Kreidler: Trump action signals continuing moves to harm individual health insurance

14 Juillet, 2018, 02:56 | Auteur: Yves Courtet
  • Trump administration slashes grants to help Americans get Affordable Care Act coverage

Serota noted that the payments are required by law and said he believes the administration has the legal authority to continue making them despite the court cases.

"The reluctance of provider organizations to take on risk has always been I think the principal obstacle here".

Instead, the Trump administration has used the judge's ruling in New Mexico as a pretext to destabilize the ACA.

"It does send a signal of course that the administration is not promoting enrollment", he said.

CMS has announced a $26 million cut to funding grants for ACA navigators, from $36 million down to $10 million.

Citing inefficiencies and other information options for consumers, CMS cut funding to $10 million - down from $63 million in 2016.

The cut will impact navigators, the nonprofit organizations which the federal government pays to assist with registration in the countries which use HealthCare.gov due to their online market for individuals attempting to have protection through the Affordable Care Act.

Maryland's health insurance companies are concerned that a Trump administration decision to suspend payments that help to cover the costs of the sickest patients will further destabilize the market and could push them to seek even higher premiums on plans consumers already say are too expensive. "And costs for taxpayers will rise as the federal government spends more on premium subsidies", AHIP said in a statement.

The administration "has asked the court to reconsider its ruling, and hopes for a prompt resolution that allows (the government) to prevent more adverse impacts on Americans who receive their insurance in the individual and small group markets", she said.

Greg Fann, a fellow with the Society of Actuaries, said the role of navigators has been overstated.

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The law requires most Americans to have health insurance and provides federal financial subsidies for lower- and middle-income applicants who buy individual policies on federal or state exchanges, but the mandate will be phased out next year. This year they helped sign up almost 520,000 people for health insurance sold through the ACA exchange in North Carolina. This gets into the business of insurance products, and that is the bailiwick of agents and brokers.

In justifying the cuts, CMS said the program is an "established marketplace" heading into its sixth year, so many people are more familiar with it.

Covered California, for example, is holding its navigator funding steady, dedicating $6.5 million to navigators in this year's budget. And critics say it only serves to worsen healthcare in the United States.

California has 1.5 million people in Obamacare plans, second highest in the nation behind Florida, which has 1.6 million.

The GOP repeal drive collapsed last summer after Sen.

The data, which outlines risk adjustment transfers for the 2017 year, comes days after the agency announced it would freeze payments, citing a New Mexico court decision earlier this year that ruled CMS must rework its risk adjustment formula.

Navigators applying for funding will also be encouraged to show how they will educate people about the newly expanded alternatives to Obamacare, such as association health plans and short-term plans.

Since President Trump took office, his administration has waged an all-out attack on Americans with pre-existing conditions.

Critics deride such plans as "junk insurance".

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