Daveh Posted October 14, 2017 Report Share Posted October 14, 2017 In response to the Presidents decision to cut off CSR payments, the state of Oregon will allow their insurance companies to increase rates. Dave and Lana Hasper Link to comment Share on other sites More sharing options...
Daveh Posted October 14, 2017 Author Report Share Posted October 14, 2017 I also understand that in New Jersey the insurance companies were allowed to file two sets of rates, one in case these CSR payments were cut. Now the higher rates will be applicable. I am reading that in other states analysts suspect that many insurance companies submitted intentionally high rates (a 20% hike) because they feared these payments would be stopped. If states do not allow insurance companies to adjust rates prior to November 1 (it depends on state law and politics) the insurance companies will simply have the choice of proceeding based on their previously submitted rates or withdrawing from the market altogether. Those of us in the ACA market will be able to see on November 1 what the new rates will be for 2018 and what insurance companies are still in the game. From what I read it sounds like if you are eligible for the Cost Sharing Reduction payments in 2018 the insurance companies must still provide them to you even though they will not be reimbursed by the government (presumably they will then sue the government). Anyway, I suspect the rates may vary wildly by state and I am hoping we can at least lock in insurance to get through 2018 while this, hopefully, gets sorted out. Good luck! Dave and Lana Hasper Link to comment Share on other sites More sharing options...
Daveh Posted October 14, 2017 Author Report Share Posted October 14, 2017 Just read that California also now considering allowing an additional premium boost for 2018 but only for silver plans that are eligible for CSR payments. So very limited. Dave and Lana Hasper Link to comment Share on other sites More sharing options...
Zulu Posted October 14, 2017 Report Share Posted October 14, 2017 Give links to your sources please. SKP #79313 / Full-Timing / 2001 National RV Sea View / 2008 Jeep Wrangler Rubiconwww.rvSeniorMoments.comDISH TV for RVs Link to comment Share on other sites More sharing options...
Daveh Posted October 14, 2017 Author Report Share Posted October 14, 2017 I don't have them or I would. I expect there will be an article soon. I follow healthcare analysts on twitter and this was the conversation going on. I can't remember who said what but there were journalists and Larry Levitt of the Kaiser Foundation and Andy Slavitt, who ran Medicare, Medicaid and the ACA under Obama talking about how insurers and states would respond. Here is a blog from a health care analyst that covers some of the same info. http://xpostfactoid.blogspot.com/2017/10/trump-is-stiffing-health-insurers-for.html One thing different from the blog that I picked up on is that a lot of the insurers may have already priced this in so they won't need to make adjustments. Dave and Lana Hasper Link to comment Share on other sites More sharing options...
Barbaraok Posted October 14, 2017 Report Share Posted October 14, 2017 Here's one: http://www.chicagotribune.com/lifestyles/health/sns-bc-or--trump-health-care-oregon-20171013-story.html Barb & Dave O'Keeffe 2002 Alpine 36 MDDS (Figment II), 2018 Ford C-Max HYBRID Blog: http://www.barbanddave.net SPK# 90761 FMCA #F337834 Link to comment Share on other sites More sharing options...
Daveh Posted October 14, 2017 Author Report Share Posted October 14, 2017 I don't have a citation for this yet but according to Andy Slavitt, former head of administering Medicare, Medicaid and the ACA, a Montana Coop has been informed it cannot modify its rates to account for the termination of CSR payments so it will fold. There apparently is still a Blue Cross in Montana that anticipated the CSR termination and has not indicated it will pull out of Montana. I am including a link that sets out how analysts expect states to deal wit this issue. The states in green will handle it as California is doing (described in previous posts) the states in yellow are using the approach used by Oregon (as described above). This map is supposed to be updated as information is available and may change (for instance it does not of this writing reflect the Montana Coop problem). Of particular interest to fulltimers may be that South Dakota is listed as a state that did no planning for the contingency of these payments being stopped. Consequently, the need to act immediately or the ACA insurers in that market will be under extreme pressure. https://www.balloon-juice.com/2017/10/12/csr-wont-be-paid/ Dave and Lana Hasper Link to comment Share on other sites More sharing options...
Daveh Posted October 14, 2017 Author Report Share Posted October 14, 2017 This update sounds like South Dakota may be addressing the problem. I am pasting the twitter comments of Andy Slavitt (head of CMS under Obama) so you can get his direct explanation of how this is developing. Andy SlavittVerified account @ASlavitt 5h5 hours ago More .@somuchweirdness suggests I explain how Trump stopping CSR payments actually effects ppl. Because I always listen, will tweet that soon.1/ Andy SlavittVerified account @ASlavitt 4h4 hours ago More CSR payments reduce the size of deducts & co-pays for low income exchange consumers. Insurers who participate must continue 2 pay them.2/ Andy SlavittVerified account @ASlavitt 4h4 hours ago More In the remainder of 2017, insurers will pay them as required-- approx $2 billion+-- but govt won't pay them back as promised. 3/ Andy SlavittVerified account @ASlavitt 4h4 hours ago More While it's cute to call it an insurer "bailout", its no more a bailout than the govt paying back a govt bond is to a saver. 4/ Andy SlavittVerified account @ASlavitt 4h4 hours ago More Everyone who calls it a bailout knows it's notning more than a talking point. Insurers will make the pmt 4 2017 & sue to recover. 5/ Andy SlavittVerified account @ASlavitt 4h4 hours ago More In 2018, CSR payments must still be made AS LONG AS A POLICY IS BEING OFFERED. So the first question is what will insurers do? 6/ Andy SlavittVerified account @ASlavitt 4h4 hours ago More Insurers in ~38 states will likely stay. They were allowed 2 increase premiums on the rest of their policies 2 make up 4 no govt funding.7/ 3 replies62 retweets127 likes Andy SlavittVerified account @ASlavitt 4h4 hours ago More (I will explain how it works so skip ahead if you like. Will also get to what happens in the ~12 states soon.) 3 replies35 retweets90 likes Andy SlavittVerified account @ASlavitt 4h4 hours ago More The amount of subsidies in ACA policies as the "silver plan" increases. In 38 states, insurers were able 2 premiums in those plans.8/ Andy SlavittVerified account @ASlavitt 4h4 hours ago More So in those 38 states, lower income buyers get a subsidy bump that keeps the costs the same & even makes other plans seem cheaper. 9/ 3 replies40 retweets97 likes Andy SlavittVerified account @ASlavitt 4h4 hours ago More All Trump did was load the cost of paying the CSR payments 2 places: consumers wout subsidies & the Federal government. 10/ 4 replies67 retweets119 likes Reply Andy SlavittVerified account @ASlavitt 4h4 hours ago More The CBO estimated that Trump's maneuver just cost the Federal taxpayer $200 billion. And middle class families a 20% rate hike. 11/ 6 replies207 retweets197 likes Andy SlavittVerified account @ASlavitt 4h4 hours ago More Yes, cutting CSR payments is a double middle class tax increase. A good way to usher in Trumpcare. #ThanksTrump 8 replies190 retweets270 likes Andy SlavittVerified account @ASlavitt 4h4 hours ago More In these 38 states, one would hope the insurers stay. But losing $2B+ because the govt reneged on a promise could cause them not to.13/ 6 replies60 retweets116 likes Andy SlavittVerified account @ASlavitt 4h4 hours ago More Now there are ~7 states (check me @LouiseNorris) where states haven't allowed rates to increase for the govts action. 14/ 7 replies50 retweets82 likes David Anderson @bjdickmayhew 4h4 hours ago More Alaska and South Dakota at least are Silver Loading by this Tuesday. Not worried about SBM states. North Dakota is ??? Dave and Lana Hasper Link to comment Share on other sites More sharing options...
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