Variation in projected out-of-pocket costs across markets among “low” users of health care, for enrollees with incomes of $17,000 Annual out-of-pocket.

Slides:

Advertisements

Similar presentations

Colorado Division of Insurance Actuarial Value. What is Actuarial Value A measure of how rich a specific design is PPACA describes this as the amount.

Advertisements

®® 1 The Challenges of Health Care Cost Growth Marilyn Moon American Institutes for Research February 4, 2008.

Percent of adults ages 19–64 Figure ES-1. High Out-of-Pocket Spending Climbs Across Income Groups, 2001–2007 Spent 5% or more of income annually on out-of-pocket.

Exhibit 1. Majority of Americans Say Health Care System Needs Fundamental Change or Complete Rebuilding Percent reporting Only minor changes needed Fundamental.

Percent of families with high out-of-pocket medical costs relative to income, not including premiums Figure ES-1. Nearly One of Six Families Spent 10%

Overview of Health Care Coverage and Cost Trends in Minnesota Presentation to the State Budget Trends Study Commission April 22, 2008 Julie Sonier Director,

Health Insurance Oversight System (HIOS) Issuer Data Entry Form Updates.

 What Is The Health Insurance Marketplace? | HealthCare.gov What Is The Health Insurance Marketplace? | HealthCare.gov.

Notes: The premium changes shown are for the second-lowest cost silver (“benchmark”) plan available to a 40-year-old in a given county or region. Source:

Understanding Insurance Premiums Under The Affordable Care Act The Covering Health Reform Webinar Series For Journalists Presented by the Kaiser Family.

Health Coverage Enrollment in Michigan What do I Need to Know? Understanding the Health Insurance Marketplace and Healthy Michigan Plan.

Excise Taxes An indirect tax charged on the sale of a particular good (usually by UNITS of the product rather than a percentage of the cost) Thus, an excise.

2014 Delaware Qualified Health Plans Individual Market Overview September 30,

January National Medicare & You Training Program Amy Larrick, CMS NAACP April 27, 2006.

The Impact of Health Expenses on Older Women ’ s Financial Security Juliette Cubanski, Ph.D. The Henry J. Kaiser Family Foundation AcademyHealth 2007 Annual.

Prescription Drug Expenditures and Healthcare Burdens in the Medicaid Population G. Edward Miller, Jessica S. Banthin and Thomas M Selden AHRQ Conference.

1 Federal Employees Health Benefits Program: Competition and Other Factors Linked to Wide Variation in Health Care Prices Christine Brudevold Assistant.

Benefit Trends in Minnesota’s Small Group and Individual Health Insurance Markets State Health Research and Policy Interest Group Meeting June 24, 2006.

THE COMMONWEALTH FUND Essential Health Benefits Under the Affordable Care Act: HHS Guidance and Key Implementation Issues Sara R. Collins, Ph.D. Vice President,

© 2016 Enroll America and Get Covered America EnrollAmerica.org | GetCoveredAmerica.org Click to edit master title style. 1 Plan selection: The Devil Is.

Exhibit 1 Notes: Second-lowest-cost silver plans for 2016; 40-year-old male nonsmoker; largest city in state. The median includes 36 states that use the.

Internal Revenue Service Revised August 21, 2015 ABC’s of the Premium Tax Credit.

Health Coverage Enrollment in Michigan

Background Authorized by the Patient Protection and Affordable Care Act of 2010; Health insurance subsidies for individuals and families between 100% and.

Kentucky’s Healthcare Coverage Landscape after 2017 Open Enrollment

August 3, 2017 How Do Retiree Health Costs Affect People and Programs?

Silver plans in Houston, Texas, and Virginia Beach, Virginia, for enrollees with incomes of $17,000 Notes: Second-lowest-cost silver plans for 2016; 40-year-old.

Change in Benchmark Silver Premiums, 2014 – 2015 Percent change in second-lowest silver plan, by county in 50 states and the District of Columbia Note:

Among People with High Financial Burdens, Prescription Drug Expenses Compose the Largest Share of Out-of-Pocket Costs for Those with Chronic Conditions.

More Than One-Quarter of Insured Adults Were Underinsured in 2016

For a middle-age person, before tax credits, premiums for comparable coverage would be similar under each plan Annual individual market premium for a silver.

Deductibles for Low-Income People in Silver Plans, Largest City in Nonexpansion States Note: Second-lowest-cost silver plans for 2016; 40-year-old male.

Under Tax Bill’s Repeal of Individual Mandate, Average Amount of Additional Annual Premiums for a 40-Year-Old in Individual Market Without Subsidies Notes:

2017 Annual Report Chart Pack

The ACA sets caps on the amount that eligible exchange enrollees must spend on premiums Maximum monthly premium an eligible individual would pay for a.

Percent of population under age 65 uninsured, 2013−2016

Exhibit 9.17 Among Large Firms Whose Plan with the Largest Enrollment Covers Specialty Drugs, Percentage of Firms that Use the Following Strategies to.

Health Coverage Enrollment in Michigan

Health Coverage Enrollment in Michigan

Fair/poor health status or any chronic condition**

Additional Amount Spent in Annual Premiums Each Year Due to Repeal of Individual Mandate vs. Average Tax Cut in Senate Bill, 2019–2027 Additional amount.

Silver and Bronze Premium Changes from 2014 to 2015 Percent change in second-lowest silver and lowest-cost bronze plans, by county in 50 states and the.

At lower incomes, enrollees have lower out-of-pocket limits and deductibles Median out-of-pocket (OOP) limits and median deductible in states that use.

Additional Amount Spent in Annual Premiums Each Year Due to Repeal of Individual Mandate vs. Average Tax Cut in Senate Bill, 2019–2027 Additional amount.

Additional Amount Spent in Annual Premiums Each Year Due to Repeal of Individual Mandate vs. Average Tax Cut in Senate Bill, 2019–2027 Additional amount.

Additional Amount Spent in Annual Premiums Due to Repeal of Individual Mandate for a 40-Year-Old, 2019 and 2027 Additional amount spent in annual premiums.

Additional Amount Spent in Annual Premiums Due to Repeal of Individual Mandate for a 27-Year-Old, 2019 and 2027 Additional amount spent in annual premiums.

Variation in projected out-of-pocket costs across markets among “medium” users of health care, for enrollees with incomes of $17,000 Annual out-of-pocket.

Estimated Total Out-of-Pocket Costs for Low-Income Medium User of Health Care in Silver Plan, Largest City in Nonexpansion States $764 $667 $596 $593 $571.

Out-of-Pocket Limits for Low-Income People in Silver Plans, Largest City in Nonexpansion States Note: Second-lowest-cost silver plans for 2016; 40-year-old.

There is wide variation in deductibles across markets for silver plans

Percent adults ages 19–64 insured all year who were underinsured*

One Product, Multiple Solutions

Sales across state lines

Variation in projected out-of-pocket costs across markets among “high” users of health care, for enrollees with incomes of $17,000 Annual out-of-pocket.

Cost-sharing reductions lower peoples’ projected out-of-pocket costs, especially for those who use health care the most Median projected out-of-pocket.

There is wide variation in out-of-pocket limits across markets for silver plans Highest, median, and lowest out-of-pocket limits in states that use HealthCare.gov.

Financial Sustainability of Medicare, Medicaid, Commercial Insurance

Silver plans in Columbus, Ohio, and Newark, New Jersey, for enrollees with incomes of $17,000 Notes: Second-lowest-cost silver plans for 2016; 40-year-old.

Vice President, Health Care Coverage and Access

Premium contribution as a share of income

Annual premium amount paid by policy holder and premium tax credit

Inadequate Coverage Is Associated with More Cost-Related Problems Getting Needed Care Percent of adults ages 19–64 who had any of four access problems.

Sales across state lines

The Share of Women Spending 10 Percent or More of Their Income on Health Care Climbed over the Past Decade, Especially for Women with Low Incomes Percent.

Households with employer coverage can spend thousands of dollars on premiums and out-of-pocket costs. Distribution of spending on premiums and out-of-pocket.

Annual premium amount paid by policy holder and premium tax credit

Percent of adults ages 19–64 insured all year who were underinsured

Affordable Care Act Basics

Exhibit 6.26 Among Firms Offering Health Benefits with Fewer Than 20 Employees, Variations in Premiums and Firm Premium Contributions for Single Coverage,

Presentation transcript:

Variation in projected out-of-pocket costs across markets among “low” users of health care, for enrollees with incomes of $17,000 Annual out-of-pocket costs $0-$25 $26-$51 $52-$76 $77-$102 $103-$121 Notes: Second-lowest-cost silver plans for 2016; 40-year-old male nonsmoker; largest city in state. The amounts include 36 states that use the HealthCare.gov platform, excluding Alaska and Hawaii. OOP costs is either the difference between total expected costs and the annual premium cost to the enrollee, or the plan's out-of-pocket limit. Source: HealthCare.gov.