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…
If #S499 becomes law (standalone or as part of the larger package), it would tackle the 2nd biggest complaint about the #ACA: High deductibles & other out of pocket expenses.
In short, EVERY #ACA enrollee could afford AT LEAST a Gold plan & most could get a Platinum-equivalent!
This isn't a comprehensive list, but there are 4 major beefs most people have with the #ACA's structure:
1. Premium subsidies too stingy 2. Deductibles/cost-sharing subsidies too stingy 3. Max Out of Pocket too high for those w/chronic conditions 4. Networks too skinny
The #AmRescuePlan scratches #1 off the list...but only for 2 years. #S499 would scratch #1 *and* #2 off *permanently*.
#3 & #4 get more involved, but there are other bills pending which would at least partially address those as well: acasignups.net/21/03/17/prepa…
Other issues include the #FamilyGlitch (which might be fixable via HHS regulation but should still be codified as well); the #SkinnyPlanGlitch; etc...but TPTB are working on all of these as well, at various stages.
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.@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…
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…
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…
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…
"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.
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.
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.