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Obamacare a Win-Win for Poorer Adults

20 Mai 2017

They also had similar health demographics, were in the same census region and each had highly restrictive Medicaid thresholds prior to implementation of the ACA, said Dr. Benjamin Sommers, associate professor of health and economics at the Harvard University's School of Public Health and lead author of the study.

Roy concedes that "it may well be that Medicaid does offer a modest benefit to some people at the bottom of the income ladder". Medicaid provides health coverage to 1.2 million - or half of all OH children - and more than 30 million children nationwide.

The MacArthur amendment to the earlier AHCA version allows states to seek waivers to replace the AHCA's premium penalty with health status rating (underwriting) beginning 2019 for those who fail to maintain continuous coverage.

Virginia Republicans who have refused to expand Medicaid under current law now worry that the state will be put at a competitive disadvantage with other states that expanded their programs and would receive more money under the caps in the House bill.

After significant premium hikes in 2017 corrected for underpricing by insurers the previous two years, most analysts expected rates to stabilize for marketplace coverage in 2018. Under Trumpcare, states could once again charge higher premiums to those people. They would be required, however, to provide certain, specified health services to recipients. Each group is called a "risk pool" because the risk of paying claims has to come from the pooled premiums paid by the group's participants.

Eight billion dollars has been sanctioned to help with these costs over five years, but that is a drop in the bucket - especially when recognizing that the subsidies Obamacare implemented to help people buy insurance will be reduced overall.

The philosophical issue is more curious given that the essentials of the design of the ACA were set out by a conservative think tank in the 1990s as an alternative to Clintoncare. Trumpcare is their revenge.

Nationwide, children are the largest group covered by Medicaid.

The group, which represents almost 38 million people, opposes a provision in the House bill that would let insurance companies charge older adults five times more than younger people.

The state-specific reductions vary between per-capita caps and block grants, the latter of which states have the option to select under AHCA for a 10-year period starting in 2020. They spoke to a total of 10,885 people between 19 to 64 with income levels below 138 percent of the federal poverty line, the Medicaid expansion coverage threshold. "They don't want to give up their data to their employer and they're not sure what's going to happen to it", says Zabawa. "But in doing so they create a systemic risk for the insurance market because sooner or later it is like playing Russian Roulette; there is a bullet in the chamber in the form of a costly, recurrent illness".

Consider that Medicare covers the people with the highest healthcare costs, including 46.3 million seniors and 9 million Americans with serious disabilities. By contrast, private insurers' combined administrative expenses and profits consumed 20 percent of customers' premium payments. After that, it would be simply a matter of closing the gap in ages. NY can do better with an "improved Medicare for all" single-payer system that covers all of us and is funded fairly.

The House bill would not change funding for those already in the expanded program. Several progressive organizations are promoting it. The political reality of House District 2, which has been held by Republicans since its creation after the 1980 census, insulates Amodei from the seething anger of his urban constituents.

In the short-term, we can't go backward.

Obamacare a Win-Win for Poorer Adults