Reducing Subsidy Eligibility For Higher Earners Could Save $13 Billion Per Year

The Affordable Care Act provides subsidies to exchange eligible households that earn up to 400 percent of the Federal Poverty Level (FPL). However, only 64 percent of enrollees between 300 and 400 percent of FPL actually receive a subsidy. By reducing the subsidy eligibility threshold from 400 percent to 300 percent, the federal government could save an estimated $12.8 billion per year.

Silver Plans Offer Low Cost-Sharing to Low-Income Members

Silver may be the most precious metal after all. In the Health Insurance Marketplace, implemented by the Affordable Care Act, “Silver” insurance plans are far and away the most popular choice, accounting for nearly two-thirds of all plans selected. The Silver plan, one of four actuarial categories of plans offered in the Marketplace, is designed to cover 70 percent of a plan holder’s annual medical expenses.

An Overview of Plan Designs in the Health Insurance Marketplace

The metallic designations for health insurance plans offered in the Health Insurance Marketplace are frequently described by actuarial values—the portion of total medical spending that the insurance company expects to cover. This week's weekly checkup displays how several important plan design characteristics vary across the five categories of offered plans.

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