Health Payer Intelligence July 28, 2022
Between 2014 and 2023, ACA maximum out-of-pocket limits will have increased by 43 percent, while enrollee wages will have risen by 31 percent.
The maximum out-of-pocket limit in Affordable Care Act (ACA) marketplace plans is rising faster than enrollee wages and salaries, a Peterson-KFF Health System Tracker found.
Researchers used data from the Congressional Budget Office (CBO) and CMS National Health Expenditure Accounts to analyze current and future out-of-pocket maximums for ACA marketplace plans and health savings account (HSA)-qualified plans.
Due to federal regulations, most privately insured individuals have a health plan with an out-of-pocket limit. The Medicare Modernization Act of 2003 established a federal out-of-pocket maximum for HSA-qualified plans, while the Affordable Care Act of 2010 required non-grandfathered...
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