Discover and read the best of Twitter Threads about #familyglitch
Most recents (7)
📣 Yesterday CMS released #NBPP2023! This is a Big Deal in healthcare wonkery circles.
The NBPP is the rulebook for various changes in how the #ACA will be administered in the upcoming year. Each year there's various tweaks...some major, some minor. 1/
The NBPP is the rulebook for various changes in how the #ACA will be administered in the upcoming year. Each year there's various tweaks...some major, some minor. 1/
The document itself is several hundred pages, but it boils down to a dozen or so major provisions (plus various minor ones).
Some of these get *really* wonky & over my head, but most aren't too in the weeds. I've broken them out into several posts. 2/
Some of these get *really* wonky & over my head, but most aren't too in the weeds. I've broken them out into several posts. 2/
First up: STANDARDIZED PLANS!
A few years ago, there was a risk of "bare counties" where there weren't ANY insurance carriers offering ACA policies. Today, it's the opposite: The market is often saturated with *hundreds* of near-identical plans. 3/
acasignups.net/22/04/28/nbpp-…
A few years ago, there was a risk of "bare counties" where there weren't ANY insurance carriers offering ACA policies. Today, it's the opposite: The market is often saturated with *hundreds* of near-identical plans. 3/
acasignups.net/22/04/28/nbpp-…
We estimate that 5.1 million people fall into the family glitch.
Most are children, and among adults, women are more likely to fall into the #familyglitch kff.org/health-reform/…
Most are children, and among adults, women are more likely to fall into the #familyglitch kff.org/health-reform/…
2/ People with affordable employer coverage can't get ACA subsidies.
Under current law, "affordable" is defined just based on the employee's premium. So an employee might have "affordable" coverage, even if it'd be unaffordable to their add spouse/kids to the plan (the "glitch").
Under current law, "affordable" is defined just based on the employee's premium. So an employee might have "affordable" coverage, even if it'd be unaffordable to their add spouse/kids to the plan (the "glitch").
3/ The Biden Admin is proposing to change the interpretation of this ACA provision, saying that family members in this circumstance do NOT have access to affordable coverage, and they should be eligible for subsidies on the ACA marketplace.
Proposal here: public-inspection.federalregister.gov/2022-07158.pdf
Proposal here: public-inspection.federalregister.gov/2022-07158.pdf
Many people have asked me why the Biden Admin didn’t move on this LAST year. There’s two reasons I can think of: First, the process is a long & convoluted one; it might simply have taken a full year to get to this point. 1/
The other is more pragmatic: They were hoping to have #BuildBackBetter passed and signed into law by now. The CBO score *without* the family glitch will likely be billions of dollars higher than with it still in place. They might’ve been hoping to lock in ARP legislatively first.
With the #FamilyGlitch fixed, up to 5.1 million more Americans would become eligible for #ACA subsidies. Assuming half of them took this up, that’d increase enrollment by another ~18% or so. CBO scored permanent ARP subsidies at ~$220B over a decade, so that’d go up ~$40B or so.
📣 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…
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.
BOOM. Re. the second package: 
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…
acasignups.net/21/03/17/prepa…
📣 NEW: PREPARE THYSELF: It may be in fits & starts, but #ACA2.0 *is* happening:
acasignups.net/21/03/15/prepa…
acasignups.net/21/03/15/prepa…
Four years ago I posted my (now sorely outdated) list of 20 changes to the #ACA I'd make If I Ran The Zoo (yes, I understand how awkward that title is at the moment): acasignups.net/18/02/12/updat…
In January, Sen. @MarkWarner introduced his Health Care Improvement Act which includes many of the same provisions: warner.senate.gov/public/index.c…
