Commonwealth Fund June 30, 2021
John Holahan, Matthew Buettgens, Jessica S. Banthin, Michael Simpson

Abstract

  • Issue: As an alternative to expanding Medicaid in nonexpansion states, some policymakers propose expanding eligibility for marketplace premium tax credits to people below 100 percent of the poverty level.
  • Goal: Explore three options for expanding eligibility for subsidized marketplace coverage. Option 1 uses the Affordable Care Act’s subsidy schedule prior to the American Rescue Plan Act (ARPA). Option 2 enhances subsidies at all incomes to match those in the ARPA. Option 3 enhances premium and cost-sharing subsidies. Each option also could increase the federal matching rate for Medicaid expansion enrollees to 100 percent.
  • Methods: Assess coverage and cost impacts of each alternative using the Health Insurance Policy Simulation Model.
  • Key Findings and Conclusions: Option 1 covers up to...

Today's Sponsors

LEK
ZeOmega

Today's Sponsor

LEK

 
Topics: ACA (Affordable Care Act), CMS, Govt Agencies, Insurance, Medicaid, Patient / Consumer, Payer, Provider, States
CMS simplifying Medicaid, CHIP enrollment and renewal processes
Some Medicaid Providers Borrow or Go Into Debt Amid ‘Unwinding’ Payment Disruptions
HHS Announces Medicaid and Medicare Flexibilities, Investigations post-Change Healthcare Cyberattack
CMS to cut red tape for Medicaid, CHIP in final rule
Medicare, Medicaid made $100B in improper payments in 2023

Share This Article