Health individual insurance market opened in 2013, and despite some hiccups, many will say Obamacare works. But what about the long-term reliability of Obamacare? Will it stand the test of time? Of course, with any new law, there will always be opposition and obstacles to overcome, and many studies have analyzed the Obamacare capacity to endure for years to come. Under our Act (ACA) series Affordable Care, this article examines the various factors that play into the longevity of Obamacare, including hearings of the Supreme Court, the way hospitals are affected by Obamacare, and the effect of the tax credits of the premium
Obamacare Major road Block :. King v Burwell Case
Last week I wrote an article entitled " Is Obamacare at its end? [ACA Series] . "In the article, I talked about the King v. Burwell and the recent hearing of the Supreme Court. Knowing that the future of Obamacare depends largely on the results of this case, it is difficult to say with certainty whether the Supreme Court is in favor of the applicant depending on the audience.
So, what would happen if the Court is in favor of the applicant's arguments that the text of the Obamacare law allows only tax credits the federal grant to be used on state exchanges? When the Supreme Court makes its final decision in June, we know for sure. Based on the oral arguments of March 4, until now, the four left leaning judges - Breyer, Ginsburg, Kagan and Sotomayer - seem to be in favor of allowing tax credits in federal exchanges. The justices Scalia, Thomas and Alito will probably rule to restrict access to premium tax credits. This leaves Chief Justice Roberts and Justice Kennedy.
After the hearing, it seems Kennedy is in favor of expanding access premium tax credits after expressing fear that Obamacare would not survive if the power was in favor of the applicant. Regarding the Chief Justice Roberts will, it is difficult to say what the final decision will be.
A judgment of the Court in favor of the limited access to premium tax credits would break the formula ACA to mandate insurance coverage while ensuring the controllable costs individuals. It is estimated that 9.6 million Americans lose their access to premium tax credits .
How have hospitals affected by Obamacare?
as a study by the Robert Wood Johnson Foundation and Athenahealth , doctors have not been trampled by new patients that some predicted would happen as a result of Obamacare.
The data were collected from 15,700 of athenahealth clients (mainly physicians) was designed to measure how Obamacare has doctors concerned. What they found was surprising - new patient visits to primary care providers has increased slightly in 2014, from 22.6 percent of the total to 22 patient visits, 9 percent. These new patients are sicker than patients who were insured before the entry into force of Obamacare, as some predicted. The percentages of patients diagnosed with chronic diseases such as diabetes, high blood pressure and high cholesterol remained comparable to previous years.
Does this means Obamacare will be a long-term solution to the health insurance of the American dilemma? Again, it is difficult to say. For now, the study of the Foundation and Athenahealth Robert Wood Johnson concludes that Obamacare will negatively affect physicians. Had the study found that hospitals were flooded with new patients, it would be difficult to know how long the facility could operate in these conditions before losing the ability to see patients quickly.
The effect of the tax credits premiums good or bad
Whatever your views on the credits premium tax is Fool.com said they could do as much harm as they are good. Why? Although many Americans who previously were unable to afford health insurance are now able to go to the doctor for a wide range of preventive health measures, some have found that they owed the government money back to the use of advanced premium tax credits.
When the problem is for people who choose to use their premium tax credits to reduce their monthly premium at the time of purchase - as opposed to those who wait until they file their taxes to receive their refund. Many times people who use their tax credits of advanced premium to reduce monthly premiums underestimate their income, causing a refund when filing taxes.
Kaiser Family Foundation (KFF) estimated that half of American households eligible for a tax grant under the Health Act would be liable for a refund. KFF estimates that the average refund is $ 794. In addition, 45 percent of those who received the premium tax credits would receive a refund for-estimate their household income and receive a refund on average $ 773.
What does this mean for longevity Obamacare? Most likely the year after year, a number of America will continue over or underestimate their household income - resulting because of the government money or get a refund. If a long-term solution is not found, the question is, how American will be nervous to use the premium tax credits
Related :? How many have to repay tax credits on premiums [Survey]
Conclusion
Obamacare has been around since 2010 now. Americans are just getting used to the individual and employer mandate, and begins to get a grip on what Obamacare done for the country. Despite whether Obamacare for, or against, the health reform law will have an impact for many years to come. The question is, in 10 years we look back to Obamacare as a positive force in the health sector, or that we would like to forget?
Do not miss Other ACA Series Articles
After 5 years of Obamacare - What's the verdict? [ACA Series]
The Obamacare effect on income inequality - good or bad? [ACA Series]
Is price stability necessary for the ACA to succeed? [ACA Series]
What are your thoughts on the longevity of Obamacare? Share with us below.
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