The Current State Of ObamaCare - ACA

January 29, 2015

I love this kind of report. No deceitful government spin. Right to the bottom line. State of ObamaScare for the first 3 quarters of 2014:

"Health insurance coverage changes in 2014 have been driven by implementation of the Affordable Care Act (ACA), commonly known as Obamacare. As of the end of the third quarter, the net effects for 2014 are: 5.83 million more people with individual-market coverage, 4.93 million fewer individuals with employment-based coverage, and 7.49 million more individuals covered by Medicaid. Therefore, for the first nine months of 2014 the decline in employer-based coverage offset 85 percent of the increase in individual-market coverage, producing a net gain in private market coverage of only 893,000 individuals. Adding that figure to the 7.49 million Medicaid enrollment increase means that 8.38 million Americans gained coverage during the first three quarters of 2014, but 89 percent of that gain came from expanding Medicaid."

Source: Obamacare
ac
 
Some people are working MORE to get APTC and out of medicaid black hole, but what is the ratio compared to the number of people that are working less on purpose, claiming less tips, avoiding overtime, etc to get APTC or more APTC?

http://www.nytimes.com/2015/02/02/us/piling-on-work-to-escape-gap-in-health-law.html?_r=0

I hope no one is working less, it makes no sense for them.

Last one I quoted was a $1200 reduction in subsidy ($100/month) for a $7500 increase in income ($625/month).

Even after paying the extra premium, you still have $6300 more in your pocket. Why would you not want that?
 
I hope no one is working less, it makes no sense for them.

Last one I quoted was a $1200 reduction in subsidy ($100/month) for a $7500 increase in income ($625/month).

Even after paying the extra premium, you still have $6300 more in your pocket. Why would you not want that?

Someone at 401% and wants to get to 399% to get thousands in subsidies.
Or
Someone at 201% and wants to get to 199% to get a huge CSR upgrade.

Or, take less hours, lose group access and avoid family glitch issue, and actually get family covered without breaking bank.
 
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Some people are working MORE to get APTC and out of medicaid black hole, but what is the ratio compared to the number of people that are working less on purpose, claiming less tips, avoiding overtime, etc to get APTC or more APTC?

http://www.nytimes.com/2015/02/02/us/piling-on-work-to-escape-gap-in-health-law.html?_r=0

My APTC-eligible waitress and hairstylist clients are urging their regular customers to tip in cash, vs adding it to their credit card payment for the food or service. Most never did claim the cash tips, but they never specifically asked for tips to be in the form of cash, until now.
 
I wonder which one will exit all exchanges, and perhaps the entire the individual market first?

My money is on Aetna.

8.38 million Americans gained coverage during the first three quarters of 2014, but 89 percent of that gain came from expanding Medicaid."

Rural hospitals get mostly Medicare and Medicaid patients and lose money on both (especially Medicaid). Obamacare is single-handedly unraveling Hill-Burton.
 
Someone at 401% and wants to get to 399% to get thousands in subsidies.
Or
Someone at 201% and wants to get to 199% to get a huge CSR upgrade.

Or, take less hours, lose group access and avoid family glitch issue, and actually get family covered without breaking bank.

Have you ran those numbers?

There isn't that big of a difference for someone adjusting 1% of their income to get the assistance. I've hushed clients fears of: "what if I make 5,000 more"... when you use the shopping tool and show them that the subsidy is not going to move that much such a difference and fear is a non-issued.

For those prospects with income +/- $2000 of the upper limits I suggest going off exchange.
 
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