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Charles #GetCovered-ba Profile picture
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22 Mar, 5 tweets, 4 min read
📣🎉 The #ACAGoesTo11 TOMORROW...and #ACA 2.0 is on the way:
PART 1: A look at bills from Senators @MarkWarner, @SenatorBennet, @timkaine & @SenatorShaheen, all of which would (at the very least) lock in the #AmRescuePlan's subsidy expansion permanently, plus much more:
acasignups.net/21/03/17/prepa…
PART 2: A look at 9 bills in the House which would do everything from repairing Trump Admin sabotage of the #ACA's marketing, outreach & navigator budgets to requiring #ShortAssPlans to meet the same minimum requirements of other health insurance coverage:
acasignups.net/21/03/17/prepa…
PART 3: A look at 9 *more* bills in the House which would *permanently* fund CHIP, improve access to Medicaid for various populations & much more. It's worth noting that several of these are *bipartisan*:
acasignups.net/21/03/20/prepa…
🚨 IRONICALLY, the #ACA also STILL faces one looming existential threat: The #SCOTUS could rule their decision on the asinine #TexasFoldEm lawsuit ANY DAY. In a worst-case scenario, the entire law could be struck down...in the middle of a pandemic.
acasignups.net/21/02/05/democ…

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More from @charles_gaba

Charles #GetCovered-ba Profile picture
24 Mar
.@mehdirhasan is a great interviewer and is often dead-on target, but he (like so many others in the news media) MASSIVELY overstated the cost per enrollee of the #AmRescuePlan's COBRA subsidies last night (I'm still working on the post but this is key):
acasignups.net/21/03/24/why-d…
Hasan claimed that the #ARP will spend $35B to cover "around 2 million" COBRA enrollees for 6 months.

$35B / 2.0M = $17,500 apiece. For 6 months.

If true, this would indeed be a massive waste of money, since employer policy premiums average ~$7,500 per *YEAR* per enrollee.
On the upside, claiming COBRA costs $35K/year is a lot better than claiming it costs $80K/year, I suppose. He only overstated the cost by 5.6x instead of 10.6, so I guess that's progress...
acasignups.net/21/03/17/updat…
Read 5 tweets
Charles #GetCovered-ba Profile picture
24 Mar
📣🎉#ACAGoesTo11: #ACA Enrollment is BACK, BIG TIME! Here's *10* important things to remember to help you #GetCovered! acasignups.net/21/03/24/aca-e…
1. MILLIONS NOW QUALIFY FOR #ACA TAX CREDITS IN 2021 & 2022 WHO DIDN'T IN 2020...AND THEY COULD SAVE *THOUSANDS OF DOLLARS*!

In addition, most of those *already* receiving subsidies will receive *additional* financial help!
Here's my explainer about how much various households will save on #ACA premiums at different income levels. Low-income enrollees could pay NOTHING in premiums, & for the first time ever, MIDDLE-CLASS folks will be eligible for financial help! acasignups.net/21/03/14/new-h…
Read 20 tweets
Charles #GetCovered-ba Profile picture
24 Mar
Hoo boy. Again, I’m not a fan of COBRA but there are legitimate reasons for doing it this way in this particular situation.
First, I'm not sure where @mehdirhasan gets $35 billion from. According to the @USCBO score of the final Senate version of the #AmRescuePlan, the gross cost of the #COBRA provision is $37.2 billion (slightly *higher*), but the *net* cost is $22.8 billion:
cbo.gov/publication/57… Image
Second, the *net amount being spent per COBRA enrollee*, according to the CBO, was around $2,600 apiece under the *House* version *$7.84B / 3.0M) to cover 85% of their premiums. If you ignore savings (why?), the *gross* amount was around $4,800 apiece:
acasignups.net/21/03/17/updat…
Read 13 tweets
Charles #GetCovered-ba Profile picture
23 Mar
📣 BREAKING: @SecBecerra to extend 2021 #COVID19 Enrollment Period deadline thru August 15th:
acasignups.net/21/03/23/break…
Some Guy, June 16, 2020: acasignups.net/20/06/16/vermo…

"At a certain point I'm guessing at least one of the state exchanges will just say "screw it" and open...enrollment up for the full year."
There's 3 main reasons to have a limited-time Open Enrollment Period in the first place:

1. To prevent Adverse Selection...that is, people who "go bare" until they're diagnosed with an illness or get injured. This is why you can't get auto insurance AFTER you crash your car.
Read 5 tweets
Charles #GetCovered-ba Profile picture
23 Mar
(sigh) I'm sure @nicholas_bagley will explain the legal side of this, but here's what this is referring to:
healthcare.gov/coverage/preve…
One of the less-appreciated provisions of the #ACA is that it requires ALL compliant healthcare policies to cover a long list of preventative services at NO cost to the patient--no deductible, no co-pay, no coinsurance--as long as they're done in-network.
Read 8 tweets
Charles #GetCovered-ba Profile picture
23 Mar
🎉🎉🎉 The #ACAGoesTo11 TODAY...and #ACA 2.0 is on the way! #ACA11
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.
Read 36 tweets

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