BREAKING: Within the next hour, Trump Admin will release the new proposed rules for the ACA for next year.
I will read, talk to experts, and post here later.
Follow if interested. 1/
I will read, talk to experts, and post here later.
Follow if interested. 1/
The “Bring Back 2007 Insurance Market” rule has been released.
Trump put out a final rule affecting the ACA for 2019. Here’s what it did:
-lowered protections for ppl w pre-ex
-increased the cost of coverage
-increased barriers to enrollment
2/
Trump put out a final rule affecting the ACA for 2019. Here’s what it did:
-lowered protections for ppl w pre-ex
-increased the cost of coverage
-increased barriers to enrollment
2/
How does it weaken pre-ex protections?
-allows states to create a lower benchmark for what a plan covers
-allows states and insurers to create “substitutes” for essential benefits
-taking a shot at risk adjustment (what creates the ability to cover sick ppl wout penalty)
3/
-allows states to create a lower benchmark for what a plan covers
-allows states and insurers to create “substitutes” for essential benefits
-taking a shot at risk adjustment (what creates the ability to cover sick ppl wout penalty)
3/
How does this increase the cost of coverage?
-Insurers will now be able to raise rates by up to 15% without justification
-lowers requirements that premiums be spent on claims or given back
-Allows insurers to skip the shopping/exchange process
-Continuing non compliant plans 4/
-Insurers will now be able to raise rates by up to 15% without justification
-lowers requirements that premiums be spent on claims or given back
-Allows insurers to skip the shopping/exchange process
-Continuing non compliant plans 4/
Time out: read the last tweet again. These are rules coming from the “free market”, “shopping is good” party.
Abdication if profits to insurers at the cost to consumers. Why?
Abdication if profits to insurers at the cost to consumers. Why?
How do barriers to enrollment increase?
-Reduce access to impartial navigators
-Increase burden of eligibility to low income populations
6/
-Reduce access to impartial navigators
-Increase burden of eligibility to low income populations
6/
This rule sits on top of:
-repeal of mandate (10-15% prem increase)
-short term plans
-end CSR
-reduce act value of plan
-cut 90% of ads
-end in person help
-cut OE in 1/2
-burdensome payments added
-5 or 6 more
7/
-repeal of mandate (10-15% prem increase)
-short term plans
-end CSR
-reduce act value of plan
-cut 90% of ads
-end in person help
-cut OE in 1/2
-burdensome payments added
-5 or 6 more
7/
I hear folks saying “bottom line this for me Slavitt. How bad?”
1) It’s an effort to create a very different vision that looks like 2007. To the extent allowable by law,Mort insurers charge what they want, cover what they want & make what they want in profits. 8/
1) It’s an effort to create a very different vision that looks like 2007. To the extent allowable by law,Mort insurers charge what they want, cover what they want & make what they want in profits. 8/
2) Insurers are making a lot of money in the exchanges. A lot. Which means they don’t need these incentives and loosening of the rules. They need the opposite. We should be commoditizing and forcing shopping not the opposite. Silly. 9/
3) But the resiliency of the ACA prevails to a large degree. Most protections can’t be gotten rid of without Congress. So they take swings at it 4 now.
All while people want the opposite. Improve, repair, make the law work.
More analysis and insights in coming days. Thx /end
All while people want the opposite. Improve, repair, make the law work.
More analysis and insights in coming days. Thx /end
