Tag Archives: high-risk pools

Iowa Submits 1332 Waiver Request, Claiming It Is Necessary To Avoid An Individual Insurance Market Collapse

On June 12, Iowa submitted a 1332 waiver request that would dramatically change the nature of its marketplace, claiming that this was needed to save a collapsing individual insurance market. To grant the request, CMS would have to waive many of 1332’s normal statutory and regulatory requirements.

June 12, 2017

CMS Checklist For State 1332 Waivers Focuses On High-Risk Pools, Reinsurance

On May 11, CMS and the Department of the Treasury released a checklist for state 1332 innovation waiver applications. Following up on HHS Secretary Price’s March 13 letter to governors, the checklist specifically focuses on state 1332 proposals to support high-risk pools or reinsurance programs.

May 12, 2017

Correcting Misconceptions About Invisible Risk-Sharing

An amendment to the AHCA draws in part from a proposal to include an invisible high-risk pool. Based on an independent analysis, there are a few misconceptions that should be corrected and changes that could improve the invisible risk-sharing program.

April 25, 2017

Making Sense Of ‘Invisible Risk Sharing’

Before Congress recessed last week, the House amended the pending American Health Care Act to include an “Invisible Risk-Sharing Program,” funded with $15 billion over nine years. What should we make of claims that this approach caused premiums to plummet in Maine and can make a big dent nationally?

April 12, 2017

House GOP Moves To Add ‘Invisible Risk Sharing Program’ To AHCA; Other ACA Developments

A federal “invisible risk sharing program” within AHCA’s Patient and State Stability Fund, included in a new amendment submitted to the House Rules Committee, could help to high-cost individuals. However, the program’s benefits could be undermined by inadequate funding and other AHCA provisions.

April 6, 2017

Invisible High-Risk Pools: How Congress Can Lower Premiums And Deal With Pre-Existing Conditions

Maine’s experience in creating an invisible high-risk pool and relaxing its premium rating bands can inform Congress and the Trump administration as they work to repeal and replace the ACA.

March 2, 2017

Examining The President’s Speech To Congress

What vision for health care reform did the president lay out in his speech to Congress, and what would the challenges be to achieving it?

March 1, 2017

States Be Warned: High-Risk Pools Offer Little Help At A High Cost

The ACA's Pre-existing Condition Insurance Plan offers insight into high-risk pools’ flaws, which may be more fatal than previously thought.

February 28, 2017

Don’t Let the Talking Points Fool You: It’s All About the Risk Pool

Deciding how much of total health care expenditures should be shared and how to share it is the fundamental conundrum of health care policy. How do the two parties address this conundrum and how would the parties' positions distribute costs by income and health status?

March 15, 2016