October 6, 2016
More than six years after the ACA’s passage, these promises can be measured against reality.
- It turns out that while the percentage of individuals without insurance has declined, enrollment in the exchanges is far below projections;
- exchange enrollees are much older and poorer than expected;
- competition in the individual market has decreased, rather than increased;
- rather than falling, premiums have increased significantly in both the individual and employer-sponsored markets;
- the law’s Medicaid expansion, which is responsible for the vast majority of rate decline in uninsured Americans, came at a far higher cost than expected;
- the law has increased, rather than decreased, overall healthcare spending; and
- the ACA has negatively affected economic growth, despite promises to the contrary.
Source: The Broken Promises of the Affordable Care Act | Mercatus Center
September 28, 2016
If Clinton takes office next January, when ObamaCare’s next enrollment period is falling flat, as it inevitably will, the writing will be on the wall and Clinton will have to dangle the law’s controversial mandates to bring Republicans to the table. That means the only way that the mandates will survive is if Republicans are unwilling to deal. That can’t be ruled out, but it’s not the most likely outcome. To understand why, just recall the outcry when ObamaCare was about to launch, and millions of people started getting notices that their plans were being canceled. GOP policymakers understand that they can’t take away the coverage that 10 million people, many relatively old and not in robust health, have come to count on. That’s why they crafted a GOP plan to kill ObamaCare softly, vowing that if you like your ObamaCare plan, you can keep it.
Source: ObamaCare Mandates Are Dead — Even If Hillary Wins | Stock News & Stock Market Analysis – IBD
May 4, 2016
This Visualizing Health Policy infographic looks at eligibility and coverage trends in employer-sponsored health insurance. Since 2000, the share of workers covered by employers’ health benefits at both offering and nonoffering firms has dropped to 56%, with the biggest decrease among employees working for small firms (3-199 workers). Among people younger than 65 years, those with lower incomes continued to be less likely to have coverage from an employer-sponsored health plan, as has been the trend since 1999. In 2015, larger firms were more likely than smaller ones to offer health benefits, as were organizations with more higher-wage employees, fewer lower-wage employees, and fewer workers 26 years or younger. Most large employers offered coverage to spouses and other dependents, while fewer than half of these firms offered coverage to same-sex or opposite-sex domestic partners. Few firms took action in 2015 in response to the Affordable Care Act’s employer mandate, including changing some jobs from part-time to full-time so employees would be eligible for coverage.
Source: JAMA Network | JAMA | Eligibility and Coverage Trends in Employer-Sponsored Insurance
February 5, 2016
According to PolitiFact, however, while discouraging the buying of labor eliminates jobs, discouraging the selling of labor does not. On this arbitrary distinction, PolitiFact hangs its entire ruling. Without it, they would have to admit that the CBO’s projection that Obamacare will reduce employment by 2.5 million jobs supports Cruz’s statement.
Source: Clean Up Your Act, PolitiFact: Why Ted Cruz Was Right On Obamacare And Jobs – Forbes
January 12, 2016
The dependent care mandate is one of the most popular provisions of the 2010 Affordable Care Act (ACA). This provision requires that employer-based insurance plans cover health care expenditures for workers with children 26 years old or younger. While there has been considerable scholarly and policy interest in the effects of this mandate on health insurance coverage among young adults, there has been little scholarly work measuring the costs and incidence of this mandate and who pays the costs of it. In our empirical work, we exploit the fact that some states had dependent care mandates in years prior to the passage of the ACA. Using data from the Survey of Income and Program Participation (SIPP), we find that workers at firms with employer-based coverage – whether or not they have dependent children – experience an annual reduction in wages of approximately $1,200. Our results imply that the marginal costs of mandated employer-based coverage expansions are not entirely borne only by the people whose coverage is expanded by the mandate.
Source: The Incidence of Mandated Health Insurance: Evidence from the Affordable Care Act Dependent Care Mandate
November 19, 2015
Starting in January, the Affordable Care Act requires businesses with 50 or more full-time-equivalent employees to offer workers health insurance or face penalties that can exceed $2,000 per employee. Ms. Hunter, who has 45 employees, is determined not to cross that threshold. Paying for health insurance would wipe out her company’s profit and the five-figure salary she pays herself from it, she said.“
The margins are not big enough within our industry to support it,” she said. “It’s not that I don’t want to — I love my employees, and I want to do everything I can for them — but the numbers just don’t work.”
Source: Health Care Law Forces Businesses to Consider Growth’s Costs – The New York Times
November 13, 2015
Starting in 2016, push comes to shove for small businesses under the Affordable Care Act, better known as Obamacare. As of January 1, small businesses, broadly defined as firms with 50 to 100 full-time employees, must comply with the ACA’s employer mandate and provide qualified health insurance to their workers or face stiff penalties. But this requirement poses a big threat to the financial stability of small employers—and not for the reasons you might think.
Source: How Obamacare Inadvertently Threatens The Financial Health Of Small Businesses, And What States Should Do About It – Forbes