Math For Insurance Only Adds Up If Healthy Subsidize The Sick, Expert Says
Economist Jonathan Gruber, who worked on both the Massachusetts and federal health overhauls, joined other health experts on a panel looking at the obstacles Republicans will face when trying to craft something that's less expensive but still ensures people have access to coverage. Meanwhile, actuaries offer their take on stabilizing the marketplace.
Boston Globe:
Health Care Experts Discuss Replacement For Obamacare
None of the health care reform plans currently under discussion in Washington address the critical issue of paying for coverage for sick people, according to an MIT economist who had a hand in crafting the federal Affordable Care Act. ... [Jonathan] Gruber said health coverage could be expanded without an individual mandate if there was a reinsurance program instead that paid insurers for covering sick people. “That could work, if you spend enough money,” Gruber said, “But we’re going to have to increase the deficit to do that.” The math of insurance, he noted, doesn’t work unless lower-cost healthy people subsidize coverage for sicker people whose care is more costly. (Dayal McCluskey, 2/14)
Modern Healthcare:
Actuaries Offer Competing Proposals For Reforming The Insurance Market
Congressional Republicans working on rewriting rules for the struggling individual insurance market might want to study five different reform proposals chosen as finalists in a national competition among actuarial professionals. (Meyer, 2/15)
In other news —
San Francisco Chronicle:
Quiet IRS Change Could Undermine Obamacare, Supporters Say
Following an executive order from President Trump to “minimize the economic burden” of the Affordable Care Act, the Internal Revenue Service said it is backtracking on its plan to reject 2016 tax returns that do not indicate whether the taxpayer complied with the act’s individual mandate. Supporters of the act, which is known as Obamacare, fear this behind-the-scenes change could undermine enrollment in health insurance. (Pender, 2/14)
The Philadelphia Inquirer:
What 'Repeal And Replace' Could Mean For Pennsylvanians
If the debate in Washington over the future of Obamacare seems distant and abstract, a network of health foundations in Pennsylvania seeks to make it close and clear, at least statistically. The Pennsylvania Health Funders Collaborative, which supports the Affordable Care Act, drills down to the local level, detailing the impact by county, hospital, and congressional district (the elected representatives who will decide the issue). (Sapatkin, 2/14)
