According to a new analysis by the CBO: Medicare beneficiaries will cost an average $10,620 per enrollee this year; more than any other federally funded program. That is followed by ACA enrollees ($6,490), Medicaid and CHIP beneficiaries ($4,620) and PARTICIPANTS IN EMPLOYER-BASED PLANS ($1,810) because costs are excluded from income and payroll taxes.

Job-based plans have the tools and efficiencies to increase access and affordability to workers and small businesses have the natural tax platform to provide access under very favorable tax circumstances.

The costs and projections show a demanding need to expand access to job-based coverage. The ACA has been engineered to expand job-based coverage by designing a system that can efficiently serve the vast majority of working Americans (The SEP for Small Businesses).

It seems pretty simple to me. The politics of healthcare should offer an amendment to the ACA. Amend the (SEP) to change the enrollment period from the current 30 day period to 90 days and watch what can happen.

Employers will be more inclined to provide access. Uninsured workers and workers not eligible for tax credits will be able to take advantage of very favorable tax consequences and those better served by tax credits will enroll in ACA exchanges.