Larry Levitt Profile picture
Sep 28, 2020 6 tweets 2 min read Read on X
Biden's public option proposal has gotten more attention, but his expansion of ACA premium subsidies could be an even bigger deal.

More than 12 million people with employer health insurance could save money. That's a group the ACA largely left out.

kff.org/health-reform/…
Biden's proposal to build on the ACA eliminates the "subsidy cliff," providing help to enrollees who are middle-income, older, and in rural areas.

It also eliminates the "firewall" that prevents people with expensive employer health insurance from accessing ACA subsidies.
If Democrats sweep the November election, Biden's proposal to expand ACA subsidies could attract broad support.

His proposal for a public option has significant public support, but would bring vehement opposition from the health care industry.
One group who would especially benefit from Biden's health proposal is low-income people in states that have declined to expand Medicaid under the ACA. They would be automatically enrolled in the public option plan.
Any health reform plan involves trade-offs. In the case of Biden's, it's primarily the budgetary cost -- an estimated $750 billion over 10 years, according to the campaign.
We have not done an analysis of President Trump's health reform plan, because...well, there isn't such a plan.

We did, however, do an analysis of who would benefit and lose under the Republican House ACA repeal and replace plan, supported by Trump.

kff.org/interactive/ta…

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More from @larry_levitt

Jun 11
The Biden Administration has issued a proposed rule that would remove medical debt from credit reports.

This wouldn't eliminate medical debt itself, but would prevent it from ruining people's credit.

consumerfinance.gov/about-us/newsr…
Image
According to @KFF polling and research, 100 million people have some form of health care debt, and medical debt totals at least $220 billion.

healthsystemtracker.org/brief/the-burd…
Especially with the proliferation of high-deductible insurance plans, medical debt can affect almost anyone when the crapshoot of an acute or chronic illness hits.
Read 4 tweets
Jun 8
Trump started a program where private Medicare drug plans could cap insulin copays voluntarily at $35.

Biden has required a $35 insulin copay cap in Medicare and proposed extending it to people outside of Medicare. Image
Major insulin makers have voluntarily capped insulin costs at $35 per month for many following the requirement in Medicare. But, there’s no guarantee that continues without a federal law.
A big question Trump has never answered: If elected, would he continue to implement the requirement for the government to negotiate drug prices in Medicare passed by Democrats and Biden? Or, would he seek to repeal or weaken it?
Read 4 tweets
Mar 28
In a long-delayed rule, the Biden Administration has reversed the Trump Administration's expansion of short-term health plans that were exempt from the ACA's requirements for coverage of pre-existing conditions and essential benefits.

cms.gov/newsroom/press…
The Trump Administration had allowed short-term plans exempt from ACA rules to be purchased for up to 364 days and renewed for up to 3 years. The Biden Administration is limiting them to no more than 4 months.
Short-term health plans have much lower premiums than ACA plans. That's because they deny coverage to people with pre-existing conditions and may not cover benefits like drugs, maternity care, mental health, and substance use treatment.

kff.org/affordable-car…
Read 5 tweets
Mar 26
The House Republican Study Committee budget plan would make sweeping changes to health care, reducing federal spending significantly and rolling back regulations. 🧵
The House Republican Study Committee budget would convert the ACA premium subsidies and Medicaid into block grants to states and reduce federal spending on those programs by $4.5 trillion over a decade.
Under the House Republican Study Committee budget, ACA protections for pre-existing conditions would be rolled back.

People could be charged higher premiums based on their health.

Insurance would be guaranteed renewable, but a gap in coverage could lead to a denial.
Read 7 tweets
Mar 18
This somewhat complicated chart from the body that advises Congress on Medicare (@medicarepayment) is quite stunning when you think about it.

It costs the government $83 billion more to provide coverage through private Medicare Advantage plans than in traditional Medicare. Image
It costs the government more to provide coverage through private Medicare Advantage plans than it would in traditional Medicare due to a kind of double whammy. Plans enroll healthier than average people. Yet, they are good at coding diagnoses that make them look sicker.
Given the overpayments, you would think cutting payments to Medicare Advantage plans would be an attractive target to reduce the deficit or fund other priorities.

But, insurers are profiting and are a powerful lobbying force. And, seniors get extra benefits at no premium.
Read 6 tweets
Mar 6
A somewhat wonky thread on what a $2,000 cap on out-of-pocket drug costs in private insurance would mean. A similar cap will apply in Medicare next year under the Inflation Reduction Act.
Before the new $2,000 cap on drug costs in Medicare, there was no cap on out-of-pocket drug costs or any cap on out-of-pocket costs at all. So, this will help people with high drug costs a lot. Plus, the government subsidizes the premium.
Employer plans are already required to cap out-of-pocket costs overall under the ACA. Also, drugs are often not subject to deductibles. Patients can, of course, still face high medication costs for expensive drugs with coinsurance.

kff.org/report-section…
Image
Read 7 tweets

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