Forbes : reported that GOP May Sacrifice Individual Health Insurance For Broader Reforms

A number of positive things can be said about the Senate Republicans' health care bill, but "stopping the collapse of the individual health insurance market" isn't one. Most of Obamacare's major reforms were focused on the relatively small individual health insurance market. Here's the back story: Prior to the Affordable Care Act, some 17 million Americans—including my wife—bought their own policies in the individual health insurance market. In most states, a health insurer could deny an uninsured person coverage or charge more if that person had a major medical condition. Refusal to cover or imposing higher premiums are standard actuarial practices applied in every type of insurance (e.g., life and auto).

GOP Health Bill Might Bring Back Lifetime Caps On Insurance Coverage : Shots

The Hardys now get their health insurance through the North Carolina exchange — they were able to get it despite Clara's past health problems. Worries about how the cost could climb, if the GOP bill becomes law, keeps her dad up at night. At the time, the whole family had health insurance through Chrissy's job as a public school teacher. That means the GOP bill, if passed, could effectively gut protection for pre-existing conditions. "If a benefit were no longer [an] essential health benefit, you would probably not have plans that would offer that type of coverage without an annual or lifetime limit," he says.

Should GOP Health Bill Prevail, Say Bye-Bye To Insurance Rebates

Supporters maintained it could help slow premium increases or at least make them more in line with the underlying growth of medical costs. Those rebates could end under the Senate proposal — now on hold until after the July Fourth holiday — to repeal the ACA. The Senate GOP health proposal, the Better Care Reconciliation Act, would end that requirement in 2019 and let states decide whether to continue such limits and rebates. The MLR has fans among policy experts, who say it pushes insurers to be more efficient and creates a better value. Before the ACA, many states set rules on how much of their premium revenue insurers must spend on medical care — although those rules often did not apply to job-based insurance.


collected by :Lucy William

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