Provide New Affordable Health Care Options For America
- BY FGA
with the New Health Options Act
THREE Key Reforms
Create the New Options market for lower-cost health plans completely separate from the ACA marketplace. *This New Options market makes no changes to the ACA marketplace.
This market gives flexibility for actuarially justified age rating of premiums, and it will not offer ACA subsidies but will use targeted reinsurance to reduce premiums for everyone.
Require disclosure of cash price if lower than the negotiated rate.
- Studies show that cash prices at hospitals are lower than insurance negotiated price(s) nearly 90 percent of the time.
- Cash prices are lower than the cheapest insurance
negotiated price(s) more than 40 percent of the time.2
Allow dollars spent at high-value, low-cost, out-of-network providers to count toward in-network deductibles to provide flexibility for Americans who are increasingly trapped in narrow
- In Georgia, if a patient receives non-emergency medical services from out-of-network providers, the charge must be counted “toward the patient’s deductible and out-of-pocket maximum.”
1 This estimate assumes a father (43), mother (41), and two kids (under 14). These ages were selected based on data provided by the U.S. Department of Commerce on the national average ages of fathers and mothers in married-couple families with children.