Discover and read the best of Twitter Threads about #aca
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As the Marxist agitator #AdamSmith once said, "People of the same trade seldom meet together, even for merriment and diversion, but the conversation ends in a conspiracy against the public, or in some contrivance to raise prices."
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If you'd like an essay-formatted version of this thread to read or share, here's a link to it on pluralistic.net, my surveillance-free, ad-free, tracker-free blog:
pluralistic.net/2023/06/09/com…
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pluralistic.net/2023/06/09/com…
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Smith understood that capitalists hate capitalism. They don't want to compete with one another, because that would interfere with their ability to raise the prices their customers pay and reduce the wages they pay their workers.
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We advocate for #singlepayer, #MedicareForAll and #CalCare, and reject half measures because single payer is the correct policy, not because we're some sort of wild-eyed radicals.
THREAD on how people insisting we compromise out of the gate are the unreasonable ones 👇👇👇
THREAD on how people insisting we compromise out of the gate are the unreasonable ones 👇👇👇
1) I've heard talk about how @CalNurses and other #CalCare proponents are "unreasonable." That we "won't compromise." That "you can't win that way."
My question to these people is...have you been paying attention at all over the last decade and a half?
My question to these people is...have you been paying attention at all over the last decade and a half?
2) Rewind to debate over the #ACA. Remember how the initial push was for a #PublicOption? Specifically, a robust one that tied payment rates to Medicare. Not a permanent fix to our health care system by any stretch, but certainly better than we ultimately got.
Did we get it? No
Did we get it? No
#ACA coverage has likely broken 41 million, and more notes from the @HHS_ASPE report:
acasignups.net/23/03/25/aca-c…
acasignups.net/23/03/25/aca-c…
For the most part the ASPE report on #ACA coverage is pretty much in line with my own estimates from January: A bit over 40 million Americans now have healthcare coverage via the ACA via exchange QHPs, basic health plans in MN/NY and Medicaid expansion:
acasignups.net/23/03/23/old-n…
acasignups.net/23/03/23/old-n…
However, the ASPE report has a couple of curious estimates for effectuated QHPs. Overall, they put it at 95.2% of total OEP selections, but this ranges from as low as *78.5%* in New Mexico (?) to *101.3%* in Rhode Island (!)
The first seems way too low; the second is impossible.
The first seems way too low; the second is impossible.
PART 2: Enrollment data by state; year over year performance; federal vs. state-based exchanges; Medicaid expansion vs. non-expansion: #ACA13 acasignups.net/23/03/23/mazel…
PART 3: New enrollment vs. renewals; active vs. passive re-enrollment: #ACA13 acasignups.net/23/03/23/mazel…
📰 TOP-ED | Terrific, timely, & much-needed @WSJopinion piece from @SenatorLankford & @DrBrian4Health.
"This #legislation would put patient choice back into #hospital markets by allowing #doctors to build efficient businesses & better serve #patients."
wsj.com/articles/end-o…
"This #legislation would put patient choice back into #hospital markets by allowing #doctors to build efficient businesses & better serve #patients."
wsj.com/articles/end-o…
#SOTU: Again, it's not just 16 million Americans who've enrolled in ACA coverage...it's 17.5 million with BHP enrollees included...and *40* million with ACA Medicaid expansion included: acasignups.net/23/02/01/old-n…
However, as @POTUS Biden noted, the upgraded #ACA subsidies of the Am. Rescue Plan & Inflation Reduction Act are currently set to sunset at the end of 2025. It's time to make them permanent. #SOTU
There's also ~2.2 million Americans caught in the #MedicaidGap because they live in states which are *still* refusing to expand Medicaid via the #ACA a decade later.
🚨 You still have until SUNDAY NIGHT to #GetCovered in most states!
Visit HealthCare.Gov TODAY! #ACA
acasignups.net/23/01/09/2023-…
Visit HealthCare.Gov TODAY! #ACA
acasignups.net/23/01/09/2023-…
🚨 You still have until SUNDAY NIGHT to #GetCovered in most states!
Visit HealthCare.Gov TODAY! #ACA
acasignups.net/23/01/09/2023-…
Visit HealthCare.Gov TODAY! #ACA
acasignups.net/23/01/09/2023-…
🚨 You still have until SUNDAY NIGHT to #GetCovered in most states!
Visit HealthCare.Gov TODAY! #ACA
acasignups.net/23/01/09/2023-…
Visit HealthCare.Gov TODAY! #ACA
acasignups.net/23/01/09/2023-…
🚨 You still have until January 15th to #GetCovered in most states!
Visit HealthCare.Gov TODAY! #ACA
acasignups.net/23/01/09/2023-…
Visit HealthCare.Gov TODAY! #ACA
acasignups.net/23/01/09/2023-…
🚨 You still have until January 15th to #GetCovered in most states!
Visit HealthCare.Gov TODAY! #ACA
acasignups.net/23/01/09/2023-…
Visit HealthCare.Gov TODAY! #ACA
acasignups.net/23/01/09/2023-…
🚨 You still have until January 15th to #GetCovered in most states!
Visit HealthCare.Gov TODAY! #ACA
acasignups.net/23/01/09/2023-…
Visit HealthCare.Gov TODAY! #ACA
acasignups.net/23/01/09/2023-…
📣 REMINDER: Residents of 255 counties who earn less than $30K/yr are eligible for FREE (or near-free) GOLD #ACA PLANS...but they have to #GetCovered before midnight this Sunday!
(and those earning > $30K can still get dirt-cheap GOLD plans as well)
acasignups.net/23/01/10/updat…
(and those earning > $30K can still get dirt-cheap GOLD plans as well)
acasignups.net/23/01/10/updat…
ALASKA: THE ENTIRE STATE.
CALIFORNIA: Merced County
CONNECTICUT: New London, Tolland, Windham
NEW MEXICO: Bernalillo, Catron, Chaves, Cibola, Colfax, Curry, De Baca, Dona Ana, Eddy, Grant, Guadalupe, Harding, Hidalgo, Lea, Lincoln, Los Alamos, Luna, McKinley, Mora, Otero, Quay
CALIFORNIA: Merced County
CONNECTICUT: New London, Tolland, Windham
NEW MEXICO: Bernalillo, Catron, Chaves, Cibola, Colfax, Curry, De Baca, Dona Ana, Eddy, Grant, Guadalupe, Harding, Hidalgo, Lea, Lincoln, Los Alamos, Luna, McKinley, Mora, Otero, Quay
NEW MEXICO continued: Rio Arriba, Roosevelt, Sandoval, San Juan, San Miguel, Santa Fe, Sierra, Socorro, Taos, Torrance, Union, Valencia
NORTH DAKOTA: Benson, Cavalier, Eddy, Griggs, Nelson, Pembina, Ramsey, Steele, Towner, Walsh
OKLAHOMA: Blaine, Johnston, Kingfisher, Murray
NORTH DAKOTA: Benson, Cavalier, Eddy, Griggs, Nelson, Pembina, Ramsey, Steele, Towner, Walsh
OKLAHOMA: Blaine, Johnston, Kingfisher, Murray
#FunFact: There's 3 counties in the U.S. where a single 40-yr old earning $35,000/year qualifies for a FREE (as in, $0 premium) Gold* #ACA policy:
Santa Fe County, NM*
Fulton County, PA
Juniata County, PA
*(in NM it may be called a Turquoise plan)
cc: @bjdickmayhew @colinbaillio
Santa Fe County, NM*
Fulton County, PA
Juniata County, PA
*(in NM it may be called a Turquoise plan)
cc: @bjdickmayhew @colinbaillio
There's 226 counties where a single 40-yr old earning $30K/yr qualifies for a free Gold plan.
There's 619 counties where they can get a free Gold plan if they earn $25K/yr.
There's 619 counties where they can get a free Gold plan if they earn $25K/yr.
Of course, if they earn less than $27,180/yr (200% FPL) they're also eligible for a dirt-cheap #SecretPlatinum plan as well, which they'd usually be better off with anyway.
And if they earn less than $20,385/yr, they're eligible for a FREE #SecretPlatinum plan.
And if they earn less than $20,385/yr, they're eligible for a FREE #SecretPlatinum plan.
🎉 #HappyNewYear! 2023 #ACA Open Enrollment is still ongoing in 49 states + DC! Here's 13 important things to remember before you #GetCovered: #xp
acasignups.net/23/01/01/2023-…
acasignups.net/23/01/01/2023-…
1. DON'T MISS THE DEADLINE!
The final #ACA Open Enrollment deadline is Jan. 15th in most states, for coverage starting Feb. 1st (in a few states it's as late as Jan. 31st.) #xp
The final #ACA Open Enrollment deadline is Jan. 15th in most states, for coverage starting Feb. 1st (in a few states it's as late as Jan. 31st.) #xp
Here's a table laying out the deadlines for each state. Note that some of these may be extended at the last minute...but don't count on that! #GetCovered sooner rather than later if at all possible! #xp
📣 NBPP 2024, Part 5: User Fees, Risk Adjustment, Agents, Brokers & Web Brokers:
#ACA #GetCovered #NBPP2024 #xp acasignups.net/22/12/15/nbpp-…
#ACA #GetCovered #NBPP2024 #xp acasignups.net/22/12/15/nbpp-…
CMS is proposing to shave another 0.25% off the federal exchange user fee. I have mixed feelings about this; it would save enrollees around $18/year apiece on average, but as @BenDAvanzo notes, this is one of the few federal programs that has a dedicated funding source, so...
There's several big wonky sections related to changes to how ACA risk adjustment works. I don't know enough about risk adjustment to comment, so I've just posted the descriptions as is.
🚨🚨🚨 The deadline is TONIGHT to enroll in #ACA healthcare coverage starting January 1st for most people in most states! Here's 13 important things to remember before you #GetCovered: #xp
acasignups.net/22/12/15/deadl…
acasignups.net/22/12/15/deadl…
1. DON'T MISS THE DEADLINE!
While the final #ACA Open Enrollment deadline isn't until January 15th in most states, if you want your coverage to start on January 1st, you have to enroll by MIDNIGHT TONIGHT.
In Idaho, today is the *final* deadline for 2023 coverage! #xp
While the final #ACA Open Enrollment deadline isn't until January 15th in most states, if you want your coverage to start on January 1st, you have to enroll by MIDNIGHT TONIGHT.
In Idaho, today is the *final* deadline for 2023 coverage! #xp
Here's a table laying out the deadlines for each state. Note that some of these may be extended at the last minute...but don't count on that! #GetCovered sooner rather than later if possible. #xp
📣 NBPP 2024, Part 4: Medicaid/CHIP, Special Enrollment Periods, Income Data & Navigator Expansion:
#NBPP2024 #ACA #Medicaid #CHIP #Navigators #xp
acasignups.net/22/12/14/nbpp-…
#NBPP2024 #ACA #Medicaid #CHIP #Navigators #xp
acasignups.net/22/12/14/nbpp-…
CMS is expanding the timeframe for people who are kicked off of Medicaid to select an #ACA exchange plan via Special Enrollment from 60 days to 150 days (60 before / 90 after).
That'll be a huge thing once the Public Health Emergency ends & millions lose Medicaid eligibility.
That'll be a huge thing once the Public Health Emergency ends & millions lose Medicaid eligibility.
CMS is also proposing to let exchanges offer an earlier effective start date to avoid people having up to a 16-day coverage gap if they lose coverage mid-month. This, again, is probably mostly triggered by the impending end of the PHE, but it applies in other cases as well.
📣 NBPP 2024 Part 3: Dental Plans, Re-Enrollment Hierarchy & QHP Marketing Names
#ACA #NBPP2024 #GetCovered #DentalPlans #AutoRenewals #HighCSR #SecretPlatinum #xp
acasignups.net/22/12/13/nbpp-…
#ACA #NBPP2024 #GetCovered #DentalPlans #AutoRenewals #HighCSR #SecretPlatinum #xp
acasignups.net/22/12/13/nbpp-…
The re-enrollment change is HUGE. Until now, if you don't take any action, CMS will automatically re-enroll you in the exact same policy, but if it's not available they'll re-enroll you in whatever the closest equivalent to that plan is. For the most part this makes sense... #xp
...but a LOT of people enroll in Bronze plans when they're eligible for a high-CSR plan, often w/the same carrier & the same provider network. Going forward, CMS is proposing to auto-renew people in that situation into #SecretPlatinum plans instead, saving them hundreds! #xp
📣 NBPP 2024 Part 2: Standardized Plans & Meaningful Differences (HUGE!!)
#NBPP2024 #ACA #GetCovered #StandardizedPlans #MeaningfulDifference #xp
acasignups.net/22/12/13/nbpp-…
#NBPP2024 #ACA #GetCovered #StandardizedPlans #MeaningfulDifference #xp
acasignups.net/22/12/13/nbpp-…
Robin Williams starred in Moscow on the Hudson, in which he plays a Soviet-era Russian saxophone player who defects to the U.S. in New York City.
In one scene, he's overwhelmed by the bewildering number of coffee brands available at the grocery store.
In one scene, he's overwhelmed by the bewildering number of coffee brands available at the grocery store.
I picture this scene whenever I think about the glut of "different" insurance policies available in some states via the #ACA exchanges. While too little choice is a real problem, so is *too many choices* when the enrollee can't make heads or tails of the differences between them.
🚨🚨📣 REMINDER: THURSDAY is the deadline to enroll for coverage starting January 1st! Here's 13 important things to remember before you #GetCovered for 2023! #ACA #xp
acasignups.net/22/12/13/thurs…
acasignups.net/22/12/13/thurs…
🚨📣 You only have until THURSDAY to #GetCovered starting January 1st! Enroll via HealthCare.Gov TODAY! #ACA #xp
acasignups.net/22/11/29/its-t…
acasignups.net/22/11/29/its-t…
🚨📣 You only have until THURSDAY to #GetCovered starting January 1st! Enroll via HealthCare.Gov TODAY! #ACA #xp
acasignups.net/22/11/29/its-t…
acasignups.net/22/11/29/its-t…
🚨📣 You only have until THURSDAY to #GetCovered starting January 1st! Enroll via HealthCare.Gov TODAY! #ACA #xp
acasignups.net/22/11/29/its-t…
acasignups.net/22/11/29/its-t…
📣 BOOM: 2023 #ACA Open Enrollment breaks 6.6M w/BHPs included; QHPs up 18% y/y:
#GetCovered
acasignups.net/22/12/07/boom-…
#GetCovered
acasignups.net/22/12/07/boom-…
Important data points:
--NEW enrollment is still up 28% y/y nationally so far!
--Active renewals are up 17% overall
--IDAHO enrollment is up a whopping 70%, likely mostly due to @YourHealthIdaho launching their 2023 Open Enrollment 2 weeks early
--NEW enrollment is still up 28% y/y nationally so far!
--Active renewals are up 17% overall
--IDAHO enrollment is up a whopping 70%, likely mostly due to @YourHealthIdaho launching their 2023 Open Enrollment 2 weeks early
Other states with dramatic y/y changes so far:
--New Jersey, Mississippi, Louisiana, South Carolina, Tennessee & Texas are all up 30% y/y
--New York, Pennsylvania, California, Maine, DC & Vermont are all down by double digits so far
--New Jersey, Mississippi, Louisiana, South Carolina, Tennessee & Texas are all up 30% y/y
--New York, Pennsylvania, California, Maine, DC & Vermont are all down by double digits so far
As a doctor, Trump's announcement tonight sends a shiver down my spine. Medical professionals are still burned out, still dealing with the fallout of Trump's presidency. In case anyone forgot, here's a list of how he harmed our patients and attacked health care access (🧵): 1/10
Data show as many as 40% of COVID-19 deaths (nearly ¼ million) during Trump's presidency could have been prevented had he handled the pandemic like wealthy peer nations. We still mourn the loss of our patients and neighbors. It didn't have to be that way. 2/10
Trump's deliberate spreading of disinformation put frontline workers like us at grave risk. Some didn't make it. Some, understandably, left. Hospitals across the country remain understaffed, making it harder for everyone to get quality health care. 3/10
STATEMENT from #WhiteHouse PLEASE read!>>Congressional Republicans have laid out their mega MAGA trickle-down economic plan clearly. Their economic plan will raise costs and make inflation worse. Their five part plan includes:
1/24 #BlueIn22 #RepublicansAreHarmfulToAmericans
1/24 #BlueIn22 #RepublicansAreHarmfulToAmericans
$3 trillion in tax cuts skewed to the wealthy – which would add to the deficit and make inflation worse 2/24 #RepublicansAreHarmfulToAmericans #VoteBlueIn2022
“GOP wants to push to extend Trump tax cuts… Republican lawmakers gear up to push 2017 tax law after midterm elections, despite potential impact on inflation.” Washington Post 10/17/22 #RepublicansAreTheProblem #VoteBlueIn2022
📣📣📣 Annnnd we're off! The 2023 #ACA Open Enrollment Period has officially launched!
Here's 1️⃣3️⃣ important things to remember before. you #GetCovered:
acasignups.net/22/11/01/its-t…
Here's 1️⃣3️⃣ important things to remember before. you #GetCovered:
acasignups.net/22/11/01/its-t…
1. DON'T MISS THE DEADLINE!
While the final #ACA Open Enrollment deadline isn't until January 15th in most states, if you want your coverage to start on January 1st, you have to enroll earlier. Plus, Idaho's *final* deadline is in December.
While the final #ACA Open Enrollment deadline isn't until January 15th in most states, if you want your coverage to start on January 1st, you have to enroll earlier. Plus, Idaho's *final* deadline is in December.
Here's a table laying out the deadlines for every state. Note that some of these may be extended closer to the listed date...but don't count on that! #GetCovered sooner rather than later if possible.
The Washington Post is reporting that "Obamacare premiums are rising 4%" based on @KFF's estimate that *benchmark Silver premiums* are increasing by around 4% in 2023 vs. 2022. 1/ washingtonpost.com/politics/2022/…
That's an important distinction, as *overall* #ACA premiums are increasing by a bit more than that (around 6.2% across 32 states + DC): 2/ acasignups.net/22/10/26/updat…
However, the reality is that for the vast majority of #ACA enrollees, premiums won't be going up by either 4% or 6.2% thanks to the premium tax credits (aka financial subsidies) provided for by the #ACA which are dramatically enhanced by the #InflationReductionAct. 3/
