Congress has been unable to agree on “market stabilization” for the Affordable Care Act (ACA), and it was left out of the recently passed omnibus. Yet, a key discussion has been missing from the conversation, the need to rethink the single risk pool in the ACA.
Throwing money at the status quo will simply slow a market decline, which could leave millions with no access to affordable coverage. Splitting subsidized lives from nonsubsidized into two different risk pools could provide structural relief that allows markets to stabilize longer term. By splitting the risk pool, a viable market is created to catch the population that is paying all or most of their premiums and prevent many of them from going without insurance.
The most recent congressional “stabilization” proposals won’t allow the latter.