Nullification of Obamacare

I'm just taking a stab- I thought it may have been so companies can average MLR across state lines, using excess in one state to fund shortcomings in another. If Texas is running at 89%, CA can run at 71% (obviously rough math, assuming comparable enrollment.)

Have you heard that MLR is state specific? So far, everything suggests that the MLR is a company wide measure.
 
Please explain to me, what would this accomplish? Except for the Blues, most companies are already in multiple states, and the parents of some Blues are in multiple states as well. I still haven't heard anyone explain what this really means.

The benefit of buying across state lines is too avoid onerous state mandates. Consumers in NJ with numerous state mandates, can instead purchase a policy in FL or AZ which have less mandates, and therefore lower cost. The negative, it's a race to the bottom in plan design. Much like corporations prefer to register in Deleware, where cost and laws favor corps.
 
Each insurer will start marketing ONE plan that is "domiciled" in ONE state.

Which state might that be?

The one with the least regulation. Whatever that is.

Imagine. What if people in New Jersey could buy a plan from Nebraska for $215/month instead of $2,000/month?

This approach would produce a ton of new policyholders, at least for the smart carriers. If there are any left.
 
Each insurer will start marketing ONE plan that is "domiciled" in ONE state.

Which state might that be?

The one with the least regulation. Whatever that is.

Imagine. What if people in New Jersey could buy a plan from Nebraska for $215/month instead of $2,000/month?

This approach would produce a ton of new policyholders, at least for the smart carriers. If there are any left.


How would that effect doc and hospital network negotiations? Would a doc in NJ get the same negotiated rate from the insurer as the doc in Nebraska? Just wondering.

:goofy:
 
How would that effect doc and hospital network negotiations? Would a doc in NJ get the same negotiated rate from the insurer as the doc in Nebraska? Just wondering.

:goofy:

That is the thing, it sounds great until you look further into all the details.
 
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