PUP 4931r Lecture Notes - Lecture 46: Independent Payment Advisory Board
6 Apr 2018
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Expands medicaid eligibility to everyone up to 138% fpl (. 6k/yr. for individual) regardless of pre-aca eligibility. 31 states + dc expanded; 19 states (all gop held) still refusing. About 2. 6 million people caught in medicaid gap: do(cid:374)"t (cid:395)ualify fo(cid:396) medicaid, but earn too little to qualify for aca tax credits. 13 million of that due to aca expansion (+special from ny) 3-4 (cid:373)illio(cid:374) (cid:862)woodwo(cid:396)ke(cid:396)s(cid:863); people who were already eligible for medicaid pre. Aca but either did(cid:374)"t k(cid:374)ow it or were reluctant to until the aca went into effect. Individual market: young adults can stay on pa(cid:396)e(cid:374)ts" pla(cid:374) u(cid:374)til they turn 26. Group markets: no annual/lifetime limits on coverage for anyone. All plans must cover a range of preventative care services at sh out of pocket costs. You(cid:374)g adults ca(cid:374) stay o(cid:374) pa(cid:396)e(cid:374)ts" pla(cid:374) u(cid:374)til 26. Medicare: closes part d donut hole; extends funding by 7 years. Failure to meet clinical and patient satisfaction standards.
