Trump ends CSR subsidies

Weren't carrier subsidies supposed to sunset under Obamacare anyway?

Maybe not this soon, but seems like there were several provisions that were going to phase out by 2020

You ok this morning. A law wrote by liberals with a sunset on handing out cash? You funny boy
 
So I must have dreamed that state funding for Medicaid expansion was for all 57 states.

As you guys know, I do not work in nor know much about the individual market, but I believe Somarco is correct about the sunset provision. Also, I believe that ACA requires a congressional authorization of the funds to make the payment. I
ACA cannot require congress to make the payment.
 
Weren't carrier subsidies supposed to sunset under Obamacare anyway?

Maybe not this soon, but seems like there were several provisions that were going to phase out by 2020
Medicaid Expansion states had 100% of the cost covered by the government for 2014/2015/2016. From 2017 to 2020, that phases down to 90%.
Source: Affordable Care Act | Medicaid.gov

Maybe that's one of the 2020 ACA items you were thinking of? The financially weaker states are getting really nervous about this phase-down to 90%. Paying just 10% of the Medicaid Expansion cost is devastating to some of them.
 
AC, what happens in 2021?

OTOH, if there are no navigators and no carriers writing IFP business by 2021 I guess it doesn't matter.
 
Do you know if ambetter has increased their number of Chicago hospitals that are in network for 2018? This year ambetter only has six Chicago hospitals as in network. Pathetic.
I believe they haven't. Otherwise they would mention it during their IL webinar.
Your right they have increased their silver plan premiums even more, e.g. for 21y old for the 2nd lowest silver it went up by 41%. It tells me that they could factor in not getting CSR for 2018.
 
State announcement regarding Trump administration discontinuation of cost-sharing reduction payments

News Release from Oregon Dept. of Consumer & Business Services
Posted on FlashAlert: October 13th, 2017 2:22 PM

Salem -- On Oct. 12, the Trump administration issued an announcement about stopping cost-sharing reduction payments to health insurance companies immediately. The Oregon Department of Consumer and Business Services (DCBS) is committed to the stability of Oregon's health insurance market and ensuring access to statewide comprehensive health coverage. After analyzing the announcement and its implications, DCBS has determined that there will be no change for 2017 health plans and is implementing a plan to ensure stability beyond this year.

"Oregonians can be assured that their 2017 plan rates and benefits will not change today or through the end of the year," said Jean Straight, acting DCBS director. "Premiums will not change, premium assistance through HealthCare.gov will not change, and working families in Oregon who are enrolled in cost-sharing reduction plans can continue to access this important type of assistance."

In order to ensure carriers can continue to offer coverage in Oregon, DCBS is ordering health insurance companies offering plans on HealthCare.gov to increase their already approved silver metal tier 2018 plan rates by 7.1 percent.

Non-silver metal tier plan rates (e.g., bronze and gold) will remain unaffected.

This increase will affect plans both on and off HealthCare.gov, and will compensate for the $49 million worth of cost-sharing reduction payments that the federal government will no longer be making to Oregon insurance companies in 2018.

"These rate increases are necessary to ensure the stability of the health insurance market," said Acting Director Straight. "Oregonians who receive financial assistance through the Marketplace will find that premium assistance will also increase, shielding them from most of the increase."

Oregonians who do not qualify for premium assistance through HealthCare.gov are encouraged to work with an agent to shop around and consider a non-silver level plan that might work for their situation.

Open enrollment for 2018 plans begins Nov. 1 and runs through Dec. 15, 2017. Oregonians are encouraged to work with an agent or community partner to find the best plan for their situation. Due to these additional rate increases on silver metal tier plans, it is especially important to apply for financial assistance through HealthCare.gov
 
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