Insurers who withdrew blamed both the law itself - it failed to attract enough young and healthy customers to balance out an influx of sicker, costlier ones - and the uncertainty instilled by Mr. Trump's wavering commitment to "cost-sharing" payments for insurers and the individual mandate that requires people to get health insurance or pay a tax.
The most recent national analysis by the Kaiser Family Foundation identified Paulding, just south of Toledo, as the final county still at risk of lacking a provider when 2018 signups begin November 1. CareConnect had to pay $112 million into the Affordable Care Act's risk-adjustment pool this year-about 44 percent of CareConnect's 2016 revenue from its small-group health plan-according to Michael Dowling, Northwell's president and chief executive officer.
U.S. Sen. Bob Casey assured a Harrisburg audience on Tuesday that "bipartisan" hearings will be held this fall in an effort to fix the Affordable Care Act along with other problems in the health care system. "Our decision to offer coverage in the bare counties speaks to our mission and commitment to the Marketplace and serving those who are in need of health care coverage". The department's review of those filings will be completed by early September and insurers must sign contracts with the federal government by late September to sell coverage on the federal exchange.
Insurance regulators across the country have been working around the clock in recent months to fill counties after a string of insurers, fed up with diminishing financial returns, chose to flee the marketplace set up by President Obama's signature law. Those markets are uninviting for insurers because they usually have a smaller, older customer base and a care provider like a hospital system with a dominant market position. It had been one of the insurers to cover some other counties that lost their exchange options.
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Refusing to make those payments, as President Donald Trump has threatened, could be a death blow to Obamacare.
"On Obamacare's exchanges premiums continue to surge, insurers continue to abandon wide swaths of the country, and choices continue to vanish", he said by email.
Despite those challenges, insurers are expanding to fill holes in these markets because they're getting a nudge from state regulators who don't want to leave their constituents without options. But nonprofit health insurer CareSource is filling the void.
"Beyond that, insurers are still looking for predictability in the health insurance market", said Ohio Insurance Director Jillian Fromen.
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