Monday, August 13, 2018

How Congress Can Reduce Obamacare Premiums

From Doug Badger & Edmund Haislmaier on The Daily Signal.com (July 5):

In 2019, Obamacare premiums are poised to become even more expensive. New York, Washington state, and Maryland are requesting to raise their rates for the individual market by an average of 24 percent, 19 percent, and 30 percent respectively. Nationwide, the Congressional Budget Office predicts premiums will increase an average of 15 percent for the Obamacare benchmark plan.

But it doesn’t have to be this way.

Earlier this year, we co-authored a study examining how Obamacare regulations raised premiums.  We reviewed dozens of prospective and retrospective actuarial analyses of Obamacare’s premium effects on both the state and national levels.

We found that premium increases for Obamacare policies were attributable to a maze of new federal insurance mandates, combined with a flawed subsidy design. That unhappy concoction produced disproportionately older and less healthy insurance pools, requiring insurers to price policies beyond the reach of many families and small businesses.

…………………….

Last month, a group of conservative policy experts, including us, and grassroots organizations unveiled a proposal that would exempt states from many of the federal requirements that our study found had led to higher premiums.  The Health Care Choices proposal would replace Obamacare premium subsidy entitlements and Medicaid expansion with a new program of grants to states.  The proposal would reduce premiums and enhance health care choices by allowing states to:

  1. Eliminate the single risk pool requirement.
  2. Use a portion of their federal allotments to establish risk-mitigation programs.
  3. Escape the federal “essential health benefits” mandate.
  4. Allow insurers to sell more affordable policies.
  5. Allow insurers to charge young adults fair premiums.

[read more]

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