The ACA’s troubles of late have been well-documented: two of the largest insurers, UnitedHealthcare and Aetna, leaving the exchanges because they’ve lost hundreds of millions of dollars; an inability to encourage younger, healthier people to join and thereby broaden the risk pool; and the sharp hike in premiums, over 100% in some regions.
Insurers want these problems addressed. They also want the incoming Trump administration and Congress to offset the costs of treating low-income beneficiaries, according to the New York Times.
Insurers would also like time to prepare for any changes. “We would love to see a three-year time frame, as long as possible,” said Marilyn Tavenner, the chief executive of America’s Health Insurance Plans (AHIP).
Republicans may also give more control to the states in allocating health care coverage, a move that Tavenner said would be fine with her inasmuch as AHIP members have a long history of dealing with state insurance boards.
One big difference: the individual mandate, a tax penalty for people who do not enroll. Republicans have talked of doing away with it. Tavenner said insurers would like to see the alternative, especially since they believe that the individual mandate now is not big enough. People—especially young people—would rather pay the penalty than pay for coverage.
Source: New York Times