The Cost Of Trumpcare
The Committee for a Responsible Federal Budget did a review of Trumps healthcare plan. The following article shows a breakdown of costs: MEASURING TRUMPS HEALTHCARE PLAN. The result is a cost of roughly $550 billion over ten years under conventional scoring and about $330 billion with dynamic scoring .
Note that this analysis does not include Mr. Trumps call to negotiate aggressively for Medicare drugs, a policy that is not listed on his website. He has previously claimed that $300 billion a year could be saved through negotiation, a claim we rated as false because Medicare will only spend an average of $111 billion each year on prescription drugs. Based on previous estimates by CBO, actual savings would likely be small or negligible.
NOTE: The plan assumes a full repeal of ObamaCare before replacing it. While this is possible given Trumps statements, it isnt necessarily what we would get from the future President Trump.
NOTE: Like him or hate him, Trump has mentioned some critical health policies like expanding Medicaid and debating drug costs for Medicare. These didnt make it into the Trump plan as written, but it would be a mistake to overlook the benefits of strategies like debating drug prices for Medicare.
|10-Year Estimates of Healthcare Reform to Make America Great Again|
Divergent Trends In Enrollment
Marketplace enrollment data reflect President Trumps attacks on the ACA. Individual enrollment through the health insurance marketplaces grew most rapidly in the programs first few years, under the Obama administration, with 8 million people enrolling for 2014, 11.7 million for 2015, and 12.7 million for 2016, the final full year of the Obama administration. Nationwide marketplace enrollment has fallen each year of the Trump administration, dropping by nearly 466,000 for 2017 by 466,000 for 2018 306,000 for 2019 and 35,000 for 2020.
For the 2020 open enrollment period, 12 states plus the District of Columbia operated a fully state-based marketplace* , allowing them to maintain control over their own outreach budgets, branding, and other features such as plan design standards and the length of their open enrollment period. For example, Massachusetts requires that all plans offer one of the state-approved standard plan design options, and California is among those whose enrollment window extends beyond the federal deadline.
After adjusting for these factors, the authors estimate that at least 1.26 million more people would have signed up during the 2020 open enrollment period if states using the federal platform had kept pace with the SBMs . In 2020, enrollment in the FFM states would have ended up roughly 15.3 percent higher, and nationwide marketplace enrollment would have been at least 12.7 million instead of 11.4 million.
Medical Care For The Uninsured Could Cost Billions More
Doctors and hospitals could lose a crucial source of revenue, as more people lose insurance during an economic downturn. The Urban Institute estimated that nationwide, without the A.C.A., the cost of care for people who cannot pay for it could increase as much as $50.2 billion.
Hospitals and other medical providers, many of whom are already struggling financially because of the pandemic, would incur losses, as many now have higher revenues and reduced costs for uncompensated care in states that expanded Medicaid. A study in 2017 by the Commonwealth Fund found that for every dollar of uncompensated care costs those states had in 2013, the health law had erased 40 cents by 2015, or a total of $6.2 billion.
The health insurance industry would be upended by the elimination of A.C.A. requirements. Insurers in many markets could again deny coverage or charge higher premiums to people with pre-existing medical conditions, and they could charge women higher rates. States could still regulate insurance, but consumers would see more variation from state to state. Insurers would also probably see lower revenues and fewer members in the plans they operate in the individual market and for state Medicaid programs at a time when millions of people are losing their job-based coverage.
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Everything You Need To Know About Enrolling In Trumpcare
We explain how to sign up for TrumpCare and enroll in a TrumpCare plan . That means well explain health insurance enrollment dates, how to get cost assistance, and other important information for getting covered under President Trump.
TIP: Keep in mind TrumpCare is just a nickname to mean healthcare under the Trump administration. There is no ObamaCare or TrumpCare officially. In short, this page is just information about how to sign up coverage under the current system.
People Who Could Lose Their Health Insurance
Of the 23 million people who either buy health insurance through the marketplaces set up by the law or receive coverage through the expansion of Medicaid , about 21 million are at serious risk of becoming uninsured if Obamacare is struck down. That includes more than nine million who receive federal subsidies.
On average, the subsidies cover $492 of a $576 monthly premium this year, according to a report from the Department of Health and Human Services. If the marketplaces and subsidies go away, a comprehensive health plan would become unaffordable for most of those people and many of them would become uninsured.
States could not possibly replace the full amount of federal subsidies with state funds.
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States Allowed To Add Work Requirements To Medicaid
What is it? Medicaid expansion was a key part of the ACA. The federal government helped pay for states to expand Medicaid eligibility beyond families to include all low-income adults, and to raise the income threshold, so that more people would be eligible. So far, 37 states and Washington have opted to expand Medicaid.
What changed? Under Trump, if they get approval from the federal government, states can now require Medicaid beneficiaries to prove with documentation that they either work or go to school.
What does the administration say? “When you consider that, less than five years ago, Medicaid was expanded to nearly 15 million new working-age adults, it’s fair that states want to add community engagement requirements for those with the ability to meet them. It’s easier to give someone a card it’s much harder to build a ladder to help people climb their way out of poverty. But even though it is harder, it’s the right thing to do.” Seema Verma, administrator of the Centers for Medicare and Medicaid Services, Washington, Sept. 27, 2018
What’s the impact? Even though HealthCare.gov and the state insurance exchanges get a lot of attention, the majority of people who gained health care coverage after the passage of the ACA 12.7 million people actually got their coverage by being newly able to enroll in Medicaid.
Trump Takes A Final Shot At Obamacare Exchanges
On his way out of the White House, President Donald Trump is taking one last swipe at the Affordable Care Act, proposing to allow states to opt out of the Obamacare exchanges where millions of Americans enroll in health insurance plans.
If states choose this potential new option, residents would no longer have access to a one-stop shop for health insurance. Instead, they would have to find their way to private insurance brokers or individual carriers.
They also wouldnt have access to impartial advisers, so-called navigators, to assist them in making their choices.
The rule, proposed on Thanksgiving Eve, is one of the last attempts by the Trump administration to undo the ACA. Trump failed to kill President Barack Obamas signature law in Congress, but is still attempting to do so in a case heard by the U.S. Supreme Court last month. Through administrative acts, Trump has been able to chip away at the law.
The federal Centers for Medicare and Medicaid Services said the proposed rule, which still must go through a public comment period, would increase enrollment in health insurance and decrease premiums by encouraging competition and innovation. CMS claims that if adopted, the rule would enable a more curated, customized consumer experience.
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The American Health Care Act
U.S. Speaker of the House Paul Ryan speaks to the media about the American Health Care Act at the Capitol in Washington, D.C., March 15, 2017
The American Health Care Act is an alternative to the Affordable Care Act, first introduced in the House of Representatives in March 2017, and eventually passed by the House, with amendments, in May 2017. Though not technically a repeal, the AHCA makes sweeping changes to the ACA. Its main features include:
- Repealing the individual and employer mandates
- Instituting a continuous coverage requirement under which individuals must maintain coverage without a gap else face an automatic one-year premium surcharge of 30 percent
- Changing the ACA’s age-based rate banding from 3:1 to 5:1
- Replacing income-based subsidies in the individual market with fixed, age-based subsidies whose generosity increases with age
- Converting federal Medicaid funding to a per-capita allotment, ending the option for states to expand Medicaid in 2019, and, after 2020, providing new enrollees with the same per-capita allotment as adults who were eligible before 2014
The key amendment to the bill as passed in May 2017, would allow states to apply for waivers in order to:
May 31 201: Trump Administration Releases Draft Rule On Contraception Coverage Exemptions
On May 31, 2017, Vox released a copy it obtained of a draft rule from the U.S. Departments of Labor, Treasury, and Health and Human Services. The rule would expand the religious exemption from the Affordable Care Act’s requirement on employers to offer birth control coverage. The draft rule would allow any employer, insurance company, college, or university with religious or moral objections to opt out of offering health plans that cover contraception.
The Affordable Care Act required most employers to offer health plans that cover contraception. Pursuant to a 2014 United States Supreme Court ruling, religious nonprofits and closely held for-profit companies were granted an exemption from the mandate. The draft rule, if put in place, would have the effect of expanding the number of companies who could apply for a religious exemption. The rule must be reviewed by the Office of Management and Budget before being placed in the Federal Register for a 60-day comment period before being finalized.
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Changes To Medicaid Financing
Medicaid expansion has accounted for most of the newly insured under the ACA â approximately 14 million, according to the Kaiser Family Foundation. Medicaid and the Childrenâs Health Insurance Program is jointly funded by states and the federal government. The federal government currently contributes 50 percent to 75 percent of total costs for Medicaid enrollees who were eligible prior to the ACA, higher amounts for CHIP enrollees, and higher amounts for those made eligible for Medicaid because of the ACA. Concerns about the potential long-term costs of this arrangement have fueled proposals to modify financing for Medicaid.
Change Medicaid to a Block Grant Program
Some proposals would convert Medicaid financing to a block grant to states. Under this plan, states would receive a lump sum federal payment for Medicaid, indexed to inflation. The payment is fixed regardless of enrollment. We estimated the block grants as a component of the Trump campaign platform.
Change Medicaid Expansion to a Per Capita Grant Program
Under this arrangement, the federal government sets a limit on how much to reimburse states per enrollee. Cost growth per enrollee is indexed to inflation. We estimate that under one such proposal Medicaid enrollment would fall by nearly 10 million people by 2020. The impact becomes more pronounced over time, with Medicaid enrollment falling by nearly 14 million.
What’s A ‘trump Card’ Donald Trump Republican Pac Wants Supporters To Carry
Donald Trump wants his most adamant supporters to carry Trump cards.
Trumps PAC sent out emails on Wednesday asking his supporters to carry red and gold cards, which look like credit cards with Trumps name and signature on them.
Some Trump critics took to social media to suggest that the cards are a dog whistle to the far-right or resemble Nazi iconography.
See the difference between Trump card & amp Nazi symbolism? Me either.
& mdash _ _____ _
Trump supporters were asked to choose between four gold cards. Trump’s team reportedly met with him in Florida and asked him to choose one, with Trump responding that the cards were beautiful and wanted the American people to decide on what they like best because they always know best.
The card you select will be carried by Patriots all around the country, the email reads. They will be a sign of your dedicated support to SAVE AMERICA, and Im putting my full trust in you.
When a user clicks the card they prefer, their answer takes them to a donation page with a message that reads, response recorded.
Some Twitter users commented that owning the cards would be akin to being in a cult.
A recent YouGov poll found that 66% of Republicans believe the election was stolen and that Trump is the rightful winner.
Trump has hinted that he will run again in 2024. He remains a favorite to win the Republican nomination as he has raised more money by himself than the entire GOP combined in the first half of 2021.
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Past Updates On Trumpcare
The next section includes some past updates on TrumpCare so you can get a sense of what was promised or tried in the past and compare that to what is happening now. A lot of small changes have happened very quickly so forgive the notes.
UPDATE: Trump and Republicans in Congress had stated that they would seek to repeal ObamaCare within Trumps first hundred days in office. True to their word the process of repeal has begun. Trump has signed an executive order on ObamaCare. The American Health Care Act is on the table. After a meeting with President Obama, President-elect Trump suggested he would either amend ObamaCare or repeal and replace it, not just repeal it, and would keep key provisions like guaranteed coverage for preexisting conditions and allowing kids to stay on their plans until 26. More recently, Trump promised simultaneous repeal and replace,insurance for everybody, and he doubled down on his longstanding promise of negotiating with drug companies. Unfortunately, after a meeting with drug companies, Trump backed away from allowing negotiations.
TIP: The GOP forever altered the lexicon when they called the Patient Protection and Affordable Care Act ObamaCare. With this in mind, Trumps healthcare plan has been unofficially dubbed TrumpCare. This is true even though no formal plan is on the table yet.