I am objecting to a final vote until we figure out a way to address cost transparency/reduction for healthcare providers.
What's the status of IRL supplemental Medicare plans post-Atlas Care? Because to be clear I don't think those should be banned but also find the entire profit health care industry IRL in the US to be problematic and I don't want rich guys using private insurance while the poor stays on the government plan.
That's a good question. The RRPHA absorbed all current Medicare beneficiaries (along with Medicaid recipients) into AtlasCare. I would think that Medicare enrollees keep their supplemental plans, but I'll confer with NCYankee just to be sure.
Sorry for missing this and the PM sent a few days ago. Lot of PMs getting sent back and forth to start the Senate.
2. Medicare Recipients will be transitioned over in an orderly fashion, administered by the H&HS Sub-Department to the equivalent parts of Atlascare, from the equivalent parts of Medicare that they are presently enrolled.
I want to say yes, but the details of this transition were suppose to be handled by the SoIA and I don't think this happened with the level of detail that I had envisioned back when this was composed.
There are a lot of similarities in how Medicare and Atlascare works and both divided into Parts, though the details on the Parts I would refer back to Scott since he composed that aspect.
The thing I would note when I say Parts is that I refer to the internal Parts of the AtlasCare program and not Parts I, II, III of R&RPH itself. In hindsight once Parts were added to Atlascare I should have utilized different section divider names for the bill itself.
Both Atlascare and Medicare charge premiums, but for Seniors those premiums are "subsidized to Medicare levels" and the beyond that the Sliding scale subsidy kicks in to cover the difference in place of Medicaid, which we got rid of (along with most every other federal health care program). I think the subsidy is probably more generous than what Medicaid offered and with far less strings attached, though for exact numbers I would recommend PiT or Encke, because I still cannot read that formula:
a. Healthcare Insurance will be subsidized in accordance with a sliding scale subsidy based on age and income in relation to a maximum of $12,000 annually, indexed to Health care inflation.
b. The formula is as follows: y = 1 - (x - f(t))/2
where x is the multiple of $12,000 that their annual salary amounts to and f(t) is the formula for determining the max subsidy cutoff as a function of age t. (f(t) = 0.0022*(t-20)^2 - 0.0291*(t-20) +1.66))
It would be a hell of a tall order for the GM to pull off, but at some point we need to get a read on what healthcare inflation is like post all our drug cost/health cost bills passed subsequent to R&RPHA because that will allow us to know what Atlascare is charging for premiums and also what the max cut off for the formula is now. At 5% for instance, it is up to $13,230 now.
The thing that makes me unsure about this is that we pushed to move away from "sliding scale benefit" or partial benefit like Medicare IRL, in favor of a public option that covers the whole tab at the point of delivery and then a sliding scale subsidy (which is a separate program) based on age and income to help those who need it, to cover the public option's or its competitor's premiums. This aspect kind of makes me think that Atlascare would squeeze supplementals out, but in its place create an industry of Atlascare competiting plans (assuming a region allows competition to Atlascare) aimed at seniors. I don't think these would be many in number for various reasons though.
