In its analysis of Pennsylvania, Lewin presents data estimating the impact of the bill, assuming
eligibility to the exchange is open to all employers beginning in year three, on sources of
coverage and potential changes in physician and hospital incomes. The highlights of the report
on Pennsylvania include:
Effects on Private Coverage and the Uninsured
• 51 percent of privately insured Pennsylvania residents would transition out of private
insurance. Of the estimated 7.6 million Pennsylvania residents with private health
insurance, there would be a decline of 3.9 million people with private coverage.
• 59 percent of Pennsylvania residents with employer-based coverage would lose their
current insurance. Of the estimated 7 million Pennsylvania residents with employerbased
coverage, 4.1 million people would be shifted out of their current employer-based
plan.
• 80 percent of Pennsylvania residents in a health insurance exchange would end up in the
public plan. Of the estimated 5.5 million Pennsylvania residents who would obtain
coverage through an exchange, 4.4 million would be covered by the public plan.
• 32 percent of the uninsured in Pennsylvania would still lack coverage. Of the estimated
1.4 million Pennsylvania residents without health insurance, the legislation would only
reduce the uninsured by 952,600, leaving 447,400 Pennsylvania residents without
coverage.
Effects on Physicians and Hospitals
• Physicians in Pennsylvania could see their net annual income decline by $321.4 million,
an average loss in income of $6,480 per physician. Of this net loss in income, $1.832
billion is attributable to the public plan using Medicare-based payments. Today,
Medicare physician payments in Pennsylvania are 76 percent of private payments.
• Hospitals in Pennsylvania could have their net annual income fall by about $2.7 billion,
with hospital total margins dropping to -1.6 percent. This loss in hospital income,
greater than total hospital margins, is overwhelmingly attributable to the public plan
using Medicare-based payments. Today, Medicare hospital payments in Pennsylvania
are 71 percent of private payments.
The Latest

Rand Paul Says Trump Impeachment 'Dead on Arrival' in Senate
The Kentucky Republican on Tuesday forced a point of order vote on holding an impeachment trial.

DOJ Rescinds 'Zero Tolerance' Border Policy
Acting Attorney General Monty Wilkinson sent a new memo to federal prosecutors, saying the department would return to the earlier policy of deciding cases.

Biden to Reopen Obamacare Marketplaces for Special COVID Enrollment Period
Biden plans to bolster outreach and enrollment programs as well as scrap changes to Medicare made by the Trump administration.

White House Chief of Staff Defends Teachers Unions Refusing to Return to School
Klain advocated for President Biden’s plan for reopening schools in 100 days and backed teachers’ objections to teaching in-person.

Biden’s Inauguration Speech Was a Lot Like Trump’s
Biden’s scaremongering imagery has been memory-holed together with Trump’s promises of unity and healing.

Nuking the Filibuster: Bad for the Senate, Worse for America
And worst of all for the Left.