80. Republicans Are In Stealth Mode On Healthcare Coverage Cuts, But The Impact Is Real cover art

80. Republicans Are In Stealth Mode On Healthcare Coverage Cuts, But The Impact Is Real

80. Republicans Are In Stealth Mode On Healthcare Coverage Cuts, But The Impact Is Real

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 The GOP is not following the same overt repeal of healthcare coverage as it did in 2017, but the stealth approach still has real impact. About The Podcast: Millions of Americans feel confused and frustrated in their search for quality healthcare coverage. Between out-of-control costs, countless inefficiencies, a lack of affordable universal access, and little focus on wellness and prevention, the system is clearly in dire need of change. Hosted by healthcare policy and technology expert Marc S. Ryan, the Healthcare Labyrinth Podcast offers accessible, incisive deep dives on the most pressing issues and events in American healthcare. Marc seeks to help Americans become wiser consumers and navigate the healthcare maze with more confidence and certainty through The Healthcare Labyrinth website and his book of the same name. Marc is an unconventional Republican who believes that affordable universal access is a wise and prudent investment. He recommends common-sense solutions to reform American healthcare. Tune in every week as Marc examines the latest developments in the space, offering analysis, insights, and predictions on the changing state of healthcare in America. About The Episode: On this episode, Marc discusses the budget reconciliation bill’s impact on healthcare coverage. The GOP is not following the same overt repeal of healthcare coverage as it did in 2017, but the stealth approach still has real impact. Key Takeaways: In 2017, the GOP attempted an overt repeal of the Affordable Care Act (ACA) and suffered defeat in the 2018 midterms. This year, the GOP is attempting a stealth approach to Medicaid and Exchange spending reductions in the budget reconciliation bill. Still, the impact to coverage and the uninsured rate will be huge. Major Medicaid cuts include work requirements, limitations on state provider taxes to generate the state matching contribution, and various enrollment changes and restrictions. Medicaid savings are about $864 billion over ten years. The Congressional Budget Office (CBO) says about 7.8 million lose Medicaid due to the bill’s provisions. Exchange coverage reductions include changes to premium tax credits for migrants, increased recoupment of premium subsidies paid out at levels that are too high from income, and increased eligibility checks. The ACA changes save about $230 billion over ten years. About 3.1 million lose coverage due to the bill’s ACA provisions and some other provisions. The CBO says that about 4.2 million will exit the Exchanges and remain uninsured due to the expiration of the enhanced premium subsidies at the end of 2025. An additional approximate 900,000 would lose Exchange coverage as a result of a proposed Trump administration rule dealing with eligibility and enrollment periods. This brings the total increase in the number of uninsured to 16 million by 2034. More than a third of the ACA coverage gains would evaporate. Those losing eligibility due to the Medicaid work requirement mandate will lose coverage largely due to administrative snafus and a broken enrollment and eligibility process. Many of the eligibility proposals put unreasonable barriers to enrollment in place and are very expensive. Medicaid and the ACA are both popular programs among Americans. A good share of Republicans also supports healthcare programs. There are other ways to tackle our deficit and debt problems than to fundamentally pare back healthcare coverage, but the parties lack the political will to come together. Connect with Marc Marc on LinkedIn Marc on Twitter THL Podcast Resources THL’s Newsfeed THL’s Blog The Healthcare Labyrinth: A Guide to Navigating Health Plans and Fixing American Health Insurance

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