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ACA expansion in relief bill likely to be Biden’s largest healthcare reform


The two-year expansion of the Affordable Care Act (ACA) contained within the $1.9 trillion Covid-19 relief bill is likely to be the Biden administration’s largest healthcare reform, according to a recent report from L.E.K. Consulting.

The management consultancy’s report expects the slim Democratic majority in Congress will limit future healthcare reforms to minor measures that can conceivably attract Republican support – such as drug pricing caps.

Biden’s flagship campaign proposal – the expansion of ACA financial support – was part of the massive relief bill which passed in Congress earlier this month. It increases ACA subsidies, lowering payments for the nearly 14 million Americans enrolled in the program. The bill, which is in effect for two years, also expands Medicaid coverage for pregnant women.

Biden’s farther-reaching proposals for healthcare reform, however, are unlikely to be realized, according to the experts at L.E.K . These include campaign proposals to lower Medicare eligibility to 60 years of age – shifting 80% of Americans age 60-65 to Medicare and lowering their total cost of care by $100 billion. Another proposal was the creation of an ACA public option that would extend coverage free to low-income individuals not eligible for Medicaid in certain states that […]

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