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Charles #GetCovered-ba Profile picture
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31 Mar, 4 tweets, 2 min read
Wyoming Republicans just turned down 2 years of free healthcare for 25,000 of their lowest-income residents *and* an extra $30 million to boot.
The final WY Senate vote was 3 to 2 against. 2 of them voted Yes; thank you to @fbald1Senator and Sen. Dan Furphy.

The three who just gave 25,000 Wyomingites the finger are @AnthonyBouchard, Troy McKeown and Lynn Hutchings.
I have to admit that Sen. Hutchings seems to stand out as a Wyoming Republican Senator, so I did a quick search. This is what came up:
Meanwhile, *MISSOURI* Republicans ALSO just told their own residents to fuck off even AFTER Medicaid expansion was BAKED INTO THE STATE CONSTITUTION by the voters last year: acasignups.net/21/03/26/misso…

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More from @charles_gaba

Charles #GetCovered-ba Profile picture
1 Apr
📣🎉 #ACA enrollment is BACK, and this time it's a #BigFrigginDeal!

Here's 10 important things to remember when you #GetCovered!

acasignups.net/21/03/31/aca-e…
1. MILLIONS WHO DIDN'T QUALIFY FOR FINANCIAL HELP BEFORE DO NOW...AND IT COULD SAVE YOU *THOUSANDS* OF DOLLARS!

(and those who already qualified now qualify for *more* help!)
This table shows the financial help sliding scale under the #ACA (which cuts off help for middle-class enrollees)...and under the #AmRescuePlan, which covers 100% of the premiums for millions of people & caps them at no more than 8.5% *EVEN FOR MIDDLE-CLASS AMERICANS*: Image
Read 19 tweets
Charles #GetCovered-ba Profile picture
30 Mar
This is a long, wonky post, but it also includes the simplest explanation I could give of how #SilverLoading works and why a lot of people were eligible for $0 premium Bronze or *Gold* plans even before the #AmRescuePlan expanded them further.

acasignups.net/21/03/29/old-l…
In short: Here's some sample 2017 Bronze, Silver & Gold premium & enrollment data. Let's say 2018 medical trend went up 5%. Meanwhile, let's say 1/2 the enrollees received CSR help averaging $2,400 apiece.

That's $120M in CSR reimbursements owed to the carriers from the feds. Image
In late 2017, Donald Trump cuts off CSR reimbursements, figuring this will cause millions of low-income enrollees to lose their subsidies *or* for all the carriers to drop out of the ACA market (causing it to "blow up" and "collapse"), or both, to avoid eating a $120M loss.
Read 9 tweets
Charles #GetCovered-ba Profile picture
24 Mar
📣 NEW: Time to check in on how the #COVID19 Special Enrollment Period is going...
acasignups.net/21/03/24/time-…
As @selenasd just noted, and @KrutikaAmin reiterated, the only *official* COVID SEP enrollment tally from HCgov is 206K as of 2/28...plus scattershot data from a handful of state-based ACA exchanges.

My estimates suggest the national total was around 260K as of 2/28...
...or an average of ~18.5K per day. *IF* that pace has held true since 2/28, the national tally would be around 684,000 as of yesterday.

HOWEVER...since 2/28, the #AmRescuePlan passed the House, the Senate, the House again & was signed by President Biden on 3/12!
Read 5 tweets
Charles #GetCovered-ba Profile picture
24 Mar
Rep. Haroldson is either lying or clueless.
Actually, since Wyoming hasn’t expanded Medicaid, the only way this claim could be true is if the family in question saw their income go over *400* FPL, making them ineligible for ACA subsidies BEFORE the ARP was signed.
If that’s what happened, then:
1. Medicaid expansion is irrelevant to them anyway;
2. They’re the opposite of poverty-stricken;
3. The ARP solves that problem as well.
Read 5 tweets
Charles #GetCovered-ba Profile picture
24 Mar
📣 NEW: Why does the #AmRescuePlan include #COBRA subsidies in the first place?
acasignups.net/21/03/24/why-d…
(NOTE: Earlier I questioned where @MehdirHasan got his $35B figure. That's been answered reasonably, but it also creates a *different* mystery: @USCBO says $22.8B. @JCTGov says $35.0B. Which is right, and why would they differ when they collaborated on the same score??)
Having said that, even w/JCT est. of $35B, @MehdirHasan still claimed it'd only cover "2M people for 6 mo" which would be $17.5K/6 mo or $35K/yr apiece.

Problem? The House version estimated *3M*, not 2, and the *Senate* version would cover FAR MORE people (thus the higher cost).
Read 5 tweets
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 6 tweets

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