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Monday, Oct 16 2017

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'We Anticipated This': Insurers Not Exactly Floored By Trump's Decision

It could be hard for insurers to pull their plans off the market for next year, but most companies say they were prepared for the money to evaporate anyway and had baked the contingency into their 2018 premium increases. However, the industry is calling on Congress to fund the payments.

Several major insurers said they intend to provide health plans on the Affordable Care Act鈥檚 exchanges for the rest of this year and for 2018, despite a financial blow from President Donald Trump鈥檚 cancellation of federal cost-sharing payments. The payments, which had been expected to total $7 billion this year, will be 鈥渄iscontinued immediately鈥 because their continuation violates federal law, the Department of Health and Human Services said Thursday. Payments due to go out on Wednesday will be canceled, the administration said in a legal filing. (Wilde Mathews, 10/13)

States regulators and health insurers are rushing to react to the latest move by the Trump administration to dismantle parts of the Affordable Care Act, less than three weeks before their citizens and customers start signing up for coverage. President Donald Trump鈥檚 administration said this week it wouldn鈥檛 pay subsidies to insurers that are used to help lower-income people with medical costs. In response, some regulators say they鈥檒l need to reconsider the rates health insurers can charge -- a move that could lead to sharp increases in states such as Colorado, Oregon and Maryland. (Tracer, 10/13)

Health care consumers will suffer from President Trump's聽decision to cut off ObamaCare's cost-sharing reduction (CSR) subsidies, two of the largest insurance trade groups said in a statement Friday. 鈥淭his action will make it harder for patients to access the care they need. Costs will go up and choices will be restricted,鈥 the Blue Cross Blue Shield Association and America鈥檚 Health Insurance Plans said in a joint statement. (Weixel, 10/13)

Several health groups, including insurers and hospital associations, signed a joint letter to House and Senate leadership on Saturday, urging Congress to fund cost-sharing reduction (CSR) benefits, following President Trump's decision to halt the key ObamaCare payments. "There will be serious consequences without Congressional action: millions will face higher premiums, fewer choices, and less access to the medical care they need. Let鈥檚 work together on solutions that deliver the access, care, and coverage that the American people deserve," the letter聽said. (Manchester, 10/14)

Insurer Centene Corp. fell the most in almost a year聽and hospital operators including Tenet Healthcare Corp. dropped after President Donald Trump cut off Obamacare subsidies, a move that could destabilize the market and hurt company earnings, credit ratings and dealmaking. The announcement is fueling fears that the payments, known as cost-sharing reduction subsidies, may end immediately, which could hurt hospitals and those insurers still in the marketplace. Fourth-quarter and 2018 earnings for hospitals are 鈥渘ow at risk鈥 and current estimates are probably too high, Mizuho Securities analyst Sheryl Skolnick wrote in a note to clients. (Flanagan and Rausch, 10/13)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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