5 things to know about the CMS Office of the Actuary's estimates on AHCA

Practice Management

The Congressional Budget Office released an analysis of the American Health Care Act in May, finding 10 million fewer people would have insurance under the proposed bill. Now, CMS' Office of the Actuary estimated 4 million will lose coverage next year and another 13 million are expected to be uninsured by 2026 if the ACA's individual mandate is repealed, according to a Medscape report.

Here are five key notes on the report:

 

1. Although the government would spend $328 billion less on healthcare from 2017 to 2026 under the AHCA, 8 million fewer people would be enrolled in the Medicaid program.

 

2. The CMS Office of the Actuary report estimated Medicaid spending would be 11 percent lower under the AHCA due to per capita caps and loosening requirements on states to cover current Medicaid beneficiaries.

 

3. Individual premiums are expected to increase around 5 percent more under the AHCA than ACA, assuming federal and state subsidies are accounted for.

 

4. Cost sharing would be 61 percent higher by 2026 under the AHCA than ACA, with the impact varying by age, income and location.

 

5. Households are estimated to finance 0.2 percent more of the national healthcare spending under the AHCA due to increased direct out-of-pocket expenses through 2026, reaching $221 billion.

 

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