Form 1095-A, 1095-B, 1095-C,
If you pay taxes in the United Sates,by now the feds have sent you a notice about the new tax form you must include with your 1099 or 1040 tax return. It is another obfuscation of the 'Paperwork Reduction Act"
Your 2015 tax refund will be less if you did not enroll in the Affordable Care Act Health insurance exchanges are one way of obtaining coverage. If you wanted a subsidy patients were required to obtain health insurance coverage patients had/have to apply via the federal Health.gov website or their state's exchange.Certain states opted-out and manage their own exchanges.
The prevention of Obama care tax penalties will require careful planning if you do not have a refund due. Tax penalties would be assessed at the time of your tax filing for the previous year end on or about April 15th. It would normally be deducted from you federal tax refund.
If you have no tax refund due, then it would be assessed unless paid immediately. Exact statistics of how many tax payers this would effect have not been released.
According to federal statistics the number of the uninsured has been reduced by 50 percent. This would calculate to about 20 million uninsured. The vast majority of these patients are in a very low income group.The group most at risk for penalties are those who don't qualify for medicaid and fall into the group with a premium that for them would be still unaffordable. Even if they qualify for insurance and pay for it,the deductible and/or co pays would still be unobtainable for them. For these people the Affordable Care Act was and is a cruel promise for affordable and accessible care.
Here are the individual State run Health Information Exchanges:
| Arkansas | State-Partnership Marketplace1 |
| California | State-based Marketplace |
| Colorado | State-based Marketplace |
| Connecticut | State-based Marketplace |
| Delaware | State-Partnership Marketplace |
| District of Columbia | State-based Marketplace |
| Idaho | State-based Marketplace |
| Illinois | State-Partnership Marketplace |
| Iowa | State-Partnership Marketplace |
| Kentucky | State-based Marketplace3 |
| Maryland | State-based Marketplace |
| Massachusetts | State-based Marketplace |
| Michigan | State-Partnership Marketplace |
| Minnesota | State-based Marketplace |
| New Hampshire | State-Partnership Marketplace |
| New Jersey | Federally-facilitated Marketplace |
| Maryland | State-based Marketplace |
| Massachusetts | State-based Marketplace |
| Michigan | State-Partnership Marketplace |
| Minnesota | State-based Marketplace |
| New Hampshire | State-Partnership Marketplace |
| New York | State-based Marketplace |
| Rhode Island | State-based Marketplace |
| Vermont | State-based Marketplace |
| Washington | State-based Marketplace |
| West Virginia | State-Partnership Marketplace |
These 21 states opted-out of the federal administration of their health information exchanges, for what are now obvious reasons.
While some states had severe problems initializing enrollment (Covered California being the most obvious one), most had a smooth enrollment process. most difficulties can be attributed to a poor selection of IT vendor. This was true of Health.gov. The application process required a multi-task choice of insurance companies after completing an initial demographic, income and health evaluation. The selection varied across all states, and in some cases were minimal.
Politicians (especially Democrats) seem satisfied by stating how fewer people are uninsured, totally ignoring other facts.
1. Still unaffordable premiums for many patients.
2.:Lack of access to physicians
3 Limited number of providers.
4. The lack of transparency in regard to how the ACA discriminates against enrolled because the intended provider is contractually obligated to be reimbursed less for ACA patients.
5. During the past five years Federal funds were given to providers to implement poorly designed electronic health records. The amounts were in many cases inadequate and did not account for ongoing maintenance of their systems. Those who use EHR have found that maintenance costs exceed the cost of acquiring EHR.
6. The ACA includes many hidden features buried in bureaucratic wording,such as meaningful use,of EHR, interoperability, and features for patient engagement via portals. A three stage implementation for meaningful use added additional cost to providers. Many have not attested to stage II and never will due to cost. HHS and CMS on several occasions have delayed requirements for implementation. For those providers who have not attested, the penalties will be unknown and they have already received a check from the fickle HHS.
Anyone who is a serious businessman would not do business with our government unless their life depended upon it And unfortunately many are in that position .Not only are poor patients forced into continuing entitlement programs,Health institutions are as well.
While the EHR promises to bring gains to quality of care it drastically affects the ability of providers to work efficiently.
IRS Warns: Obama care Tax Must Be Paid with Tax Return | Americans for Tax Reform
