From savings from negotiated lower prices for prescription meds. I thought those savings were already earmarked for keeping Medicare off the red but who’s counting?
Besides, I’m suspicious of the accounting there too. If it costs $288k/patient and say the medicare copay is 20% for this (same as in-patient hospitalization), my math says each patient would cost Medicare $230k/yr. At an estimated $40B/yr total cost, that’d mean it’d cover about 174k patients. That seems too low to me to expect only 0.05% of the US population to need this annually.
Especially if you consider the knockdown effect. Why would anyone go to a nursing home for $116k/yr or even use an home health aid for $69k/yr, when you could get 24/7 in-home care for $58k/yr ($288k x 20%)? Medicare would logically have to start covering these as well so the $40B cost could be many times that in reality.
For me this policy doesn’t make sense when Medicare is already bankrupt. As evident from the annual costs, in-home care is grossly inefficient care. If anything we should financially discourage patients from choosing this long-term care solution instead of more affordable ones.
yes, I think you’re referencing income vs assets. I think ACA does not focus on assets, like a lot of federal prog.s I wish they would also not do cliff cut offs but a tiered approach.
Slightly OT, but my parents are currently on a Humana MA plan. I am looking to switch, given all the changes this year. thinking of returning to Orig. medicare and buying a supplement
Any good national agent recommendations that folks here are using?
Obamacare now covers many illegals, thanks to Biden’s redefining who is “eligible”.
By implementing a federal rule expanding the definition of “lawful presence” to include DACA recipients, they are “no longer excluded from receiving coverage from a quality health plan and financial assistance as well,” Health and Human Services Secretary Xavier Becerra told reporters
I wonder if that includes all the Haitians and Venezuelans that he imported and “legally” gave asylum status based on a few clicks on some app?
The premium tax credit – also known as PTC – is a refundable credit that helps eligible individuals and families cover the premiums for their health insurance purchased through the Health Insurance Marketplace
It’s free money whether you owe taxes or not, although sometimes you have to file taxes to get it depending on if the ACA marketplace insurance company knows enough to credit you with it up front or not. Broadly, to qualify you have to be under 400% of the poverty line for your family size, not eligible elsewhere like your work, and buy a plan off the Marketplace. it’s a bit more selective if you’re under 100% of the poverty line, but you can sometimes still qualify even then.
I though the ACA related 45 C.F.R. §152.2(4)(f)specifically excluded DACA recipients from being eligible for ACA.
" Lawfully present means … (8) Exception. An individual with deferred action under the Department of Homeland Security’s deferred action for childhood arrivals process, as described in the Secretary of Homeland Security’s June 15, 2012, memorandum, shall not be considered to be lawfully present with respect to any of the above categories in paragraphs (1) through (7) of this definition."
Can they just change that part without changing the law? Why not change it so that anyone with a pulse is considered legally present then?
Yes it did. But that, like the Constitution and student loan forgiveness, were no obstacles for the Biden regime.
Next policy up from Harris! This is why the Chevron Supreme Court ruling was important - that the executive can’t just make stuff up when they feel like it as part of “administering” laws that didn’t say anything about whatever overreach they want to do for political reasons.
If income is too low to need to file taxes, you dont qualify for ACA and your application gets kicked to Medicaid. Adding illegal immigrants to Medicaid is stupid, but so is giving illegal immigrants tax money to pay their health insurance premiums.
The main issue is entirely caused by the DACA status being such a half-assed system. DACA recipients can work legally, get a driver’s license, pay local, state, and federal taxes on their earnings like anyone else, contribute to social security/medicare via FICA withholding but cannot receive any benefits due to be illegal immigrants. Given their taxation without any SSA/Medicare/Medicaid benefits, I don’t think it’s particularly unfair to grant access for those who work and earn enough to qualify for ACA subsidies. Alternatively, we could deny them access to ACA subsidies but to be fair make them (and their employers) exempt from paying FICA taxes.
That being said, I’d much prefer we decided whether they’re illegals who cannot work, stay in the country, nor get any benefits, or they are permanent residents with a path to citizenship. But not a messy mixture of both.