Surprise! ACA marketplace sabotage hit the most vulnerable hard
xpostfactoid.substack.com
I fear I buried the lead somewhat in yesterday's look at how ACA enrollment losses were distributed among income groups in states that refused the ACA Medicaid expansion. The distribution in the 18 nonexpansion states that use HealthCare.gov looked a lot like the distribution in all 39 HealthCare.gov states -- not surprising, since 69% of HealthCare.gov enrollees are concentrated in those states -- a fact kind of astonishing in itself. But enrollment is inflated in nonexpansion states because, thanks to a lucky ACA drafting error, eligibility for subsidies in those states begins at 100% of the Federal Poverty Level (FPL), whereas in expansion states it begins at 138% FPL. Those below that threshold in expansion states are eligible for Medicaid.
Surprise! ACA marketplace sabotage hit the most vulnerable hard
Surprise! ACA marketplace sabotage hit the…
Surprise! ACA marketplace sabotage hit the most vulnerable hard
I fear I buried the lead somewhat in yesterday's look at how ACA enrollment losses were distributed among income groups in states that refused the ACA Medicaid expansion. The distribution in the 18 nonexpansion states that use HealthCare.gov looked a lot like the distribution in all 39 HealthCare.gov states -- not surprising, since 69% of HealthCare.gov enrollees are concentrated in those states -- a fact kind of astonishing in itself. But enrollment is inflated in nonexpansion states because, thanks to a lucky ACA drafting error, eligibility for subsidies in those states begins at 100% of the Federal Poverty Level (FPL), whereas in expansion states it begins at 138% FPL. Those below that threshold in expansion states are eligible for Medicaid.