Sunday, January 22, 2017

With executive order, Trump tosses a ‘bomb’ into fragile health insurance markets

The Washington Post has an excellent analysis of Trump's executive order.  TL;DR: it's going to cause chaos:
Robert Laszewski, president of the consulting firm Health Policy and Strategy Associates, called the executive order a “bomb” lobbed into the law’s “already shaky” insurance market. Given the time it will take Republicans to fashion a replacement, he expects that federal and state insurance exchanges will continue to operate at least through 2018. 
“Instead of sending a signal that there’s going to be an orderly transition, they’ve sent a signal that it’s going to be a disorderly transition,” said Laszewski, a longtime critic of the law, which is also known as Obamacare. “How does the Trump administration think this is not going to make the situation worse?”
Teresa Miller, Pennsylvania’s insurance commissioner, said Saturday that several insurers on her state’s exchange “seriously considered leaving the market last year” and that Trump’s action could propel them to indeed abandon it in 2018. In fact, she added, some have raised the possibility of withdrawing from the ACA’s exchanges during 2017, which would mean consumers could keep their plans but no longer receive federal subsidies to help them afford the coverage. 
“That would create a nightmare scenario,” Miller said. 
As of this year, nearly a third of all counties nationwide have just one insurer in the federal marketplace, and almost two-thirds have two or fewer insurers.
And then there's this:
The White House did not return requests for comment over the weekend.
Imagine that.

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