The Cost Of The Cadillac Tax

Rising health insurance premiums have made healthcare unaffordable in the United States. Health insurance premiums in this country have undergone a steady rise over the past few years while incomes have remained the same. More than 50% of individuals with low incomes holding private insurance in the United States are unable to afford their healthcare costs (Collins, Gunja, Doty & Buetel, 2015). In addition, costs related to healthcare are equally unaffordable to 25% of working-age individuals who hold private health insurance policies (Collins et al., 2015). According to the Kaiser Family Foundation/Health Research and Educational Trust (Kaiser/HRET) survey on employer health benefits, employer-sponsored health insurance plans have also had moderate rises in premiums in 2013 for both individuals and family coverage (Claxton et al., 2013). While

The cost of health insurance has changed drastically over the years as it has become more expensive. Depending on personal characteristic, the cost of health insurance may vary. For instance, as individuals grow older the more expensive it becomes. In this case, health insurance is more costly because “older individuals require more health care” therefore “the cost of providing health care is rising” (Madura &Atlantic, 2012). Not only does this affect the high cost of health insurance, but the number of individuals uninsured. As stated by Madura and Atlantic (2012), “about one in every five workers is uninsured” and has increased since then because health insurance has become unaffordable. As a result, individuals tend to seek health care elsewhere as they can no longer

In 1954, Congress passed legislation allowing employers to provide health insurance benefits to employees on a tax-free basis (Sih and Singh 99). This legal provision marked the beginning of the rapidly expanding health care costs still apparent today due to the major incentives provided by the government to obtain employer-based health coverage. The overwhelming popularity of employer-based health insurance has led to a serious market inefficiency resulting from the system of third-party payment. As individuals rely on their insurance companies to pay for their medical expenses, this provides

Another downside to High Deductible Health Plan (HDHP) is the apprehensiveness to use the insurance, even the benefits that are free or at a low cost. “Enrollees in high-deductible health plans are likely to reduce the preventive care use and are largely; because they are unaware of the fact that preventive care benefits are free or at a low cost (Dolan February 2016).” Recent analysis showed that low-income workers were more likely than higher earners to avoid certain kinds of care when they were enrolled in high-deductible plans coupled with savings accounts. The analysis from the Employee Benefit Research Institute, found that low-income people even skipped free preventive services like flu shots and cut back on doctors’ visits. Primary and preventive

In 2016 the American population again saw their insurance plans increasing their premiums from 10%-13% across the board. This is much more than expected, and even worse the co-op insurance plans have failed. The government sponsored non-profit plans offering lower rates have not proven sustainability in result of the majority going bankrupt even after receiving 1.2 billion dollars of taxpayer’s money. The Affordable Care Act is already becoming a huge tax expense amongst Americans leading to the U.S. increasing the overall national debt. Starting 2018 all high end health insurance premium plans will come with a 40% excise tax. Also, changes in flexible spending accounts have occurred as over the counter medicines are no longer qualified expenses for flexible spending accounts and health savings accounts. The health care tax deduction threshold account increased to 10% from the previous established 7.5%. All these changes through different avenues account for more reasons we continue to see costs increase through the ObamaCare.

The foremost concept of the Affordable Care Act was to allow for more poverty-stricken Americans to be able to gain access to health care. Yet, if you widen the amount of people can get free health care, who is meant to pay for them? In order for this new program to work, the US government needed enough young and healthy Americans to pay into the costs of having health care. However, problems began when Americans were finding that it was less expensive to just take the penalty for not having health care. Elementary office secretary, Catherine Moore explained in a personal interview, how a co-worker had also come across this same realization. “I worked with a lady that during the first year [of the Affordable Care Act] it was cheaper for her to take the penalty than to pay for insurance.” So now, not only is the government missing out on money that could have been used to support those who could not afford health care, but it is also encouraging healthy people who may not

One of the most controversial policies implemented by President Obama and the Democratic Party was the Affordable Care Act of 2010. The Affordable Care Act aimed to cut the rate of uninsured Americans and increase the quality of healthcare that they were receiving. While this has been somewhat effective in its own regard, there is much more room for improvement. Now that insurance companies have to cover a broader scope of people, including those with pre-existing conditions, many Americans that previously had health insurance have witnessed a spike in their premium rates. This, along with an increase in new taxes on products such as medical devices and pharmaceuticals, subsidizes the costs of the Affordable Care Act; those with high incomes also received a higher tax rates.

Societal beliefs and values influence the Affordable Care act. The health care budget is under constraint, how to provide the most recent and enhanced health care while saving money has become a major issue. With this new health reform, millions of Americans who could not afford insurance with their employers or are uninsured due to lack of employment have the opportunity to become insured. The major economic change in this society has created enormous challenges for workers, families, as well as employers. The implementation of this act reduced this plague in the health delivery system.

Healthcare reform has become an important issue with many Americans since the passage of the Patient Protection and the Affordable Care Act in 2010. It took years of fighting and refining the bill before it became law, and it represents the lasting legacy of the Obama administration. The Act will allow millions of Americans who were previously uninsured to gain coverage through expanded Medicaid and Medicare programs or through federal or state insurance exchanges. Although the idea of providing healthcare to those who need it but can’t afford it is a noble one, one major question remains. Who will pay for the increase costs associated with expanding coverage? Health insurance is predicated on the spreading of risk. The young and healthy are used to subsidize the cost associated with the care of the old and unhealthy. Congress attempted to address this by placing within the Affordable Care Act a provision which imposes a “tax” of one percent of taxable income on any American who chose not to purchase insurance coverage with the tax increasing every year up to 2.5% for every year they go without coverage. Despite this provision many young Americans are opting out of health coverage and instead will pay the tax. Younger people are making this choice because the tax they pay will ultimately cost them less than a year’s worth of coverage. Not having the younger population covering the costs of the unhealthy could lead to a “death spiral” because private insurance companies are

With 50 million uninsured Americans in 2010, the Affordable Care Act (ACA) aimed to insure nearly everyone with “minimum essential” health insurance coverage. The ACA provides that all Americans and individuals lawfully present in the United States be provided health insurance regardless of their health or financial situation. It strengthens existing forms of health insurance coverage, while building a new health insurance market for individuals and families who do not have employer coverage or another form of “minimum essential coverage” such as Medicare or Medicaid. In addition, the ACA imposes fees or assessments on health insurance providers. The fees meant to be absorbed by insurance providers will impact premiums for all individuals covered under fully insured or self-funded plans and policies.

The Affordable Care Act (ACA), also known as Obamacare, was a major overhaul to the healthcare system, affecting both employers and employees. The ACA, along with rising healthcare costs, means employers have had to make changes in their healthcare plans and as a result, employees are seeing the affects, good or bad. As Fitzgerald (2014) points out, as the ACA gets closer to full implementation, more organizations will begin backing away from providing health care coverage. Part of the problem that organizations are facing in the future is the so-called Cadillac tax. As explained by healthaffairs.org (2013), the Cadillac tax is an excise tax on high-cost insurance plans and will mostly be paid for by the organizations. The tax, beginning in 2018, is a 40% excise tax on the cost of coverage for health plans that exceed a certain annual limit (healthaffairs.org, 2013). Because of this high tax, many companies are scaling back on coverage and finding ways to shift the cost to employees (Angle, 2014). The analysis presented will describe what ACA is, the problem GMFC faces, possible options, and finally, a solution for GMFC in this case.

Small employers with employees of heterogeneous income levels will have strong incentives to offer coverage that is either “unaffordable” or fails to provide “minimum value” in order to preserve availability of government subsidies for their low-income

Not only do states desire their unique health care for themselves, but for their citizens as well. Although the ACA is arguably for the public good, only a certain class desires such a health care, not every citizen. Yet, if citizens refuse this health care, a “penalty” is imposed. “The payment is not so high that there is really no choice but to buy health insurance; the payment is not limited to willful violations, as penalties for unlawful acts often are; and the payment is collected solely by the IRS through the normal means of taxation”. (Supreme Court Opinion) Yet, a payment can be major for those who: do not have the means to pay for it, and disagree with the health care plan. Also, “the new law adds a number of health care services that insurers must cover and in some cases restricts the ability of insurers and employer self-insured health plans to impose limits on the amount of services patients can consume. This combination will drive up health plan costs and premiums for both individual insurance and employer-group coverage” (Edmund F. Haislmaier). Yet,

Our team’s debate topic covers a controversial issue within the Affordable Care Act in America, known as Obamacare. Obamacare is the universal health care in the United States that provides Americans access to affordable, quality health insurance, with a goal of reducing growth in healthcare spending. This universal health plan is technically a mandate or tax, in which non-compliers may be penalized through their federal return. Our topic debates whether Americans should be forced to pay this ‘shared responsibility fee’ for not complying with Obamacare.

Even though the excise tax does not take effect for another four years, according to Appleby (2009) the Cadillac tax “Could hit up to 19 percent of medical packages offered by employers in 2013” (p. 1). In fact, many employers have already begun taking action and started to scale back their health care coverage offerings and while other companies are increasing workers’ deductibles and copays to both prepare for and avoid paying the Cadillac tax (MDeverywhere, 2015). Additionally, for those consumers who suffer from