September 8, 2022
Access & Coverage
  • The Commonwealth Fund released a brief examining how five policies could impact expanding health insurance coverage and affordability beyond the American Rescue Plan Act (ARPA). Collectively, the five policies – filling the Medicaid gap in nonexpansion states, reducing the employer affordability threshold, adding a $10 billion reinsurance fund, increasing the federal Medicaid matching rate in expansion states, and enhancing and funding marketplace cost-sharing subsidies – would cover 3.7 million more people in 2023. However, they would also increase federal spending by $606 billion and add $575 billion to the federal deficit. Filling the Medicaid gap and improving cost-sharing subsidies would have the greatest impact on coverage. (Brief here)