Insurers say Trump must do more to stabilize 'Obamacare'

Posted April 18, 2017

The ensuing chaos would collapse the stock of investor-owned plans who were foolish enough step forward to meet this social need and would trigger defaults, bankruptcy and, at a minimum, financial distress for everyone else. "No, I don't think it goes far enough", said Condeluci, a former staffer to the Senate Finance Committee who specialized in insurance issues.

She could not be reached late Thursday for comment on the final version. First, the ones that still remain in the individual exchanges have to decide whether to submit their 2018 plan designs and premiums by May 23.

The proposed change aims to discourage people from gaming the system.

"I don't want people to get hurt", Trump said in the Journal interview.

In a letter to Trump on Wednesday, America's Health Insurance Plans, a large insurance trade group, called on the White House to "remove uncertainty" about continuing the payments.

Customers will have 45 days to shop for 2018 coverage, starting November 1 and ending December 15.

The changes under Thursday's final rule include a shortened open enrollment period for Obamacare plans. The Internal Revenue Service laid out the ground rules for failing to buy health insurance years ago, and they didn't entail garnishing wages or seizing property. The new regulations also make it more hard for people who have major life changes, such as getting married or moving jobs, to gain insurance after the enrollment period. Additionally, the deadline falls around the holidays, when money and time are often tight, which could have a chilling effect on insurance sign-ups.

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Numerous changes follow recommendations from insurers, who wanted the government to address shortcomings with markets, including complaints that some people are gaming the system by signing up only when they get sick and then dropping out after being treated. This provision has always been a sticking point with insurers, who have maintained that too many customers who made a change during the special enrollment period were sicker and costlier than average. That's left them responsible for running Obamacare, even as they debate how to replace it. Only 20 percent of Americans support keeping things as they are. "If we were able to take that element out, and basically just have one universal payer that handled all the claims-but with the idea that they're not here to make profit, they're here to pay for correct treatment. that type of system would actually increase coverage for everyone". With insurers no longer allowed to deny coverage to patients with preexisting conditions, they're clearly dealing with some degree of adverse selection. "If the president wants to ask the country to sacrifice and other government agencies to sacrifice, then he should be doing the same".

First, a government that spends our money wisely and does not succumb to government contractors and others who use campaign contributions and lobbyists to get a portion of our money that they should not have. This was a big point of debate when Congress was writing the health law.

The rule also allows more variation in the value of benefits that insurers can provide, within its classes of plans.

However, what the new regulation lacks is any mention of cost-sharing reductions, which lower out-of-pocket costs for the poorest employees and are paid directly to insurers. But critics say the move would increase the size of deductibles.

The SRP completely failed to encourage young adults to enroll, which effectively doomed most insurers to losses. More than 60 votes to repeal the law in part or in whole, and not a single one on an replacement bill is all the proof you need of that. GOP efforts to undermine the law and dissuade insurance companies from participating have already been well documented.

WERTHEIMER: Julie Rovner of Kaiser Health News, thank you very much.

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