Discover and read the best of Twitter Threads about #3LeggedStool
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📣 THE 2022 #ACA OPEN ENROLLMENT PERIOD STARTS ON MONDAY.
Once again, the #ACA can be best described as a #3LeggedStool:
1. Insurer Responsibilities
2. Government Responsibilities
3. Enrollee Responsibilities
Let's review, shall we?
Once again, the #ACA can be best described as a #3LeggedStool:
1. Insurer Responsibilities
2. Government Responsibilities
3. Enrollee Responsibilities
Let's review, shall we?
1st Leg: INSURER RESPONSIBILITIES:
--Guaranteed Issue
--Community Rating
--Essential Health Benefits
--Minimum Actuarial Value
--No Annual/Lifetime Limits
--Maximum Out of Pocket Costs
--Free Preventative Services
--Can Stay on Parents Plan until Age 26
--Guaranteed Issue
--Community Rating
--Essential Health Benefits
--Minimum Actuarial Value
--No Annual/Lifetime Limits
--Maximum Out of Pocket Costs
--Free Preventative Services
--Can Stay on Parents Plan until Age 26
2nd Leg: ENROLLEE RESPONSIBILITIES:
--Limited-Time Open Enrollment Period
--Shared Responsibility Penalty*
*(no longer applies in 46 states...replaced by the World's Most Expensive Shim®)
--Limited-Time Open Enrollment Period
--Shared Responsibility Penalty*
*(no longer applies in 46 states...replaced by the World's Most Expensive Shim®)
📣 OK FOLKS, with Trump's latest whopper, time to dust off the #3LeggedStool one more time. Again, this is what the ACA's 3-legged stool looked like when it originally passed. The blue leg on the left = the Pre-Existing Condition protections (& other consumer protections): 1/
Unfortunately, as with any major piece of legislation impacting millions of people and billions of dollars, there were some legitimate problems with the original structure which have never been addressed due to political resistance. 5 major ones in my view are shown here. 2/
Basically, subsidies aren't robust enough and cut off too low on the income scale; high deductibles are still a big problem; the mandate penalty wasn't robust enough to be fully effective; and the minimum network requirement isn't strong enough. All of these COULD be fixed... 3/
