With Congress unable to do much of anything and Trump talking about letting the whole healthcare program fall apart?
State insurance commissioners are using every tool at their disposal to keep insurers and other insurance program stakeholders able to continue providing reasonable insurance to their citizens….
Insurance commissioners are working with providers, advocates and insurance companies to help keep the system running, but it’s an uphill climb.
Insurers are skittish and pleading for certainty from Washington. They want assurances that they will continue to receive cost-sharing reduction (CSR) payments from the federal government, which total about $7 billion this year. Those payments reimburse insurers for providing discounted insurance to low-income ObamaCare enrollees.
They also want assurances that the administration will enforce the mandate requiring people to have insurance or pay a penalty.
States don’t have a lot of options, but some officials are actively trying to make sure the public is shielded as much as possible from the consequences if Trump follows through on his promise to let ObamaCare “implode.”
“In general there’s not a whole lot they can do, because states don’t have any more information about what the Trump administration is doing than insurance companies,” said Cynthia Cox of the Kaiser Family Foundation.
Some states are letting plans file multiple sets of rates to account for the uncertainty. The strategy can work, Cox said, if all insurers are on the same page.
“The concern is that one company assumes the worst case scenario and adds 40 percentage points on for uncertainty, and another assumes the best case and prices significantly lower,” Cox said.
The administration has been sending mixed signals about whether it will take the dramatic step of ending payments to insurers. The CSRs have been paid on a monthly basis, but the administration has not promised that will continue….
A failure of the Healthcare Law would saddle states will HUGE holes in their budget’s…And tens of millions left out of healthcare coverage….Share on Facebook