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PA Commissioner: How to Stabilize Health Market

Pennsylvania Insurance Commissioner Teresa Miller has released her recommendations on ways to stabilize the individual health insurance market under the Affordable Care Act (ACA).
PA Commissioner: How to Stabilize Health Market
July 6, 2017

Pennsylvania Insurance Commissioner Teresa Miller has released her recommendations to the head of the Centers for Medicare & Medicaid Services (CMS), who had requested ideas from state regulators and others on ways to stabilize the individual health insurance market under the Affordable Care Act (ACA).

In her letter, Miller reiterated Pennsylvania’s individual health insurance market is on a path to stability. She noted all five insurers in the market this year filed to stay in the market for 2018; all Pennsylvania counties have on-exchange plans available for their residents based on those filings, which means consumers would have access to subsidies to help cover the costs; and insurance companies requested increases averaging 8.8 percent for individual health plans, essentially in line with healthcare cost trends.

However, the insurers indicate they would request a 20.3 percent increase statewide if cost-sharing reductions are not paid, and a 23.3 percent increase if the individual mandate requiring everyone to have health insurance is not enforced.

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