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Cato Podcast

The Obamacare Earnings Cliff

Cato Podcast

Cato Institute

Immigration, News, News Commentary, Peace, 424708, Markets, Government, Libertarian, Policy, Politics, Cato, Defense

4.5979 Ratings

🗓️ 12 June 2015

⏱️ 8 minutes

🧾️ Download transcript

Summary

The incentive structure built into Obamacare create earnings cliffs that may alter the behavior of millions of Americans. Aaron Yelowitz explains the problem.

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Transcript

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0:00.0

This is the Cato Daily Podcast for Friday, June 12, 2015.

0:05.0

I'm Caleb Brown.

0:07.0

For potentially millions of families, the decision to make more money or less money or

0:12.0

get married or stay single may be significantly affected by the

0:16.0

structure of the Affordable Care Act. For some families earning a single

0:19.6

dollar more per year can mean thousands of dollars in foregone Obamacare subsidies.

0:24.7

Aaron Yellowitz, an adjunct scholar at the Cato Institute has crunched some of the numbers

0:28.6

on these so-called Obamacare earnings cliffs.

0:32.1

The rollout of the exchanges in 2014 created a crazy patchwork of incentives to increase or

0:41.8

decrease one's earnings in order to qualify for what's known as the premium tax credit.

0:48.0

The premium tax credit limits the amount that you pay out of your own pocket for health insurance

0:54.4

premiums when you purchase it on the exchange. So I go to an exchange and I take a

1:01.1

look and based on my income and based on other characteristics whether I'm a smoker, whether I'm not and where I live I get a quote that is a number that includes some amount of federal subsidy.

1:16.7

You get a quote that includes an amount of federal subsidy and if you go on to the health care.gov website, what you'll see is that as your

1:26.5

income changes ever so slightly at times the premium tax credit changes not so slightly.

1:35.0

This is known as the Obamacare earnings cliff.

1:39.0

Let me give two important examples.

1:42.0

In states that didn't expand Medicaid, if your income

1:47.5

moves up to 100% of the poverty line, you instantaneously get a much, much larger subsidy which creates incentives

1:57.0

to increase your income at least to that threshold.

2:00.4

On the other hand, in all 50 states in DC, if your income goes above 400% of the federal poverty line,

2:08.0

then you potentially lose a very large amount of subsidy by earning an extra dollar.

...

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