A new study by Families USA has delved deep into Obamacare's patient protection provisions, which prevent anyone from being turned down or charged exorbitant rates for a pre-existing condition.
According to the study, over one in four Illinoisans under the age of 65 (the age where they become eligible for Medicare) have a pre-existing condition that could result in denial of coverage prior to the exchanges coming into effect in 2014. That's nearly 2.9 million people!
People with pre-existing conditions live in all counties in Illinois: the proportion of people affected ranges from 24.5 percent in Lake County to 31.1 percent in Jefferson, Marion, Randolph, and Washington Counties. One common factor is that pre-existing conditions tend to become more prevalent as we age: nearly half (49.2 percent) of adults aged 55 to 64 have a pre-existing condition that could lead to a denial of coverage. Right now, the presence of a pre-existing condition at any point in your life can be a reason for health insurance companies to discriminate against you.
To me, the implications are very clear: Obamacare gives people with pre-existing conditions access to affordable insurance. In fact, 59.5% of people with pre-existing conditions in Illinois are within the threshold (below 400% FPL) where either subsidies will be available to help them purchase health insurance or they will qualify for Medicaid. That's a tremendous relief for anyone without or in danger of losing their health care.
Also, as Families USA discusses in the study, not knowing what can happen with you or your family members' health insurance can result in "job lock" where one keeps an inferior job for fear of losing their coverage. Implementation of Obamacare will relieve that fear, and it could even lead to more people taking risks that were impossible before, such as starting a new business. This can lead to a more natural flow of the labor market and towards more job creation, giving Illinois an economic boost.
These are real benefits that people with pre-existing conditions, like me, can look forward to in 2014. In the meantime, IPXP, Illinois's temporary pre-existing conditions plan for the uninsured that was created and subsidized by Obamacare, is doing an incredible job as a stopgap measure to help us get through the next year and a half. I encourage you to spread the word about IPXP to ensure that everyone who needs to can take advantage of these benefits. As we can see from the Families study, there are a lot of Illinoisans with pre-existing conditions who have the chance to take advantage of a great program right now.
David Zoltan,
Guest Blogger, Illinois Health Matters
Showing posts with label FamiliesUSA. Show all posts
Showing posts with label FamiliesUSA. Show all posts
Monday, August 13, 2012
Wednesday, May 9, 2012
A Helping Hand for Small Businesses: Health Insurance Tax Credits
The Affordable Care Act (ACA) established a tax credit to help small businesses provide health insurance for their employees. According to a new study released today from Families USA and the Small Business Majority, 3.2 million small businesses, employing 19.3 million Americans, will benefit from these tax credits. Out of the 198,910 small businesses in Illinois, 137,900 will be eligible for a small business tax credit—that’s 69.3%.
The cost of health insurance is often the prohibitive factor when it comes to coverage for small business employees. Whereas almost all businesses—99 percent—with 200 or more employees offer coverage for their workers, small business have a much lower rate: 71% of businesses with 10-24 workers, and 48% of businesses with fewer than 10 workers offered employee health coverage.
The small business tax credit is an integral part of the ACA – created in order to help small businesses provide coverage for their employees. The credit is designed to provide assistance to the smallest businesses that face the highest premiums. In order to qualify, all businesses must cover at least 50% of each employee’s health insurance.
What does the small business tax credit mean for Illinois small businesses and their employees?
The cost of health insurance is often the prohibitive factor when it comes to coverage for small business employees. Whereas almost all businesses—99 percent—with 200 or more employees offer coverage for their workers, small business have a much lower rate: 71% of businesses with 10-24 workers, and 48% of businesses with fewer than 10 workers offered employee health coverage.
The small business tax credit is an integral part of the ACA – created in order to help small businesses provide coverage for their employees. The credit is designed to provide assistance to the smallest businesses that face the highest premiums. In order to qualify, all businesses must cover at least 50% of each employee’s health insurance.
- Businesses with up to 25 FTEs and average wages of less than $50,000 will receive credits on a sliding scale. To see if your business qualifies, go to the Small Business Majority Tax Calculator here.
- Businesses with 10 or fewer employees and average wages of less than $25,000 are eligible for the maximum 35% tax credit..
- Non-profit businesses are eligible for a 25% refund. In 2014, when health care reform is in full-force, the tax credits will cover up to 50% of small businesses’ health coverage plans, and non-profits will receive a refund up to 35%.
What does the small business tax credit mean for Illinois small businesses and their employees?
1,206,000 Illinoisans are employed at small businesses. Out of that number, 757,300 (62.8%) are employed at businesses that are eligible for a tax credit, making it easier for their employers to provide health coverage for them. Overall, the state will receive $634,615,800 in tax credits, or about $838 per employee, on average.
54,130 (39.3%) of Illinois small businesses will be eligible for the Maximum (35%) credit. 220,400 people will benefit from the maximum credits, or 29.1% of those employed by a small business.
The country suffers from large ethnic and racial disparities in health care, and coverage is no different in small businesses, where a disproportionate number of African American and Latino small business employees are without insurance, as compared to white, non-Latino employees. Many of these workers could benefit from the small business tax credit. In Illinois, 188,090 Latino workers are employed by small businesses. 74.5% (140,040) of those workers will benefit from small business tax credits. 118,310 African American, non-Latino workers are employed at small businesses, of which 78,170 (66.1%) will benefit from tax credits.
As with many other aspects of the Affordable Care Act, the small business tax credit is still underused and unknown. We found in our Neighborhood Stories series last year that many small business owners and chambers of commerce in the South and West Sides of Chicago had not heard of the small business tax credit. The Families USA and Small Business Majority Report released today will help to continue to publicize the availability of the credit.
54,130 (39.3%) of Illinois small businesses will be eligible for the Maximum (35%) credit. 220,400 people will benefit from the maximum credits, or 29.1% of those employed by a small business.
The country suffers from large ethnic and racial disparities in health care, and coverage is no different in small businesses, where a disproportionate number of African American and Latino small business employees are without insurance, as compared to white, non-Latino employees. Many of these workers could benefit from the small business tax credit. In Illinois, 188,090 Latino workers are employed by small businesses. 74.5% (140,040) of those workers will benefit from small business tax credits. 118,310 African American, non-Latino workers are employed at small businesses, of which 78,170 (66.1%) will benefit from tax credits.
As with many other aspects of the Affordable Care Act, the small business tax credit is still underused and unknown. We found in our Neighborhood Stories series last year that many small business owners and chambers of commerce in the South and West Sides of Chicago had not heard of the small business tax credit. The Families USA and Small Business Majority Report released today will help to continue to publicize the availability of the credit.
Thursday, August 4, 2011
“What does the Affordable Care Act mean for me?”
FamiliesUSA Sheds Light on the ACA
The Affordable Care Act (ACA) and the health care reform it brings can be difficult to understand. FamiliesUSA has recently made it a bit easier to understand by making available two different resources.
In a partnership with Herndon Alliance and Anzalone Liszt Research, FamiliesUSA started conducting research to identify the most frequent questions surrounding the ACA. The project began by polling state advocates across the country to find out the most often asked, but also most difficult to answer, questions. The result is a series of Q&A’s that help to de-mystify these common questions. The 10-page document, entitled “Mastering the 30-Second Sound Byte,” offers up straightforward, comprehensive information. In an effort to pass on some of that information to you, our readers, Illinois Health Matters will be posting a series of summaries from the document.
One of the Families USA Q&A’s sheds light on the claim that the ACA does not cut health care costs sufficiently. The answer explains that the ACA does put emphasis on providing good, quality care to citizens, but that it also employs cost-saving measures that do not detract from that quality, for both citizens and those funding health care. One element to this is the free preventative care that the ACA guarantees. Although there will be costs to insurance companies in order to pay for the preventative care in the short term, in the long run, it will end up saving costs from hospital visits and medical care for health conditions that will be detected and treating conditions before they grow serious enough to require more expensive treatment. Thus, both the consumer and the insurance companies are able to save money and still receive and provide quality care. A different step, on the administrative side, is to weed out fraud and abuse from Medicare.
A primary way that costs will be reduced for the consumer is through the health care exchange, a competitive health care marketplace that will be created in each state. The marketplaces will work to allow consumers to easily compare and find the best plan, while providing a competitive incentive for insurance companies to keep costs down. As the FamiliesUSA document describes it, it’s like “comparing airfare at a travel website like Travelocity.”
Finally, long-term efforts to lower costs and to increase quality of care turn towards innovation and ingenuity. The ACA will draw on new ideas from policy specialists that are as of yet untested, and to set up trials in order to see if these ideas will actually operate effectively. If the ideas are successful in test trials, they will be implemented widely in efforts to improve health care for all—without increasing costs!
Annika Yates
Illinois Health Matters
The Affordable Care Act (ACA) and the health care reform it brings can be difficult to understand. FamiliesUSA has recently made it a bit easier to understand by making available two different resources.
In a partnership with Herndon Alliance and Anzalone Liszt Research, FamiliesUSA started conducting research to identify the most frequent questions surrounding the ACA. The project began by polling state advocates across the country to find out the most often asked, but also most difficult to answer, questions. The result is a series of Q&A’s that help to de-mystify these common questions. The 10-page document, entitled “Mastering the 30-Second Sound Byte,” offers up straightforward, comprehensive information. In an effort to pass on some of that information to you, our readers, Illinois Health Matters will be posting a series of summaries from the document.
One of the Families USA Q&A’s sheds light on the claim that the ACA does not cut health care costs sufficiently. The answer explains that the ACA does put emphasis on providing good, quality care to citizens, but that it also employs cost-saving measures that do not detract from that quality, for both citizens and those funding health care. One element to this is the free preventative care that the ACA guarantees. Although there will be costs to insurance companies in order to pay for the preventative care in the short term, in the long run, it will end up saving costs from hospital visits and medical care for health conditions that will be detected and treating conditions before they grow serious enough to require more expensive treatment. Thus, both the consumer and the insurance companies are able to save money and still receive and provide quality care. A different step, on the administrative side, is to weed out fraud and abuse from Medicare.
A primary way that costs will be reduced for the consumer is through the health care exchange, a competitive health care marketplace that will be created in each state. The marketplaces will work to allow consumers to easily compare and find the best plan, while providing a competitive incentive for insurance companies to keep costs down. As the FamiliesUSA document describes it, it’s like “comparing airfare at a travel website like Travelocity.”
Finally, long-term efforts to lower costs and to increase quality of care turn towards innovation and ingenuity. The ACA will draw on new ideas from policy specialists that are as of yet untested, and to set up trials in order to see if these ideas will actually operate effectively. If the ideas are successful in test trials, they will be implemented widely in efforts to improve health care for all—without increasing costs!
Annika Yates
Illinois Health Matters
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