net/21/05/10/how-m…
UPDATE: Whoops! I made a rather obvious error which impacted nearly all of the calculations; this has been corrected throughout the post.
Bottom line: As far as I can figure, it would cost roughly $341 billion over a decade to cover all 6.4 million eligible Americans, or ~$34.1 billion/year, while reducing the uninsured rate by an additional 4.0 million people.
Read 4 tweets
📣 WONKY BUT IMPORTANT:
CMS releases 2nd half of #NBPP2022 rule; will save #ACA enrollees $400 in out of pocket costs; COBRA SEP & more! acasignups.net/21/04/30/cms-r…
1. CMS is rejecting a Trump rule re. how maximum out of pocket (MOOP) expenses are increased; by reverting back to the prior formula, the MOOP increase will be $400 - $800 less than it otherwise would have been.
2. CMS has confirmed that those taking advantage of the #AmRescuePlan's COBRA subsidies thru September WILL be able to switch to an #ACA plan for October - December via a Special Enrollment Period! (this is a big deal for several million people).
Read 19 tweets
📣 IT'S OFFICIAL: #AmFamiliesPlan to *permanently* #KillTheCliff & #UpTheSubs. Make no mistake: This is still a #BFD.
acasignups.net/21/04/28/its-o…
NOTE: I'm switching from #AmFamiliesPlan to #AmFamPlan. Shorter, easier to type and it's alliterative!!
📣 REMINDER: Here's the @urbaninstitute's estimates of how much the uninsured rate would go down in every state if the expanded #ACA subsidies are made permanent: acasignups.net/21/04/16/urban…
Read 5 tweets
📣 Ahead of tonight’s big speech: I have no idea if he’ll give an update on ACA enrollment, but if he does, I’m guessing he’ll announce over 1.0 million ADDITIONAL exchange enrollees via HealthCare.Gov alone since the relaunched enrollment period started on 2/15.
According to @JStein_WaPo, it sounds like Biden will be proposing $200B to make the expanded #ACA subsidies permanent, but no other major healthcare provisions *at the moment*. This actually makes more sense than you may think given this poll: acasignups.net/21/04/27/huh-s…
Having said that, the WH resistance to going bigger in healthcare *at the moment* seems to center around passing #HR3 to pay for other stuff, which is fiercely opposed by #PhRMA.
Read 15 tweets
📣 @CoveredCA urges state's #AsianAmerican community to enroll by April 30th to get new savings on lower health insurance premiums via the #AmRescuePlan! #GetCovered
acasignups.net/21/04/26/cover…
--Over 400,000 Asian Americans in California alone are eligible for the #AmRescuePlan's expanded financial subsidies

--Many can get a high-quality #ACA plan for as little as $1/mo; current off-exchange enrollees could save up to $700/mo
A few examples:
--a 21-yr old single adult in West LA earning $25.5K/yr can get a #SecretPlatinum plan for just $43/mo *or* a Bronze plan for just $1/mo

(she should go for the former, aka "Enhanced Silver", tho)
Read 5 tweets
📣🎉 #ACA enrollment is BACK, and this time it's a #BigFrigginDeal!
Here's 10 important things to remember when you #GetCovered! acasignups.net/21/04/23/aca-e…
1. MILLIONS WHO DIDN'T QUALIFY FOR FINANCIAL HELP BEFORE DO NOW...AND IT COULD SAVE YOU *THOUSANDS* OF DOLLARS!!

(and those who already qualified are now eligible for *more* help!)
This table shows the financial help sliding scale under the #ACA (which cuts off help for middle-class enrollees)...and under the #AmRescuePlan, which covers 100% of the premiums for millions of people & caps them at no more than 8.5% EVEN FOR MIDDLE-CLASS AMERICANS: Image
Read 22 tweets
🧵

@katie_mo_ has a surgery scheduled soon that qualifies as an #ACA-covered #preventive service, meaning it should be exempt from cost-sharing.

Would it surprise you to know that it is never that simple? Yeah, I didn't think so. 🤬
Today, she talked with the hospital and they gave her an estimate of $3,000 that would be due the day of the procedure...for a procedure that is supposed to be free to her.

This is four times higher than the $750 she was quoted initially.
Not surprisingly, she called me and asked if she should cancel, to wait until she has better insurance. I said no, that shouldn't make any difference, and got to work.
Read 17 tweets
📣🎉 #ACA enrollment is BACK, and this time it's a #BigFrigginDeal!

Here's 10 important things to remember when you #GetCovered!
acasignups.net/21/04/15/aca-e…
1. MILLIONS WHO DIDN'T QUALIFY FOR FINANCIAL HELP BEFORE DO NOW...AND IT COULD SAVE YOU *THOUSANDS* OF DOLLARS!

(and those who already qualified now qualify for *more* help!)
This table shows the financial help sliding scale under the #ACA (which cuts off help for middle-class enrollees)...and under the #AmRescuePlan, which covers 100% of the premiums for millions of people & caps them at no more than 8.5% *EVEN FOR MIDDLE-CLASS AMERICANS*:
Read 24 tweets
When the #ACA was implemented: there was no mandate established to ensure that #emr #ehr electronic medical records could communicate and physicians could obtain medical records from #doctors caring for the same patients at other offices or hospitals. 1/
What ensued was that the government forces practices to an incur most of the cost of buying expensive electronic medical records and forced them to use them or incur more financial penalties. In retrospect those who did not use #emr and #ehr benefitted 2/
It became impossible to afford an #emr #ehr in a private practice
costs include:
1. Computers
2. Network maintenance
3. Wi-Fi
4. Back-up systems
5. #emr #ehr Licenses
6. Cost of repairs
7. Reduction of time with patients
8. Increase typing-dictating time
9. Longer notes 3/
Read 6 tweets
📣 Now that the #AmRescuePlan's expanded #ACA subsidies are live in most states, I'm reposting this thread with some examples of how much YOU could save if you #GetCovered today!
acasignups.net/21/03/14/new-h…
EXAMPLE 1: A single 26-yr old living by themselves will save up to $123/mo on avg...and if they earn less than $19K/yr, they're eligible for a FREE #SecretPlatinum plan (technically it's Silver, but w/generous cost-sharing subsidies making it the equivalent of Platinum).
EXAMPLE 2: A single 40-yr old will again save up to $1,480/yr on avg., and again, can get a #SecretPlatinum plan either for FREE (if they earn up to $19K/yr) or for as little as $43/mo if they earn up to $25.5k/yr:
Read 12 tweets
I've deleted a hastily-posted, kneejerk response tweet which I shouldn't have posted. I'm just pissed as hell at GOP legislators in states like WY & MO who either rejected Medicaid expansion or are flat-out overriding their own voters on it (as well as FL & TX, of course).
Just yesterday, a 5-member Wyoming Senate committee rejected expanding Medicaid to 25,000 of their lowest-income residents *again* in a 3-2 vote, even though it would cost the state NOTHING for the first 3 years or so & only 10% of the cost after that. acasignups.net/21/03/31/3-wyo…
And this came just a week after Missouri Republicans defied their own voters & state constitution by blocking *funding* of their share of Medicaid expansion *even though they won't have to pay a dime for up to the first 4-5 years*, jeopardizing the program
acasignups.net/21/03/26/misso…
Read 5 tweets
📣🎉 #ACA enrollment is BACK, and this time it's a #BigFrigginDeal!

Here's 10 important things to remember when you #GetCovered!

acasignups.net/21/03/31/aca-e…
1. MILLIONS WHO DIDN'T QUALIFY FOR FINANCIAL HELP BEFORE DO NOW...AND IT COULD SAVE YOU *THOUSANDS* OF DOLLARS!

(and those who already qualified now qualify for *more* help!)
This table shows the financial help sliding scale under the #ACA (which cuts off help for middle-class enrollees)...and under the #AmRescuePlan, which covers 100% of the premiums for millions of people & caps them at no more than 8.5% *EVEN FOR MIDDLE-CLASS AMERICANS*:
Read 27 tweets
This is a long, wonky post, but it also includes the simplest explanation I could give of how #SilverLoading works and why a lot of people were eligible for $0 premium Bronze or *Gold* plans even before the #AmRescuePlan expanded them further.

acasignups.net/21/03/29/old-l…
In short: Here's some sample 2017 Bronze, Silver & Gold premium & enrollment data. Let's say 2018 medical trend went up 5%. Meanwhile, let's say 1/2 the enrollees received CSR help averaging $2,400 apiece.

That's $120M in CSR reimbursements owed to the carriers from the feds. Image
In late 2017, Donald Trump cuts off CSR reimbursements, figuring this will cause millions of low-income enrollees to lose their subsidies *or* for all the carriers to drop out of the ACA market (causing it to "blow up" and "collapse"), or both, to avoid eating a $120M loss.
Read 9 tweets
📣 NEW: Time to check in on how the #COVID19 Special Enrollment Period is going...
acasignups.net/21/03/24/time-…
As @selenasd just noted, and @KrutikaAmin reiterated, the only *official* COVID SEP enrollment tally from HCgov is 206K as of 2/28...plus scattershot data from a handful of state-based ACA exchanges.

My estimates suggest the national total was around 260K as of 2/28...
...or an average of ~18.5K per day. *IF* that pace has held true since 2/28, the national tally would be around 684,000 as of yesterday.

HOWEVER...since 2/28, the #AmRescuePlan passed the House, the Senate, the House again & was signed by President Biden on 3/12!
Read 5 tweets
📣🎉#ACAGoesTo11: #ACA Enrollment is BACK, BIG TIME! Here's *10* important things to remember to help you #GetCovered! acasignups.net/21/03/24/aca-e…
1. MILLIONS NOW QUALIFY FOR #ACA TAX CREDITS IN 2021 & 2022 WHO DIDN'T IN 2020...AND THEY COULD SAVE *THOUSANDS OF DOLLARS*!

In addition, most of those *already* receiving subsidies will receive *additional* financial help!
Here's my explainer about how much various households will save on #ACA premiums at different income levels. Low-income enrollees could pay NOTHING in premiums, & for the first time ever, MIDDLE-CLASS folks will be eligible for financial help! acasignups.net/21/03/14/new-h…
Read 20 tweets
Hoo boy. Again, I’m not a fan of COBRA but there are legitimate reasons for doing it this way in this particular situation.
First, I'm not sure where @MehdirHasan gets $35 billion from. According to the @USCBO score of the final Senate version of the #AmRescuePlan, the gross cost of the #COBRA provision is $37.2 billion (slightly *higher*), but the *net* cost is $22.8 billion:
cbo.gov/publication/57…
Second, the *net amount being spent per COBRA enrollee*, according to the CBO, was around $2,600 apiece under the *House* version *$7.84B / 3.0M) to cover 85% of their premiums. If you ignore savings (why?), the *gross* amount was around $4,800 apiece:
acasignups.net/21/03/17/updat…
Read 13 tweets
I know how hard it was to pass the #ACA. I was there in 2009 when TeaBaggers (now MAGA) stormed the halls of House office buildings, trying to intimidate @HouseDemocrats from passing a bill with a public option. Fortunately, those Dems held fast & passed the ACA+public option. /1
Moderate & conservative @SenateDems killed the public option in 2009, & damn near wrecked passage of health reform with their dithering. The blizzard of Feb 2010 bought Dems in Congress & the White House some time. At a GOP retreat, Obama nailed their BS questions one by one. /2
From that came the meeting at Blair House, where once again, Obama & a few Dems (not all) stood up to the stupid antics of the GOP. A few weeks later, I was among a few dozen doctors w/ @drsforamerica who marched in the rain in DC to push the Senate to pass the ACA. /3
Read 18 tweets
(sigh) I'm sure @nicholas_bagley will explain the legal side of this, but here's what this is referring to:
healthcare.gov/coverage/preve…
One of the less-appreciated provisions of the #ACA is that it requires ALL compliant healthcare policies to cover a long list of preventative services at NO cost to the patient--no deductible, no co-pay, no coinsurance--as long as they're done in-network.
Read 8 tweets
🎉🎉🎉 The #ACAGoesTo11 TODAY...and #ACA 2.0 is on the way! #ACA11
At 11:00am, the House @EnergyCommerce Committee will be holding marathon hearings on not one, not two, but *18* different healthcare bills which would repair & strengthen the #ACA, #Medicaid & #CHIP. Here's the first 9 on the agenda: acasignups.net/21/03/17/prepa…
#HR1790 would reverse the Trump Admin's decision to modify how ACA subsidies & maximum out of pocket expenses are calculated. The Trump version made subsidies weaker/costs higher; reversing it would make subsides stronger/costs lower.
Read 36 tweets
On March 23rd, 2010, the Affordable Care Act was signed into law. In these photos, on March 18th, Union members of all backgrounds stood together to support reform and affordable coverage. #ACA ImageImageImageImage
Image
Read 3 tweets
Crossing my fingers and hoping that @SenatorShaheen's #S499 is included in the package. Not only would it make the #ARP's subsidy expansion permanent, it would also upgrade #ACA benchmark policies from Silver to Gold...and it would mostly pay for itself!
acasignups.net/21/03/17/prepa…
If #S499 becomes law (standalone or as part of the larger package), it would tackle the 2nd biggest complaint about the #ACA: High deductibles & other out of pocket expenses.

In short, EVERY #ACA enrollee could afford AT LEAST a Gold plan & most could get a Platinum-equivalent! Image
Read 6 tweets
📣🎉 The #ACAGoesTo11 TOMORROW...and #ACA 2.0 is on the way:
PART 1: A look at bills from Senators @MarkWarner, @SenatorBennet, @timkaine & @SenatorShaheen, all of which would (at the very least) lock in the #AmRescuePlan's subsidy expansion permanently, plus much more:
acasignups.net/21/03/17/prepa…
PART 2: A look at 9 bills in the House which would do everything from repairing Trump Admin sabotage of the #ACA's marketing, outreach & navigator budgets to requiring #ShortAssPlans to meet the same minimum requirements of other health insurance coverage:
acasignups.net/21/03/17/prepa…
Read 5 tweets
In light of the just-expanded #ACA subsidies *and* the pending SCOTUS decision on the fate of the ACA due to the zeroing out of the mandate penalty, a reminder:
acasignups.net/19/02/26/blast…
During the 2008 primaries between Obama & Clinton, *she* was the one arguing that an individual mandate penalty was necessary to prevent adverse selection, while Obama argued that if the coverage was affordable enough, a mandate wouldn't be necessary. This was a MAJOR flashpoint.
In the end, Obama won the nomination & Presidency...but when the #ACA was signed, it included an individual mandate penalty after all...but the subsidies weren't nearly generous enough for many people.
Read 7 tweets

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