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ACA Impact on Employers: Georgia Budget & Policy Institute

This presentation provides an overview of the Affordable Care Act (ACA) and its impact on employers, including new rules for insurers and individual and employer responsibility. It also examines the politics driving sporadic implementation and the budget overview.

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ACA Impact on Employers: Georgia Budget & Policy Institute

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  1. ACA Impact on Employers Georgia Budget & Policy Institute Timothy Sweeney, Director of Health Policy September, 27 2013 Budget Overview | www.gbpi.org

  2. Presentation Overview ACA Expands Health Coverage New Rules for Insurers Individual & Employer Responsibility Politics Driving Sporadic Implementation Budget Overview | www.gbpi.org

  3. Who We Are State policy think tank Nonprofit Non-partisan Founded in 2004 Budget Overview | www.gbpi.org

  4. Coverage Trends Over Time – Adults 18-64 Source: U.S. Census figures compiled by GBPI

  5. Those Without Employer Insurance Likely Uninsured 29% $2.6 billion 71% $5.2 billion Source: 2012 Census Data data compiled by GBPI

  6. Medicare and Medicaid Fill Coverage Gaps for Children and Elderly (2012 data) 29% $2.6 billion 71% $5.2 billion Source: 2012 Census Data data compiled by GBPI

  7. US Health Care by the Numbers 48Million without health insurance (2012) 21 Percent of “working age” adults without coverage 93Percent of firms with 50+ workers offer benefits 45 Percent of firms with 3-9 workers offer benefits

  8. Rising Health Costs Outpace Wage Growth Since 1999 Budget Overview | www.gbpi.org

  9. Low Wage & Younger Workers Have Less Access to Coverage Budget Overview | www.gbpi.org

  10. Spike in Self-Funded Plans in 2010 Budget Overview | www.gbpi.org

  11. Long-Term Decline in Employer Sponsored Coverage Budget Overview | www.gbpi.org

  12. How ACA Improves Access to Coverage

  13. Insurance Reforms & Employer Impact

  14. Insurance Reforms & Employer Impact

  15. Small Employer Impact

  16. Large Employer Shared Responsibility

  17. Calculating Potential Penalties

  18. How is Subsidy Eligibility Triggered?

  19. Most States Elect a Federal Marketplace Budget Overview | www.gbpi.org

  20. Marketplace Overview

  21. Determining Subsidy – Family of 4

  22. Determining Subsidy – Individual

  23. Defining the Coverage Tiers Actuarial value is the proportion of costs covered for a typical group of enrollees.

  24. Individual Responsibility Rules Flip Side of Guaranteed Issue Rules for Insurers

  25. Americans Face Significant Coverage Gaps FY 2014 State General & Motor Fuel Funds Budget ($18.8 billion) Lack of Medicaid Expansion Will Increase Regional Coverage Disparities

  26. Half of All States Set to Expand Medicaid Graphic Credit: Center on Budget & Policy Priorities

  27. Lack of Expansion Greatly Affects Southeast More than 4-in-10 uninsured adults in U.S. live in 12 southern states 8 million potentially eligible, uninsured individuals in 10 non-expanding southern states Budget Overview | www.gbpi.org

  28. Not Expanding Leaves Significant Coverage Gaps Americans below poverty level ineligible for Premium Tax Credits on Marketplace Safety-net providers face significant financial hardship without expansion Budget Overview | www.gbpi.org

  29. Findings & Graphic Courtesy of University of Michigan, Via NPR.org Budget Overview | www.gbpi.org

  30. Oregon Health Study Confirms Value of Medicaid Increased Access Improved Mental Health Greater Financial Stability Budget Overview | www.gbpi.org

  31. Coming in Future Years

  32. Helpful Resources for ACA Information www.Healthcare.gov www.kff.org/health-reform www.kaiserhealthnews.org www.smallbusinessmajority.org www.healthaffairs.org/blog Budget Overview | www.gbpi.org

  33. FY 2014 State General & Motor Fuel Funds Budget ($18.8 billion) Q & A Budget Overview | www.gbpi.org

  34. FY 2014 State General & Motor Fuel Funds Budget ($18.8 billion) Visit us: www.gbpi.org

  35. Please sign up for our electronic email alerts on our website, like us on Facebook and follow us on Twitter. www.gbpi.org Let’s Stay Connected www.facebook.com/gabudget @gabudget

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