Growth of ACA Maximum Out-of-Pocket Limits Exceeds Wage Increases

Well being Payer Intelligence July 28, 2022
Victoria Bailey

Between 2014 and 2023, ACA most out-of-pocket limits may have elevated by 43 p.c, whereas enrollee wages may have risen by 31 p.c.

The utmost out-of-pocket restrict in Inexpensive Care Act (ACA) market plans is rising sooner than enrollee wages and salaries, a Peterson-KFF Well being System Tracker discovered.

Researchers used information from the Congressional Finances Workplace (CBO) and CMS Nationwide Well being Expenditure Accounts to research present and future out-of-pocket maximums for ACA market plans and well being financial savings account (HSA)-qualified plans.

As a result of federal laws, most privately insured people have a well being plan with an out-of-pocket restrict. The Medicare Modernization Act of 2003 established a federal out-of-pocket most for HSA-qualified plans, whereas the Inexpensive Care Act of 2010 required non-grandfathered personal well being plans to set…

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