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S. Burwell (2015)
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Opinion EDITORIAL Yet Another Exciting and Turbulent Year Ahead Gail R. Wilensky, PhD; Rita F. Redberg, MD, MSc This year has already seen a major piece of significant bipar- in another plan. Rhode Island runs its own exchange and was tisan legislation as well as continued unfolding of many unique in not using autoenrollment; they have reported that challenges in achieving meaningful health care reform. more than 60% of those who were reenrolling selected new plans. Several other sources of potential dissatisfaction are also Continuing to Implement the Affordable Care Act on the horizon. Most people who purchased insurance in the Exchanges exchanges received subsidies that were based on their ex- Unlike the initial enrollment period of the Affordable Care pected income, which was usually defined as the prior year’s Act (ACA), the second year’s enrollment functioned income. The tax accounting firm H&R Block estimated that 3.4 smoothly. Also unlike the first year, the enrollment period million may owe refunds to the federal government because was 3 months rather than 6 months. As reported in the of higher-than-expected income. This means lower-than- Washington Post, by February 15, 2015, 11.4 million people expected refunds for large numbers of people who
JAMA Internal Medicine – American Medical Association
Published: Aug 1, 2015
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