Pulled ACA subsidies affects more people in pro-Trump states - Entrepreneur Generations

On Oct. 12, President Trump made good on threats to pull the cost-sharing subsidies that reimburse insurers for low-cost ACA marketplace plans. Here's an update on what that means and what could happen because of it.

About 58 percent of all marketplace enrollees--7 million people--received cost-sharing subsidies in 2017, which cost the government about $7 billion. Nearly 70 percent of these enrollees live in pro-Trump states and many have no other current insurance options. Insurers are still required by law to offer these plans in the markets they serve, but without the reimbursement, insurers will likely either hike rates or withdraw from some markets entirely, Hannah Recht reports for Bloomberg.

In some marketplaces, nearly everyone who has a marketplace plan receives subsidies.
(Bloomberg map; click to enlarge it)

Most insurers assumed the CSRs would dry up and planned accordingly, raising prices to cover predicted losses where possible and exiting markets that weren't profitable enough. Insurers were required to finalize their plans for 2018 by the end of September, but the end of CSR payments may give them an exit clause. "Medica Health Plans recently exited North Dakota after state insurance officials there would not accept Medica’s high-rate, no-CSR request, Recht reports. "With less than three weeks until open enrollment, we’ll be watching closely to see if other companies choose to leave."

The attorneys general for 17 states and the District of Columbia filed suit against Trump's administration in an effort to block the subsidy cut-off.

from The Rural Blog http://ift.tt/2yrvFmj Pulled ACA subsidies affects more people in pro-Trump states - Entrepreneur Generations

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