Page 44 - Risk Sharing News Today

The cbo, the language they use when it comes to premiums, despite the additional funding, those americans would face extremely high premiums. how do you ensure that those sicker americans will be priced out? >> speaker ryan: the cbo report doesnt quite state is states but their own part of this as well. this is what the analysis forgets, we are for the first time ever proposing to put billions of dollars on the federal government for risk systems and states, whether its a risk will come on risk ...

Darn good, but this will add federal funding to it now. so, think of high risk pools. there were states that had high risk pools, that had reinsurance mechanisms or risk-sharing, like the maine plan. none of them had any federal funding to it. none of them had any federal resources. this takes that idea and adds federal resources to it to make sure that it works even better. and hh slnk coordinate with those states to make sure they have good mechanisms in place. so, we have seen states -- wyomi...

People, wasnt snit. >> no, it was darn good. this will add federal funding to it. think of high risk pools, there were states who had high risk pools, reinsurance mechanisms, or risk sharing. none had federal funding to it. none had federal resources. this takes that idea and adds federal resources to it to make sure it works even better. hhs will koorp rate with the states to make sure they have good mechanisms in place. we have seen states, wyoming had a good one, utah had a good one, washingt...

>> yeah, i actually do. i believe we did a good thing with representative palmer, myself, last week, where we added the risk sharing, that has -- weve seen first report on that that appears to have strong what we call premium efficiency, one end of the scale it is almost a third reduction. were not talking employer-base or medicare, were doing some talking about medicare, but not medicaid. but all other -- it is that individual purchasing market that is falling apart, we think weve done some thi...

>> i dont think so because this does serious damage to the whole marketplace theory and companies will flee given the uncertainty and the likelihood, this quickly becomes a high-risk pool. >> they make the argument, by the way, that companies are fleeing now because they feel as if its too expensive to try to insure everybody and we do have this issue in rural america. its truly the rural counties that have been hit the hardest on the obamacare when it comes to the word choice. >> i think thats ...

Republicans are putting it together be used to re-implement obamacare? >> i dont think so because this does serious damage to the whole marketplace theory and companies will flee given the uncertainty and the likelihood, this quickly becomes a high-risk pool. >> they make the argument, by the way, that companies are fleeing now because they feel as if its too expensive to try to insure everybody and we do have this issue in rural america. its truly the rural counties that have been hit the harde...

They kept some subsidiesubsidie would say in the wrong place to the wrong folks. >> i understand on that. but if this were the plan in place and you and president obama were back in office in four years and you could reimplement obamacare, could this architecture be used? >> i dont think so. because i think this does serious damage to the whole marketplace theory, and companies will flee given the uncertainty and the likelihood this quickly becomes a high risk pool. >> they make the argument tha...

The ideas being put forward. the president talked about deregulating insurance, allowing it to be sold along state lines, and other ways try to reduce the cost of premiums. the problem is, if you do that and unravel the risk-sharing, the winners in that process are primarily younger healthier people when theyre voting democratic. and the big losers are older, working-age people, at a time when a majority of donald trumps votes came from white people over 45. and that core conundrum of finding an...

Hard. it is even harder, in fairness to president trump, given the fact that this is now a benefit in place. it is flawed. it is not perfect. there are a lot of things that even democrats say that would need to be changed. but it is there, and people view it as a benefit. and so it does make it harder for him to, in some cases, take it away and, in other cases, try to amend it. >> quickly, ron, go ahead. >> the same distributional issue with medicare and social security looms over this. obamacar...

Gelgts tougher. on the affordable care act, its hard for republicans to do what they want to do without hurting their own core voters. one of the core tradeoffs in the affordable care act, it would ask -- all of that risk sharing, the mandates on individuals to buy insurance, the limits on how much more you can charge older than younger people, those are all going to be repealed as part of the various republican plans, at least intrinsic in all the republican plans. what that means is youll be a...