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Senate Considering Tweaks To Medicaid Per-Capita Caps

19 May 2017

Controversial House provisions relaxing the PPACA's health-coverage requirements and rules on pre-existing conditions are likely to be changed, according to the Times, as are the size and distribution of tax credits to help people purchase health insurance plans. Oh wait, I forgot, the House Republican plan would protect 5 percent of people with pre-existing conditions. It's called an invisible high-risk pool - "invisible" because people in ME didn't even know when they were in it.

Access Health also is feeling the fallout from the general public's uncertainty about the future of health care. But that money isn't enough to close the gaps left by the Republican plan. And, historically high risk pools were ineffective in reducing costs and providing appropriate coverage.

Maine's program worked like this: When a resident applied for health insurance, they had to fill out a questionnaire. How can you discriminate against patients with pre-existing conditions and call yourself a decent person? To consumers, it was seamless.

Once people have a gap in coverage they may really be in a bind if the available coverage is unaffordable.

"It would be very comprehensive and, I think, be an improvement over Medicare and an improvement, frankly, over most employer-based health insurance", he states. The exchange draws much of its income from a tax on insurance premiums paid by its customers. Just 27% said they preferred the AHCA over the ACA.

Simpson said he wants to see reforms, such as making health-insurance premiums tax-deductible for individuals.

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Without the invisible high risk pool, Cioppa says, Anthem would, by its own estimates, have increased rates more than 20 percent. The GOP rollback would undo that while robbing local health-care pillars like Providence St. Peter Hospital in Olympia of revenue needed to care for those who are poor.

The United States Senate will soon take up for consideration the GOP House bill to repeal and replace the Affordable Care Act.

And then Obama promised, "we'll lower premiums by up to $2,500 for a typical family per year".

The GOP bill does allocate about $15 billion to $20 billion - but that is for nearly a full decade, not per year.

In Massachusetts, more than 190,000 people are enrolled in subsidized insurance plans through the state's Health Connector.

Sixty-four percent of people told PPP that lawmakers should "keep what works in the Affordable Care Act and fix what doesn't", while 29% said Congress should "repeal the Affordable Care Act and start over with a new healthcare law". "The last thing America needs is another hastily-passed health care law without proper and prudent input from stakeholders across the country". It would also allow states to opt out of coverage of pre-existing conditions and to impose "lifetime caps" on coverage. "Maybe close to half of us have what could be considered a preexisting condition", Patton says. However, if you don't know what is wrong with something, you can't fix it. The Medicaid program, MassHealth, covers more than 1.9 million people, including 300,000 added as a result of the federal law.