Potential Improvements in the future of the Affordable Case Act – (ACT)

Rising premiums for middle class

The ACA needs to find ways to reduce the premiums for middle class – those who don’t qualify for the subsidy. Yes, it is true, the beneficiaries of the ACA are the poorest segment of the society but we need to create equity and balance for the middle class so they can leverage the exchanges for their healthcare coverage.


Plan Selection by Income: Percentage of enrollees in the ACA: (3)

Income Level (FPL) Percentage of Enrollees
100-150% 76%
151-200% 41%
201-250% 30%
251-300% 20%
301-400% 16%
Over 400% 2%


Improvements in User Interface across all Exchanges

The user interfaces for exchanges are all so different making it very difficult for the general population to navigate and use the system effectively.


Affordable Care Act Reporting

The current system requires companies and issuers to produce Health Care coverage reports for all members each year for eternity. This reporting is costing millions of dollars for issues and employer groups to produce. I am referring to the Forms 1095-A – Exchange Proof of Coverage, Form 1095-B – Issuer Health Coverage statement and Form 1095-C – Employee Health Coverage statement.


The Supreme Court decision to uphold the major provisions of the Patient Protection & Affordable Care Act.

The Supreme Court was right to uphold the major provisions of the Affordable Care Act.

The King vs. Burwell decision by the Supreme Court was a landmark decision not only for the President but also ensuring that 6.4 millions of Americans using the federally facilitated exchanges will continue to get healthcare coverage without interruption. We may not embrace it but, it is not going away anytime soon. If the Supreme Court had ruled the other way, ACA would have been dead and even the 34 states with State run exchanges would eventually fold because an uneven playing field.


The Supreme Court’s decision also sends a message to lower courts to put a stop to politically motivated lawsuit against the ACA. There have been dozens of lawsuits filed against the ACA and it keeps getting turned down and the Supreme Court made a solid statement to stop these frivolous lawsuits. (4)


In concluding, the President for taking a bold step to push for the Affordable Care Act not just because it was to challenge the status quo but it provided badly needed healthcare coverage to millions of Americans. For the over 22 million Americans who have signed up for the ACA, this bill was long overdue.


If we are anticipating another Healthcare reform in the next fifty years, I think we are in for a rude awakening. I will predict it will not happen. We can only foresee improvements in ACA and making it stronger and better just like Medicaid. History of Medicaid tells us there was a lot of resistance and outside forces wanting to stop it. Medicaid continues to find ways to improve even though it has been around for fifty plus years. ACA is here to stay and we have 22 million new members needing to make an appointment to see a primary care physician. The Affordable Care Act is here to stay with modifications.



1) White House, Weekly Address: The Affordable Care Act is Here to Stay, The Affordable Care Act is Here to Stay – 07/27/2015

2) US Department of Health and Human Services, ASPE – Office of the Assistant Secretary for Planning and Evaluation, Affordable Care Act Research – 09/01/2015

3)Forbes Magazine, Why the Affordable Care Act isn’t here to stay, Why the affordable care act isn’t here to stay, Robert Laszewski, June 29, 2015

4) Supreme Court of the United States Blog, Symposium: A decisive SCOTUS victory for the ACA that may bring an end to endless ACA litigation, Symposium: A decisive SCOTUS victory for the ACA that may bring an end to endless ACA litigation, Timothy Jost, June 25, 2015.