Senate Reveals Latest Health Plan; Is It DOA?


Hence they are often sold as a rider or special amendment to an existing insurance plan, instead of an independent policy.

"It is unworkable in any form and would undermine protections for those with significant medical conditions, increase premiums and could lead to widespread loss of coverage for people now enrolled in the individual market", wrote the main industry trade group, America's Health Insurance Plans, and the Blue Cross Blue Shield Association. Premiums for those who need comprehensive coverage would shoot up. "As a result, millions of more individuals will become uninsured". Leaving aside myriad complexities of insurance markets, ideally it balances out.

As health care experts have repeatedly explained, this would create an unsustainable two-tiered system, with older and sicker patients buying real coverage, and younger and healthier consumers buying cheaper insurance.

Yet if the sick and the well are sorted - or sort themselves - into separate pools, the system can start to fall apart.

An amendment allowing insurers to sell unregulated plans - which would be cheaper but could discriminate against people with pre-existing conditions - as long as they also sold an Obamacare-compliant policy, will be in the base text, as first reported by Axios.

"It's just Insurance 101", Lueck said.

And that brings us back to the rest of the bill, which gives moderates vanishingly little.

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CNN would have been wise to call Obamacare the "so-called Affordable Care Act" since 2013, premium costs have increased on average by 105%. The individual health-care exchanges are supposedly heading into a "death spiral" of sicker customers, higher premiums, and fleeing insurers.

Those Americans would still be subject to a penalty if they didn't maintain continuous coverage.

Cruz, who is attempting to morph from the most hated man in the Senate into a conservative dealmaker, is very pleased with this development. But depending on what they purchase, it wouldn't guarantee them the ACA's consumer safeguards. The Cruz amendment would worsen the situation, the executive said.

All told, the legislation would reduce Medicaid spending by $772 billion by 2026, leaving 15 million fewer people covered by the program, according to the non-partisan Congressional Budget Office. "If they are not heavily subsidized, they run the risk of becoming unsustainable and going into a death spiral". "There are a lot of people with great needs in this country". "All that money is fungible". Most of the people insured by these pools received subsidies, paid for by premium taxes imposed on insurance companies. You could buy a plan that covered nearly nothing but a visit to a hospital emergency room and an annual physical, if you wanted to.

Before Obamacare, states had significant discretion over their individual health insurance markets and many created high-risk pools for people whom insurers turned away.

But there were also some consumers who bought lower-cost coverage without understanding the limitations of such plans, which companies and brokers marketed heavily, said Pollitz at the Kaiser Family Foundation. However, remember that it's always a good idea to enroll in a major medical health insurance plan, and you can do this during the annual Open Enrollment Period (OEP) or during a Special Enrollment Period (SEP) if you qualify.

"The new Senate bill is substantially different from the version released last month and it is unclear to me whether it has improved", the senator said in a statement, noting that he'll take time to study the draft.