NEW on House COVID Relief:

•3.4M+ people would be guaranteed $0 plans with deductibles under $200

•8M ppl are subject to full-priced premiums now. Many in the subsidy cliff would save $500/month

•States with biggest savings include WY, NE, WV, SD

kff.org/health-reform/…
2/ Under the House proposal, most of the ~14 million people buying on the individual market and the ~15 million uninsured people who could be on the ACA Marketplace would see lower ACA premiums. That savings could be used to get lower deductible plans, too.
3/ The House COVID Relief proposal would yield big savings for the older adults buying ACA Marketplace plans, particularly those above 4x the poverty rate (~$52k single income).

But the zero-premium low-deductible plans for low-income people are at least as big of a game changer
Of course, this all costs money - $34B over 10 years - and it's not clear how many uninsured people will take up the additional financial help. As it is now, most of the uninsured are already eligible for subsidies or Medicaid. CBO expects ~1.7 million people to join Marketplace.
The proposal addresses common criticisms of the ACA (high premiums for those in subsidy cliff and high deductibles for lower-income people) and includes $ incentives for states to expand Medicaid. But it's temporary. If Congress wants to make permanent, they'll need to find the $

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More from @cynthiaccox

10 Nov 20
At her confirmation, #AmyConeyBarrett said the #ACA SCOTUS case is about severability.

That assumes the individual mandate is unconstitutional, and the question before the court is: 𝘾𝙖𝙣 𝙩𝙝𝙚 𝙧𝙚𝙨𝙩 𝙤𝙛 𝙩𝙝𝙚 𝘼𝘾𝘼 𝙨𝙩𝙞𝙡𝙡 𝙨𝙩𝙖𝙣𝙙?

The data shows it can... 1/9
2/ The individual mandate 𝗵𝗮𝗱 been seen as essential to the ACA’s individual market. The thought 𝗵𝗮𝗱 been, if people with #PreexistingConditons can get coverage, people would wait 'til they got sick to get insurance. This would drive up premiums and lead to a "death spiral"
3/ As anyone who has read the ACA knows, it’s a big piece of legislation. There’s a lot that has nothing to do with the individual mandate. Like calorie labeling, biosimilar approval, closing the Medicare donut hole. There was never a risk of a death spiral in Medicaid expansion.
Read 9 tweets
10 Nov 20
Does Biden’s presidential win make the ACA (#Obamacare) more likely to survive tomorrow’s Supreme Court case?

Only marginally, and it would all come down to Georgia.

Here's why: (1/7)
2/ The Trump Admin is arguing in court that the ACA should be struck down. A Biden Admin would change positions to defend the law.

But the Trump admin’s exit has no effect on the plaintiffs in the case – 18 Republican-led states + two individuals – who aren’t backing out
3/ There’s nothing administrative that Biden can do unilaterally as president to reverse the course of the ACA case. Biden can’t simply issue an executive order and make it go away. This case is now up to the largely conservative SCOTUS to decide.
Read 7 tweets
11 Dec 18
NEW analysis: Rather than continuing to go without insurance, *4.2 million* uninsured people could get an #ACA bronze plan for FREE

We estimate 27% of uninsured potential Marketplace shoppers are eligible for a bronze plan with $0 premiums in 2019. kff.org/health-reform/…
In #Delaware, #Iowa, #Nebraska, and #Utah, almost 1 in 2 currently uninsured people who could be buying Marketplace coverage will be able to get a $0 bronze plan in 2019.

But, will they even know this is an option?
Bronze plans have high deductibles & many ppl are better off w/ Silver

But the math is simple: $0 bronze >> uninsured

Bronze plans have $0 preventive services, often a few Dr visits pre-deductible, & make it more likely to get non-emergency care even if you can't pay deductible
Read 5 tweets
6 Dec 18
[THREAD] The U.S. spends more $$$ than any other country on health care, but gets worse health outcomes than similar countries.

We live shorter lives and have more disease burden. And the gap between the U.S. and other countries has grown.
Along with Jeffrey Selberg @PetersonCHealth, my @KaiserFamFound colleagues and I took a deep dive into the health system. We examined the last 25 years of health spending and outcomes in the U.S. vs similar countries. We look at dozens of indicators from a variety of data sources
U.S. health outcomes have improved, generally, over the past generation. In the past 25 years, life expectancy in the U.S. improved 4% and disease burden improved 12% (though both recently worsened a bit). Meanwhile, the share of our economy devoted to health increased by 40%
Read 9 tweets
13 Aug 18
NEW Analysis: Among people with employer coverage, nearly 1 in 5 inpatient admissions includes a claim from an out-of-network provider, putting them at risk for potentially high out-of-pocket costs. healthsystemtracker.org/brief/an-analy… @PetersonCHealth
Even when enrollees choose in-network facilities, a meaningful share of inpatient admissions result in the patient receiving a claim from an out-of-network provider.
Emergency care is much more likely to include a claim from an out-of-network provider. This is true whether or not enrollees use in-network facilities.
Read 6 tweets

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