An elderly person's hands on a doctor's desk next to a stethoscope


(The Commonwealth Fund Blog)

November 24, 2015

What Happens If the ACA's Tax Credits Are Replaced with Premium Support?

Photo by Barabas Attila/Fotolia

by Evan Saltzman and Christine Eibner

Under the Affordable Care Act (ACA), tax credits for purchasing health insurance in the marketplaces are designed to limit enrollees' premium contributions to a fixed percentage of their income. Critics who want to repeal and replace the law have advanced a “premium-support” model, in which tax credits are fixed amounts for enrollees regardless of their premium costs. We have conducted an analysis that indicates that these premium-support models could place financial burdens on low-income and older individuals....

The remainder of this commentary is available on

Evan Saltzman is a project associate at the RAND Corporation. Christine Eibner is a senior economist at RAND and a professor at the Pardee RAND Graduate School.

This commentary originally appeared on The Commonwealth Fund Blog on November 24, 2015. Commentary gives RAND researchers a platform to convey insights based on their professional expertise and often on their peer-reviewed research and analysis.