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THREAD: Ahead of @realDonaldTrump speech on #healthcare, it& #39;s worth looking at how @JoeBiden& #39;s plan likely will undermine the existing system of employer health coverage.
Details in my report available here -- or follow/RT this thread... 1/ http://www.juniperresearchgroup.com/post/5608/how-joe-biden-could-make-the-health-care-system-unravel">https://www.juniperresearchgroup.com/post/5608...
Details in my report available here -- or follow/RT this thread... 1/ http://www.juniperresearchgroup.com/post/5608/how-joe-biden-could-make-the-health-care-system-unravel">https://www.juniperresearchgroup.com/post/5608...
Regarding employer coverage, @JoeBiden& #39;s health plan contains two key features. First, it would allow individuals who have an offer of employer coverage to go to the Exchanges and receive subsidies -- right now, they can& #39;t do that in most cases... 2/ https://joebiden.com/healthcare/# ">https://joebiden.com/healthcar...
Second, @JoeBiden wants to increase #Exchange subsidies. He would allow individuals with incomes over 400% of poverty (about $100K for a family of four) to qualify for them (they can& #39;t now). But he also wants to expand the existing subsidies for those under 400% of poverty... 3/
@JoeBiden has said he wants to reduce the share of income paid out-of-pocket by families in premiums, and increase deductible/co-payment assistance.
He specified exactly what the new subsidies would look like -- but his plan cites an @urbaninstitute paper with specifics... 4/
He specified exactly what the new subsidies would look like -- but his plan cites an @urbaninstitute paper with specifics... 4/
I used the @urbaninstitute specifications cited in @JoeBiden& #39;s health plan, and compared how people would fare compared to the existing averages for employer coverage, based on @AHRQNews& #39; #MEPS data... 5/
As you can see from the chart, my analysis shows that virtually all individuals and families with incomes below 200% of poverty would have major financial incentives to switch to the #Exchanges under @JoeBiden plan... 6/
Some individuals and families with incomes between 200-300% of poverty would have major financial incentives to switch out of employer coverage as well, although those incentives would be less for many individuals, per the below... 7/
I found that, if 90% of households who would save at least $100/month by switching to the Exchange do so, and 50% who would save some money, but less than $100/month, switch coverage, a total of 24 million individuals will switch from employer coverage to the Exchanges... 8/
Some people might say that& #39;s a good thing -- families of modest means will benefit, so who& #39;s complaining?
Except there will be significant consequences for the rest of the system too. 9/
Except there will be significant consequences for the rest of the system too. 9/
For one, covering these 24 million people will cost the federal government a total of $2.2 trillion in new Exchange subsidies, I estimate.
And this spending does NOTHING to lower the uninsured rate -- it& #39;s a straight cost-shift from the private sector to the government... 10/
And this spending does NOTHING to lower the uninsured rate -- it& #39;s a straight cost-shift from the private sector to the government... 10/
For another, if people switch to subsidized Exchange plans, their employers could face higher taxes.
@JoeBiden hasn& #39;t said whether he would tax businesses whose workers switch to the Exchanges, but if he does, those would cost about $481 billion over ten years... 11/
@JoeBiden hasn& #39;t said whether he would tax businesses whose workers switch to the Exchanges, but if he does, those would cost about $481 billion over ten years... 11/
Finally, I estimate about 64% of those who would switch coverage are under age 35. That means employers would be left with an older (read: sicker) pool of employees -- which may prompt them to drop coverage entirely... 12/
In other words, @JoeBiden& #39;s changes could hasten the collapse of employer coverage.
@avalerehealth estimates that @amprog plan (similar to Biden& #39;s) would cause 14 MILLION people to lose coverage, because employers will cancel their insurance... 13/ https://www.americanprogress.org/issues/healthcare/reports/2019/07/23/472520/medicare-extra/">https://www.americanprogress.org/issues/he...
@avalerehealth estimates that @amprog plan (similar to Biden& #39;s) would cause 14 MILLION people to lose coverage, because employers will cancel their insurance... 13/ https://www.americanprogress.org/issues/healthcare/reports/2019/07/23/472520/medicare-extra/">https://www.americanprogress.org/issues/he...
Some people on the Left have responded by saying they don& #39;t like their employer plan, and wouldn& #39;t mind seeing a new system.
But when rolling out his health care platform, @JoeBiden said "If you like your employer plan, you can keep it." 14/ https://www.politifact.com/article/2019/jul/18/if-you-your-plan-you-can-keep-it-bidens-healthcare/">https://www.politifact.com/article/2...
But when rolling out his health care platform, @JoeBiden said "If you like your employer plan, you can keep it." 14/ https://www.politifact.com/article/2019/jul/18/if-you-your-plan-you-can-keep-it-bidens-healthcare/">https://www.politifact.com/article/2...
Not only is that promise one @JoeBiden can never keep, his policies would likely lead to employers dropping health coverage... 15/
The real object of @JoeBiden& #39;s health plan becomes apparent in the context of @KamalaHarris& #39; infamous comments last year about banning private health insurance: "Let& #39;s eliminate all of that. Let& #39;s move on." 16/ https://www.youtube.com/watch?v=DJhuPtIsUI0">https://www.youtube.com/watch...
Giving people big (and costly) incentives to switch to the #Exchanges and out of employer coverage is a major step towards eliminating private insurance. That& #39;s the ultimate outcome of @JoeBiden& #39;s health plan... 17/
If you& #39;re interested in learning more, my @WSJopinion op-ed from earlier this week summarizes my report... 18/ https://www.wsj.com/articles/your-company-health-plan-isnt-safe-in-a-biden-presidency-11600709029?mod=opinion_lead_pos5">https://www.wsj.com/articles/...
Or you can read the report itself on my website here. Either way, it& #39;s an issue you& #39;ll be hearing a LOT more about should we end up with a @JoeBiden presidency... FIN http://www.juniperresearchgroup.com/post/5608/how-joe-biden-could-make-the-health-care-system-unravel">https://www.juniperresearchgroup.com/post/5608...
