Tax Credits, the Distribution of Subsidized Health Insurance Premiums, and the Uninsured

Tax Credits, the Distribution of Subsidized Health Insurance Premiums, and the Uninsured
Author: Mark V. Pauly
Publisher:
Total Pages: 44
Release: 2001
Genre: Economics
ISBN:

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This paper investigates the impact of a $1000 refundable tax credit for self-only coverage on net premiums and insurance purchases for a representative sample of potential buyers in the individual insurance market. Two methods are used to estimate the distribution of premiums: predicted premiums based on a sample of actual purchasers, and premium quotations drawn from an e-insurance web site. In most of the simulations, the net premiums for half or more of the prospective buyers are reduced to zero or low levels. The number of uninsured is reduced by between 21 percent and 85 percent depending on the size of the deductible in the benchmark plan. However, the results are sensitive to assumptions about insurer underwriting practices.

Cutting Taxes for Insuring

Cutting Taxes for Insuring
Author: Mark V. Pauly
Publisher: American Enterprise Institute
Total Pages: 60
Release: 2002
Genre: Business & Economics
ISBN: 9780844771601

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This work explores the likely impact of specific tax credit options on the uninsured. It analyzes the effects of a variety of forms of tax credits, especially for workers whose incomes place them above the poverty line but below the median family income.

Responsible Tax Credits for Health Insurance

Responsible Tax Credits for Health Insurance
Author: Mark V. Pauly
Publisher: American Enterprise Institute
Total Pages: 68
Release: 2002
Genre: Business & Economics
ISBN: 9780844771618

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The 1990s saw no progress in the financing of health care. About 40 million Americans still have no health insurance - including 22 per cent of America's children. This text suggests a tax credit/voucher system with as much simplicity and flexibility as possible to combat the problem

Tax Subsidies for Health Insurance

Tax Subsidies for Health Insurance
Author: Jonathan Gruber
Publisher:
Total Pages: 80
Release: 2000
Genre: Health insurance
ISBN:

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The continued rise in the number of non-elderly Americans without health insurance has led to considerable interest in tax-based policies to raise the level of insurance coverage. This paper describes a detailed microsimulation model that has been developed to evaluate such tax-based polices, and its findings for the impact of polices on government costs and insurance coverage. I find that while tax subsidies could significantly increase insurance coverage, even very generous tax policies could not cover more than a sizable minority of the uninsured population. But there are several design features which can clearly make tax policy more effective: using tax credits rather than deductions; making credits refundable; and addressing the timing mismatch between when insurance purchases are made and tax refunds are received. I also document a clear tradeoff between the scope of tax subsidies and their efficiency.

Health Insurance Affordability and the Role of Premium Tax Credits

Health Insurance Affordability and the Role of Premium Tax Credits
Author: Brittany Rodriquez
Publisher:
Total Pages: 92
Release: 2015
Genre: BUSINESS & ECONOMICS
ISBN: 9781634829328

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The number of uninsured individuals and the rising cost of health insurance have been long-standing issues. The Patient Protection and Affordable Care Act (PPACA) mandated that most individuals have health insurance that provides minimum essential coverage or pay a tax penalty. To make health insurance more affordable and expand access, PPACA created the advance premium tax credit (APTC) to subsidize the cost of exchange plans' premiums for those eligible. This book examines what is known about the effects of the APTC and the extent to which affordable health benefits plans are available and individuals are able to maintain minimum essential coverage. Furthermore, new federal tax credits, authorized under the PPCA, first became available in 2014 to help certain individuals pay for health insurance. The tax credits apply toward premiums for private health plans offered through exchanges (also referred to as health insurance marketplaces). This book provides examples of hypothetical individuals and families that qualify for the premium credits and describes the eligibility criteria applicable to the premium tax credits and cost-sharing subsidies, and the calculation method for the credit and subsidy amounts. It also highlights selected issues addressed in the final regulation and guidance on premium credits and indicates the status of implementation, where relevant data is available.

Coverage Matters

Coverage Matters
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 204
Release: 2001-10-27
Genre: Medical
ISBN: 0309076099

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Roughly 40 million Americans have no health insurance, private or public, and the number has grown steadily over the past 25 years. Who are these children, women, and men, and why do they lack coverage for essential health care services? How does the system of insurance coverage in the U.S. operate, and where does it fail? The first of six Institute of Medicine reports that will examine in detail the consequences of having a large uninsured population, Coverage Matters: Insurance and Health Care, explores the myths and realities of who is uninsured, identifies social, economic, and policy factors that contribute to the situation, and describes the likelihood faced by members of various population groups of being uninsured. It serves as a guide to a broad range of issues related to the lack of insurance coverage in America and provides background data of use to policy makers and health services researchers.