Study: Some Marketplace Customers Spend 25 Percent of Income on Health Expenses
http://www.medscape.com/viewarticle/857329?src=wnl_mdplsnews_160122_mscpedit_wir&uac=240112FN&impID=965320&faf=1
Even with subsidies to make coverage more affordable, many people who buy health insurance on the marketplaces spend more than 10 percent of their income on premiums, deductibles and other out-of-pocket payments, a recent study found. Among those hit hardest, the researchers said, are people who spend nearly a quarter of their income on health care expenses.
Theres been a lot of talk about how high deductibles and out-of-pocket costs are in the Affordable Care Act, and a lot of anecdotes about that, and this [study] quantifies that in a more systematic way, said John Holahan, a fellow at the Urban Institutes Health Policy Center who co-authored the study.
The study used a model to estimate expected household spending on health insurance premiums and out-of-pocket expenses by individuals and families at different income levels using the marketplaces in 2016.
The analysis incorporated tax credits that are available on a sliding scale to people with incomes between 100 and 400 percent of the federal poverty level ($11,770 to $47,080 for an individual) to help subsidize the cost of premiums. It also included cost-sharing reductions that lower out-of-pocket spending for people with incomes up to 250 percent of the federal poverty level ($29,425 for one person) if they purchase silver plans on the online marketplaces.
Despite the financial assistance provided by the health law, people with modest incomes and average medical expenses have relatively heavy financial burdens for health care, the study found.