One of the most
important provisions of the Patient Protection and Affordable Care Act
(ACA) makes premium subsidies (referred to in the legislation as
“Advance Payment of Premium Tax Credits,” or APTCs) available to low-
and moderate-income individuals. These subsidies, in conjunction with
guaranteed issue requirements and the individual mandate, have resulted
in nationwide exchange enrollment of about 7.3 million members, over
half of whom were previously uninsured.
The uncertain status of APTCs in FFEs will eventually be resolved, but the Supreme Court is not expected to take up the case until spring 2015, and won’t deliver a decision until the process for filing plans and premium rates for 2016 is already well under way. So issuers in FFE states will continue to make decisions and set assumptions with increased uncertainty surrounding the market forces that will be at play in 2016.
Please join us in this special HealthcareWebSummit 30-minute edition with Milliman's Jason Karcher, on Thursday, December 18th, 2014 at 1PM Eastern, as he discusses Milliman insights on key health plan issues pre and post the Supreme Court King v. Burwell decision. Click here for detailed information and to register or call 209.577.4888.
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HealthcareWebSummit events are available for purchase.
for more information and a list of past events.