The Trump administration's decision to expand access to association health plans will encourage healthy people to seek the cheaper, less robust coverage options but also could lead millions to forgo coverage, according to Labor Department officials.
The plan, backed by a coalition of policymakers including former Sen. Rick Santorum, largely mirrors last year's failed Graham-Cassidy bill, and doesn't have a clear path to passage in Congress.
Although a federal appeals court ruled that health insurers aren't entitled to $12.3 billion in unpaid risk-corridor payments, some disappointed insurers indicated they aren't giving up their quest to secure the funds.
America's Health Insurance Plans, an insurer trade association, is pushing for states to set up reinsurance programs and for Congress to kill the industry's loathed tax to help mitigate premium increases on the Obamacare exchanges in 2019.
The Affordable Care Act remains an election talking point, but lawmakers are shifting their policy focus to the Trump administration's agenda as states take the reins on the exchanges.
The U.S. clung to its health insurance gains last year, an unexpected outcome after President Donald Trump's repeated attempts to dismantle the Obama-era coverage expansion, according to a major government survey released Tuesday.
Association plans' ultimate effect will depend on how the U.S. Labor Department finalizes and implements its proposed rule, but the people exiting the exchanges are likely to be far healthier than those who stay, according to an analysis.
The Senate's two top GOP proponents for individual market exchange stabilization measures are in talks with CMS Administrator Seema Verma about making 1332 state innovation waivers easier to obtain.
Former HHS Secretary Dr. Tom Price, who long pushed to repeal the Affordable Care Act, said GOP lawmakers made a mistake by axing the penalty for not complying with the individual mandate.
One Democratic lawmaker is trying to steer the health policy conversation toward pragmatism with new bills he believes would help move the needle on individual coverage with less political fuss.
Gov. Scott Walker said the $200 million reinsurance program would lower premiums by 5% in 2019, a dramatic shift after they increased 44% this year as enrollment dropped and fewer providers offered coverage.
Two top Senate Democrats say the Trump administration is raising more questions than it is answering by changing course on funding risk-corridor payments.