Good as Gold? Experts Mull Impact of Reindexing ACA Subsidies

When President Joe Biden addressed a joint session of Congress late last month, he briefly exhorted lawmakers to “lower deductibles for working families” who get their health insurance on the Affordable Care Act exchanges. But Sen. Jeanne Shaheen (D-N.H.) in late February had answered that call by introducing legislation that would tie premium tax credits to gold-tier plans rather than silver, effectively making richer-benefit plans less expensive.

To find out how such a move would impact individual market consumers and insurers, AIS Health, a division of MMIT, spoke to health policy experts and actuaries who closely track the practical implications of ACA changes.

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Leslie Small

Leslie Small

Leslie has been working in journalism since 2009 and reporting on the health care industry since 2014. She has covered the many ups and downs of the Affordable Care Act exchanges, the failed health insurer mega-mergers, and hundreds of other storylines spanning subjects such as Medicaid managed care, Medicare Advantage, employer-sponsored insurance, and prescription drug coverage. As the managing editor of Health Plan Weekly and Radar on Drug Benefits, she writes and edits for both publications while overseeing a small team of reporters who also focus on the managed care sector. Before joining AIS Health, she was a senior editor for the e-newsletter Fierce Health Payer, and she started her career as a copy editor at multiple local newspapers. She graduated with a dual degree in journalism and political science from Penn State University.

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