One of the campaign promises Donald Trump appears to care about living up to is undermining all things Obama, not the least of which is the Affordable Care Act (ACA). The Trump administration’s latest bit of chipping away at the Affordable Care Act has been to suspend billions of dollars of “risk adjustment” payments to insurers who offer plans through the health exchanges set up as a result of the Affordable Care Act.
“Risk adjustment” payments pool risk for insurance companies, stabilize markets, and eliminate the incentive for insurers to restrict coverage only to healthier individuals and those without pre-existing conditions. The Affordable Care Act prohibits insurers from rejecting either type of potential member. Risk adjustment funds use money collected from insurers with healthier participants (and lower costs) to help supplement costs for insurers who take on the higher costs of enrolling sicker members.
The Trump administration cites a New Mexico district court ruling that disputes the current government formula for calculating the payments, and calls for their temporary suspension. A Massachusetts district court, however, upheld the current formula. Though the two rulings are in direct opposition to each other, the Trump administration has decided that it must abide by the New Mexico ruling – the one that would be most likely to lead to one more unraveling of the Affordable Care Act.
This is another step in making the marketplace “as inhospitable as possible,” according to Rodney Whitlock, Vice President of Health Policy at ML Strategies.
“The executive order the president signed, not long after he got to the White House after the [Inaugural] Parade was effectively, ‘We’re declaring war on the Affordable Care Act,'” says Whitlock.
Each year, fewer insurers participate in the health exchanges. Without the $10.4 billion in adjustment payments, or even with a delay in the payments, it’s likely that next year will see even fewer participating insurers and plans. Those who do participate are likely to significantly increase premiums for 2019. The result will be that even fewer small business owners and individuals – especially those who are very ill – will have access to affordable health care coverage.
With an administration that plainly cares more about abolishing Obama-era policy than it does about providing actual solutions for Americans, we’ll continue to lose not only our access to affordable health care, but we’ll also lose many of the regulations, such as environmental and food safety regulations, that were put in place to keep us healthy.
The issue of affordable and accessible healthcare (and the lack of it) has become like a can of worms that is not likely to disappear from the forefront. Many Americans who are insured through an employer, and/or who are perfectly healthy, are currently unable to see how this issue impacts their lives.
When more Americans, however, do feel the impact, whether from developing a serious and expensive illness, trying to obtain insurance with a pre-existing condition, or having a sick loved one without access to affordable healthcare, I predict that they will be wide open to the idea of a single payer or universal healthcare system – much to the dismay of the party who were its unwitting catalysts by dismantling the Affordable Care Act simply for the sake of doing so.
Trump Suspends Obamacare Risk Payments | Wochit News [2018-07-09]
Some payments halted for Obamacare program | Newsy | [2018-07-08]