Discover and read the best of Twitter Threads about #ACA2

Most recents (17)

📣 THREAD: As I'm typing this, the U.S. House is debating #HR1425, aka the House #ACA2.0 bill (#ACEA). What does it include? LET'S DIVE IN! 1/
Here's my deep dive into #HR1425, the Patient Protection & Affordable Care *Enhancement* Act (#ACEA), which I've dubbed simply "#ACA2.0": 2/…
#HR1425 (#ACEA) has 30 provisions; some minor, some HUGE:
--Title I: 16 sections to protect, repair & strengthen the #ACA individual market.
--Title II: 11 sections to expand & improve Medicaid
--Title III: 3 sections to dramatically reduce prescription drug prices 3/
Read 39 tweets
📣 THREAD: Since Bernie's "Who the hell knows how much #M4All would cost" clip on #60Minutes is causing such a stir, here's why his answer, while terrible, is actually accurate. Let's look at the much-discussed "Mercatus Analysis" which received so much attention in July 2018: 1/
Back in July 2018, Charles Blahous of the @Mercatus Center, a *right-wing* think tank which isn't a fan of #M4All, came out with a 10-year projection about how much Bernie's #M4All bill would cost *assuming it was implemented exactly as worded* 2/…
There were a TON of headlines screaming about how Bernie's #M4All proposal "would cost $32 Trillion!", which isn't surprising..but there were *other* headlines, including from Bernie himself, noting that the same analysis projected M4All "would *save* $2 Trillion!". Huh?? 3/
Read 25 tweets
Again: The ACA succeeded where "HillaryCare" failed in large part because the Obama Administration learned not to try and take on EVERY PART of the health insurance industry SIMULTANEOUSLY. This led to a law which is far from perfect but which still made major improvements. 1/
The ACA took on and won SOME battles, but not so many as to guarantee that it would go down in flames...and even then it BARELY squeaked by, and only in a watered-down way. If they had insisted on going after EVERY player at once, it would never have happened at all.
The insurance lobby had mixed feelings about the ACA. It stopped most (not all) of their ugliest practices, forced them to stop discriminating against "undesirable" enrollees, and put a cap on their profits. On the other hand, it also provided a flood of enrollees & subsidies.
Read 9 tweets
📣 OK FOLKS, with Trump's latest whopper, time to dust off the #3LeggedStool one more time. Again, this is what the ACA's 3-legged stool looked like when it originally passed. The blue leg on the left = the Pre-Existing Condition protections (& other consumer protections): 1/
Unfortunately, as with any major piece of legislation impacting millions of people and billions of dollars, there were some legitimate problems with the original structure which have never been addressed due to political resistance. 5 major ones in my view are shown here. 2/
Basically, subsidies aren't robust enough and cut off too low on the income scale; high deductibles are still a big problem; the mandate penalty wasn't robust enough to be fully effective; and the minimum network requirement isn't strong enough. All of these COULD be fixed... 3/
Read 6 tweets
📣 ⚠️ MAJOR UPDATE: How much will @CoveredCA’s expanded/enhanced #ACA subsidies reduce YOUR premiums? THREAD:…
@CoveredCA In October, I posted an analysis of @CoveredCA’s expanded subsidies, showing how they’ll reduce 2020 premiums for both those who didn’t previously qualify for subsidies *and* those already receiving them. However, I was using the wrong table for my calculations! 2/
@CoveredCA The ACTUAL expanded subsidy formula is even MORE generous! Therefore, w/apologies to @CoveredCA, @aewright & @healthaccess, I’ve re-run the numbers & graphs to show how much different households in Sacramento, CA will save if they #GetCovered for 2020! 3/…
Read 14 tweets
📣 IMPORTANT: The Dem POTUS candidates seem to be bogged down in a #M4All vs. #PublicOption debate...but EITHER of those would take several years to get passed, signed, implemented & ramped up. In the meantime, the #ACA itself desperately needs to be protected & strengthened. 1/
Robust #ACA2.0 bills have been introduced by both @HouseDemocrats (#HR1868 / #HR1884) *and* @SenateDems (#S1213, aka #CHIPA), and either of them could be implemented almost immediately upon signing.

Yet there's been little movement on either of these since last spring. 2/
Therefore, as we enter the 2020 #ACA Open Enrollment Period, I'll also be launching my next Big Wonky Healthcare Data Project: How Much Would #ACA2.0 Save YOU?

I intend on running the numbers & posting tables & graphs for EVERY. SINGLE. CONGRESSIONAL DISTRICT. 3/
Read 10 tweets
📣 HEADS UP: House @EnergyCommerce Committee to grill @SeemaCMS on #ACASabotage this morning starting at 10am:…
Here we go: Opening statement by @RepDianaDeGette; overview of Trump Admin actions attempting to sabotage the #ACA. Ironically, it sounds like she might have a bit of a cold herself.
Opening statement by GOP ranking member @RepGuthrie; needless to say he's gushing with praise for Verma. As I explained yesterday, the "4% drop in premiums" for 2020 is a) misleading and b) is basically just a correction of carriers overestimating costs in 2017 & 2018.
Read 36 tweets
It is. It basically splits the difference between Biden/Buttigieg's plans and Bernie/Warren's plan. Similar to Harris' plan, but phased in more quickly because it deals with the "union contract" issue differently.
FWIW, here's my deep dive into #Med4America (warning: it gets wonky...on the other hand, it also includes colorful psychedelic donuts!):…
OK, here's the visuals to give a sense of how it'd be phased in:

Here's the current healthcare coverage situation for the entire U.S. population...the "Psychedelic Donut®" as I've dubbed it:
Read 15 tweets
ONCE AGAIN: @BernieSanders co-sponsored @ewarren's robust #ACA2.0 bill until less than a year ago before stripping his name off of it and crapping all over it even in the short term.
Also, @ewarren is cosponsoring a *Medicaid* buy-in bill by @brianschatz. And @KamalaHarris has cosponsored various other major healthcare expansion bills. And @JoeBiden's "#ACA2wPO" proposal is a cross between Warren's #ACA2.0 & @SenJeffMerkley/@ChrisMurphyCT's "Choose Medicare".
Point being, THERE'S NOTHING WRONG WITH COSPONSORING MULTIPLE BILLS ON THE SAME ISSUE. Whatever the final bill ends up being, it will hopefully take the best elements of each and mush them together into something like...oh, say, @BetoORourke's #MedicareForAmerica? :)
Read 5 tweets
Hmmm…according to @daveweigel’s piece in the WaPo yesterday, this is where the Dems currently fall (Sanders made it clear in recent statements that he’s not interested in strengthening the ACA even in the short term):…
@daveweigel Of course it's still confusing, because Booker, Harris & Gillibrand are co-sponsors of Bernie's #M4AllBILL, and Booker, Harris, GIllibrand and Klobuchar are co-sponsors of Warren's #ACA2.0 bill...which she seems to have abandoned (or at least hasn't been talking about lately).
@daveweigel ...all of which goes back to my question for each of the top contenders:…
Read 3 tweets
📣 Thanks to @paulkrugman for reminding me that I completely forgot to address @JoeBiden’s scaremongering factor in my write-up of his (pretty good) #ACA2.0 healthcare proposal:…
@paulkrugman @JoeBiden Something really important to keep in mind re. the #ACA2.0 / #M4All battle: The #ACA *itself* allows for individual states to go Single Payer if they want to, via the 1332 Waiver provision. Vermont and Colorado both attempted to do this. Both ended up failing...
@paulkrugman @JoeBiden ...but let's suppose both had been successful, and the other 48 states had followed suit. Now you'd have 50 states with Single Payer healthcare systems. Would that be considered "eliminating Obamacare"? Depends on your POV.
Read 3 tweets
Ok, I’ve been stuck at the Apple store for four hours waiting for my iCloud update to complete, so I’ve had time to read over Biden’s healthcare proposal. Sure enough, it’s basically @ewarren’s #ACA2.0 plus a robust public option, which is just fine.
I still can’t fathom why @ewarren has shifted gears to jump completely into the BernieCare pool when she already gave a perfect response back in March. Still hoping she’ll shift back to that stance.
Biden, Warren and the @HouseDemocrats all base their #ACA2.0 proposal subsidy formula on the @urbaninstitute’s “Healthy America”. The House version sticks with Silver for the benchmark, Warren & Biden upgrade to Gold.
Read 3 tweets
I'm glad to see @RepUnderwood's #HR1868 back in the news. Here, again, is my explainer of how much it'd save #ACA enrollees...and, just as importantly, how MILLIONS OF PEOPLE not *currently* eligible for tax credits would become eligible:… #ACA2.0
#HR1868 is a remarkably simple bill which solves the single biggest complaint people have about the #ACA, by opening up tax credits to millions of *middle class* Americans while also strengthening the formula for those currently receiving them. Here's what the bill does. #ACA2.0
How much would this save? Well, right now, on average, a single adult earning $49,960/yr pays no more than 9.86% of their income for premiums, while the same person earning $49,961 (just $1 more) has to pay full price...which could be as much as *three times* as much.
Read 4 tweets

A Really Deep Dive into #MedicareForAmerica:…
So yesterday, @RosaDelauro & @RepSchakowsky re-introduced their #Med4America universal healthcare coverage bill. It’s important to note that BOTH of them are members of the Congressional Progressive Caucus, and Schakowsky is also a co-sponsor of the House #MFA bill. 2/
@rosadelauro @RepSchakowsky In other words, this is NOT a battle between “progressives” and “centrists”. #Med4America is *very* progressive…while also, in my view, simply being more practical than the “pure” #MFA bills. It starts out as a robust Public Option for 2 yrs, but then becomes MUCH more. 3/
Read 24 tweets
“Nurse and freshman member of Congress introduces important bill to significantly improve ACA until universal coverage can be passed in the future”

#ACA2 isn’t an *alternative* to MFA, it’s an important stopgap to improve things in the short term.
#ACA2 is desperately needed for the next few years REGARDLESS of whether we eventually move to MFA, Med4Am or some other universal coverage program.
ACA2 could be fully implemented pretty much immediately, possibly even retroactively for some provisions. MFA or even Med4Am (which I support) will take several years to ramp up, so at least some ACA2 provisions would still be needed in the meantime.
Read 24 tweets
⚠️⚠️⚠️ DEMS: CAMPAIGN ON ACA2.0/MEFA!! ⚠️⚠️⚠️
For those wondering: Here’s my initial takes on both #ACA2 and #MEFA. ACA2 stabilizes/repairs/expands the ACA itself *in order to clear the way* for MEFA as the next phase:……
As silly as this sounds, the biggest problem I have with the #ACA2 bill is the official title. “Undo Sabotage & Expand Affordability of Health Insurance Act”, or #USEAHIA. Really, guys?
Read 18 tweets

Related hashtags

Did Thread Reader help you today?

Support us! We are indie developers!

This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3.00/month or $30.00/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!