Monday, November 18, 2019

Chart Review H.R. 1346, “The Medicare Buy-in and Health Care Stabilization Act of 2019”


Stabilization Act of 2019”
Jonathan Keisling, Health Care Policy Analyst
Many of the Medicare buy-in bills written in the last year and a half include far more than the introduction of a public option offered through the Affordable Care Act’s (ACA) exchanges. Consider H.R. 1346, “The Medicare Buy-in and Health Care Stabilization Act of 2019”: This bill allows individuals aged 50 to 64 to buy into Medicare using ACA premium tax credits and cost-sharing reduction subsidies (if they qualify), while also providing new funding for reinsurance. The AAF Center for Health and Economy’s plan-choice model found that H.R. 1346’s funding for reinsurance and increased cost-sharing reduction subsidies make up the bulk of its projected $184 billion of increased spending. Despite this increase in spending, net enrollment is only projected to increase by 500,000 by the year 2029, reducing the uninsured rate by 0.2 percent.
Cumulative Change in Federal Costs under Medicare Buy-in

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