Page 14 - Risk Pool News Today

>> last question. >> follow up quickly, nice to see you. >> nice to see you. >> specifically on the -- i dont hang out here often. on the cbo specifically, the language they use when it comes to premiums, despite the additional funding, those sicker americans would face extremely high premiums. how do you ensure the sicker americans with preexisting conditions they wont be priced out and it wont be unaffordable? >> what the cbo report doesnt state is states put their own part of this, as well. t...

On the health insurance plans. the pot making is, you dont look at the risk pool idea federal alone. remember, the states will also do some of the lifting. the states, like in my state, well have an assessment on plans, if they choose to do that. theyll have an agreement with providers. we will have federal resources and state resources, which taken together, will improve the situation. we had a very successful risk pool in wisconsin. our insurance commissioner, deputy insurance commissioner tes...

Health insurance plans. the point im trying to make is you dont look at the risk idea at the federal alone. the states will always do some of the lifting. theyll have an agreement with providers and so we will have federal resources and state resources, which taken together will improve the situation. we had a very successful risk pool and wisconsin. our insurance commissioner came up and testified as much. it was very successful, and it didnt have a dime of federal spending. it had no federal m...

I think i just answered your question. >> reporter: your side really embraced that into 23 million. >> speaker ryan: i just explained it. >> reporter: they did find that premiums on average would go down, but it also said that they believe there might not be any premium access. >> speaker ryan: obviously i disagree with that. >> reporter: it doesnt show up for older and sicker. >> speaker ryan: if a state takes a waiver, that in order to get that waiver, it has to have a risk system in place. we...

Saying, and i think the lack of clarity on that point is what has members frustrated. >> -- why people embrace, though, the budget that -- >> i think i just answered your question. >> its important your side really embrace that, but then when it came to 23 million, its no, no, those yahoos down -- >> i just explained it. yeah. >> -- the cbo report, it did find that premiums on average would come down, but it also found that in the markets including the waivers, they believe that there might not ...

Were looking at that new timetable. >> last question. >> mr. speaker, just to follow up quickly, nice to see you. >> hi, nice to see you. >> i dont hang out in here very often. on the cbo specifically, the language they use with premiums, it says "despite the additional funding", those sicker americans would face extremely high premiums. how do you assure them they wont be priced out and it wont become unaffordable? >> heres what the cbo report i dont think fully gets or states, is that states p...

Schedule that they agreed to. i think maine had an assessment on all their health insurance plans. the point im trying to make is you dont look at the risk share or risk pool idea federal alone. remember, the states will also do some of the lifting. the states, like in my state, well have an assessment on plans, if they choose to do that. theyll have an agreement with providers. and so, we will have federal resources and state resources, which taken together will improve the situation. we had a ...

That has people frustrated. >> why do people -- >> but the deficit reduction part is important. your side embraced that. when it came to 23 million, they said, no, it was -- >> i just explained it. >> following up on the cbo report, it did find that preel y -- premiums on average would go down, but in the markets that employed the waivers, they believed there might not be any access for the group -- >> let me explain what this means. >> it would go up for older and sicker people, as well. >> if ...

>> yeah, thats the whole purpose of a risk pool. take a look at the maine model. take a look at the wisconsin model. look at what utah did. look at what all these other states did. you have to give the states the ability to customize solutions in their areas. the health insurance system provider network insurance system in wisconsins a whole lot different than it is in new york, let alone new mexico, texas, and california, or maine. give these states the ability to customize, support, and now fo...

And then well have actuaries that will step in. this is part of the journey. you do it, you have it scored, you do it, you have it scored and you go on. >> cbo says yeah, but. you and the but on premiums going down, if you are in a state that cuts back on essential health benefits, then your out of pocket costs go up and if you have a pre-existing condition, your premiums my skyrocket even if youre in a risk pool. what is your philosophy on how to deal with that issue? >> i would say thats a big...