Top Tweets for #silverloading
🚨 House GOP Bill: No #ACA tax credit extension after all; CBO projects 300K to lose coverage due to end of #SilverLoading in mostly red states:
https://t.co/BxlzDa2k3r

You don’t see a lot of political ads featuring someone jumping out of a moving vehicle:
@icowrich You can thank #SilverLoading and folks like @greg_fann @charlesmillertx & @NathanForTexas for that:
https://t.co/ue3ZA6LwYW
This is *partly* thanks to a pricing strategy known as #SilverLoading which has been around since 2018 but which has become more widely used since then. Here's a simple explainer for those interested: https://t.co/rH692xQJwW
Meanwhile, healthcare wonks are trying to find a way to work a New Jersey #SilverLoading angle into the Menendez "gold bar" story...
cc: @xpostfactoid @bjdickmayhew @LouiseNorris
https://t.co/Of5bmqvlT2
@GovWhitmer There’s still several ACA items not included such as the 80/85% MLR requirement and the Maximum Out of Pocket cap, but it’s still a good list.
Now if @MIHouseDems & @MISenDems could just codify Maximized #SilverLoading…
This is thanks to a pricing strategy known as #SilverLoading (officially "#PremiumAdjustment) which has been around since 2018 but which has become more widely used since then. Here's a simple explainer for those interested: #xp https://t.co/Of5bmqvTIA
This is thanks to a pricing strategy known as #SilverLoading (officially "#PremiumAdjustment) which has been around since 2018 but which has become more widely used since then. Here's a simple explainer for those interested: #xp https://t.co/Of5bmqvTIA
@xpostfactoid @larry_levitt Not to mention mandatory #SilverLoading...(pardon me...#PremiumAlignment)...
As @bjdickmayhew explains, the impact of mandating #SilverLoading in Texas (combined w/some other factors) will be dramatic in 2023:
https://t.co/2pqo093t9q
In fact, last year TEXAS of all states--not exactly known for being #ACA-friendly--passed a bill UNANIMOUSLY to mandate #SilverLoading (aka Premium Alignment) thanks to a lot of hard work by a group of actuaries & legislators of all ideological stripes:
https://t.co/ue3ZA6LwYW
This is thanks to a pricing strategy known as #SilverLoading which has been around since 2018 but which has become more widely used since then. Here's a simple explainer for those interested:
https://t.co/Of5bmqvlT2
What if you earn MORE than 200% FPL, however? Well, thanks to #SilverLoading (aka "Premium Alignment" via @greg_fann), MILLIONS of people can get GOLD plans for *less* than Silver after subsidies are applied. In many cases they can get a FREE Gold plan. 6/
https://t.co/Of5bmqvlT2
Trading #SilverLoading for permanent #ARP subsidies would be, as @xpostfactoid put it, "sacrificing your bishop to save your queen." It would reduce ACA subsidies for several million enrollees BUT would *increase* subsidies for millions MORE...including those same enrollees. 11/
The *downside* to reinstating CSR reimbursements is that doing so would eliminate #SilverLoading, which is a wonky pricing practice carriers started doing in response to the CSR reimbursements being cut off in the first place. 10/
https://t.co/Of5bmqvlT2
@JakubHlavka @haroldpollack @michalhorny @GidMK @JasonShafrin @DrHarryThomas @mattkahn1966 @VinGuptaMD @KBibbinsDomingo #SilverLoading.
Higher premiums lead to lower premiums.
Lower premiums lead to higher premiums.
@ddiamond @sangerkatz FWIW, either @bjdickmayhew or I appear to have coined the phrase #SilverLoading in the context of the ACA.
I also coined the phrase #SilverSwitcharoo much to my embarrassment.
@larry_levitt It also doesn't include @SenatorShaheen's #S499, which would dramatically improve/expand CSRs while reinstating CSR *payments* to pay for most of it (basically replacing #SilverLoading).
2. Cost Sharing subsidies not generous enough (sort-of fixed by #SilverLoading; hopefully permanently fixed by @SenatorShaheen's #S499 bill at some point...)
3. MOOP still too high for those w/chronic conditions
4. Network adequacy requirements far too weak
📣7. Thanks to #SilverLoading, some GOLD plans cost less than SILVER...and some enrollees may be able to get FREE Gold plans!
If you earn *over* 2x the poverty line, make sure to check and see whether a GOLD plan is a better choice--you may be surprised!
https://t.co/Of5bmqvlT2
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