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Insurance agents say they’ve been pushing for more competition on the ACA markets since 2015. But can the strongest among them actually hurt the weakest?
“We’ve made more calls, we’ve brought more people into the conversation about this issue, because it’s a serious one,” said Chris Wild, the president of the National Association of Health Underwriters. “We want a stronger program.”
The Trump administration’s decision this summer to allow the states to waive the ACA’s individual mandate provision — the requirement that everyone have health coverage — has raised questions about whether the ACA marketplaces are now ripe for disruption. Under the law, insurers could no longer turn away people with pre-existing conditions, but nearly all states were still permitted to waive the mandate.
People who don’t have insurance from a job or a government program like Medicaid — known as “nondenumerators” — are therefore particularly vulnerable to healthy people moving to the exchanges, where their premiums will be cheaper. Critics of the administration’s moves say the only way to protect people like that is to eliminate a mandate, which creates an environment of price-based competition.
But others say that argument is wrong. The top insurance agents in North Carolina have opposed the repeal of the individual mandate in the past, for example. And on this topic, agents and brokers work in the same lines of business, generating the same type of commission.
“The bottom line is: I think agents are saying ‘stay away, stay away, stay away’ because they want the insurance industry to stay strong and healthy,” said Scott A. Cohen, a professor of health policy and management at the Taft School of Accounting and Public Policy.
In May, after President Trump’s decision to rescind the ACA mandate and renew a federal subsidy to help people purchase their coverage at higher premiums, Anthem Blue Cross
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