ACA Indexing Provisions: A Reality Check

The Affordable Care Act (ACA) passed Congress largely because it promised to offer health insurance to millions of Americans while simultaneously lowering projected annual federal budget deficits. The Congressional Budget Office’s (CBO) conclusion that the ACA would reduce the deficit is widely cited, but poorly understood. In a new study, we demonstrate that this promise of deficit reduction is fragile, and modest changes in implementation would wipe out presumed future deficit reduction.

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