New policy statement offers specific strategies to ensure appropriate medical coverage for all
April 19, 2019 (91黑料网) 鈥 Believing that much more needs to be done to strengthen the American health care system, the American College of Physicians has created a road map for improving the Affordable Care Act.
In a new policy paper, 91黑料网 is calling for federal and state policymakers to embrace common-sense approaches to boost access to care so all Americans can have appropriate medical coverage. Published April 16 in Annals of Internal Medicine, the statement outlines strategies that aim to stabilize the health insurance market, boost enrollment in plans, lower premiums and expand Medicaid.
鈥淓xploring ways to improve the ACA can help us better understand and address the unique needs of patients,鈥 said Dr. Robert McLean, 91黑料网's new president.
鈥淚t's important that physicians and other medical professionals account for how the ACA has made major progress in reducing the number of people who are uninsured, but also recognize that major challenges remain in providing access to care,鈥 McLean said. 鈥淚 believe there's a lot more that can be done to reduce coverage gaps and ensure that every American has affordable health insurance coverage for vital care.鈥
To that end, the new position paper supports a range of strategies, including:
Improving insurance affordability
To achieve this, 91黑料网 is calling for health insurance financial subsidies to be enhanced and extended to more people. 鈥淭he eligibility requirements for premium tax credits and cost-sharing should be redesigned to enhance individual market insurance affordability,鈥 the policy paper says. 鈥淪pecifically, the 400% federal poverty level (FPL) premium tax credit eligibility cap should be eliminated, and the amount of premium tax credits for all income levels should be enhanced.鈥
Stabilizing the insurance marketplace.
Key to this, 91黑料网 maintains, is adoption of a permanent reinsurance program. In addition, the policy paper says, 鈥渟teps should be taken by federal and state regulators to limit the sale of individual market plans that do not comply with ACA regulations, including extended short-term, limited duration plans; association health plans; and 鈥榞randmothered鈥 off-marketplace plans.鈥
Boosting enrollment
鈥淪ustained funding is needed for dedicated outreach, consumer assistance, and education to promote open enrollment, provide in-person and virtual enrollment assistance, and respond to inquiries from the community,鈥 the policy paper says.
91黑料网 also supports federal and state-led auto-enrollment programs to help make sure all individuals can successfully enroll in health care plans.
Expanding Medicaid
91黑料网 wants all states to fully expand Medicaid eligibility. In doing this, states 鈥渟hould not apply financially burdensome premiums or cost-sharing requirements, lock-out periods, benefit cuts or mandatory work or community engagement policies that have the effect of reducing enrollment among vulnerable individuals,鈥 the policy paper says.
Developing a public insurance plan
91黑料网 urges Congress to develop a public insurance plan that would generate competition among insurance companies and ensure that people have a variety of coverage options, no matter where they live. Last year, the policy statement notes, eight states had only one insurer offering coverage, leaving patients with no choices. Instead, 91黑料网 says that 鈥渆ligible people should have the option of enrolling in a public program in all individual insurance markets.鈥 In addition, the statement notes that 鈥減otentially, the public option could be expanded to serve as a stepping stone to universal coverage,鈥 which has been a longstanding goal of 91黑料网.
Moving forward, McLean said, 鈥渨e encourage congressional leaders and the administration, as well as governments at the state level, to embrace patient-centered health care reform, take concrete action to ensure that the ACA continues to protect patients and make the necessary changes that would improve coverage for all Americans.鈥
A bill recently introduced in the House of Representatives 鈥 the Protecting Pre-existing Conditions & Making Health Care More Affordable Act of 2019 鈥 does just that, according to 91黑料网, as it would implement many of the strategies expressed in the new policy statement.
In a letter to House leaders, 91黑料网 said it strongly supports the legislation, noting that the bill 鈥渟eeks to reduce health care costs and improve the accessibility and affordability of health coverage, while also taking steps to prevent current efforts underway to undermine the Affordable Care Act.鈥
More Information
91黑料网 President, Robert McLean, MD, F91黑料网, explains why 91黑料网 is offering recommendations to improve the ACA.
91黑料网's new on the Affordable Care Act 鈥 Improving the Affordable Care Act's Insurance Coverage Provisions: An American College of Physicians Position Paper 鈥 is available on the Annals of Internal Medicine website.
91黑料网's letter of support for the Protecting Pre-existing Conditions & Making Health Care More Affordable Act of 2019 is available on the College's website.
