affordable care act--nashville folk and free skool

The Affordable Care Act: What’s In It For You and Tennessee Leader: Nikki Viverette | 11.18.2012. | Scarritt-Bennett Center Uninsured in America • What do you guys think is the uninsured rate in the U.S.? 15% of N. Americans are uninsured- 53.8 million people (42.8 million, not counting undocumented residents) • Typical uninsured person- 46% are white, more than 75% are from working families, people age 19-29 make up 32% • Over 900,000 Tennesseans are uninsured, includin g 80,000 children U.S. Health Care Costs • The U.S. spends way more than other industrialized nations and yet our life expectancy rates are far lower than many other countries (chart) • How much do you think the U.S. spent on health care in 2010? The U.S. spent $2.6 trillion on health care, which was over 17.9% of the GDP. • Growing health care costs and the huge number of uninsured in the U.S. has driven many administration s to implement some sort of health reform. This administration succeeded and the answer was the Affordable Care Act (ACA). ACA History • The culmination of 100 years of bipartisan struggle to achieve health reform • A step towards eliminating dispari ties in health care and health status • The law was passed in 2010 and headed to the Supreme Court after some states brought a lawsuit against it. The Supreme Court ruled on June 28, 2012 that all provisions of the ACA, including the much- contested individual mandate, were constitutio nal. However, they also ruled that states were no longer obligated to expand their Medicaid programs, but could instead choose. What does the ACA basically do? • Expands coverage to millions who are currently uninsured o Private insurance reforms Eliminates rescissions Eliminates pre-existing conditions exclusions for children (2010) and adults (2014) Eliminates annual and lifetime limits Must publicly explain premium increases over 10% Must spend 80% of premium dollars on care, if not, they must rebate the extra amount. Did anyone get a rebate? o Exchanges Online marketplace to compare private insurance options Can be state-run, federally-run, or combo Available to everyone, but people with incomes from 100-400% FPL (chart) will be given premium credits to help them buy insurance through the exchanges o Expanding Medicaid- will discuss more below o Individual mandate provision (chart)- cannot control cost or quality without having everyone in the system • Slows health care spending costs o The ACA will save money (about $550 billion) by reducing overpayments to Medicare Advantage plans and reducing the rate of growth in provider payments over the next ten years. o It will also bring in money (about $515 billion) from penalty payments, a tax on costly insurance plans, and other budgetary effects during that same time.

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Page 1: Affordable Care Act--Nashville Folk and Free Skool

7/30/2019 Affordable Care Act--Nashville Folk and Free Skool

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The Affordable Care Act: What’s In It For You and Tennessee Leader: Nikki Viverette | 11.18.2012. | Scarritt-Bennett Center

Uninsured in America

• What do you guys think is the uninsured rate in the U.S.? 15% of N.

Americans are uninsured- 53.8 million people (42.8 million, notcounting undocumented residents)

• Typical uninsured person- 46% are white, more than 75% are fromworking families, people age 19-29 make up 32%

• Over 900,000 Tennesseans are uninsured, including 80,000 children

U.S. Health Care Costs

• The U.S. spends way more than other industrialized nations and yet our life expectancy rates are far

lower than many other countries (chart)

• How much do you think the U.S. spent on health care in 2010? The U.S. spent $2.6 trillion onhealth care, which was over 17.9% of the GDP.

• Growing health care costs and the huge number of uninsured in the U.S. has driven manyadministrations to implement some sort of health reform. This administration succeeded and the

answer was the Affordable Care Act (ACA).

ACA History

• The culmination of 100 years of bipartisan struggle to achieve health reform

• A step towards eliminating disparities in health care and health status

• The law was passed in 2010 and headed to the Supreme Court after some states brought a lawsuitagainst it. The Supreme Court ruled on June 28, 2012 that all provisions of the ACA, including the

much- contested individual mandate, were constitutional. However, they also ruled that states wereno longer obligated to expand their Medicaid programs, but could instead choose.

What does the ACA basically do?

• Expands coverage to millions who are currently uninsured

o Private insurance reforms Eliminates rescissions

Eliminates pre-existing conditions exclusions for children (2010) and adults (2014)

Eliminates annual and lifetime limits

Must publicly explain premium increases over 10%

Must spend 80% of premium dollars on care, if not, they must rebate the extra amount.

Did anyone get a rebate?o Exchanges

Online marketplace to compare private insurance options

Can be state-run, federally-run, or combo

Available to everyone, but people with incomes from 100-400% FPL (chart) will be

given premium credits to help them buy insurance through the exchangeso Expanding Medicaid- will discuss more below

o Individual mandate provision (chart)- cannot control cost or quality without having

everyone in the system• Slows health care spending costs

o The ACA will save money (about $550 billion) by reducing overpayments to MedicareAdvantage plans and reducing the rate of growth in provider payments over the next ten

years.

o It will also bring in money (about $515 billion) from penalty payments, a tax on costlyinsurance plans, and other budgetary effects during that same time.