Sara R. Collins: Four Reasons that the ACA Pre-Existing Condition Insurance Plan Program is Not a Long-Term Solution for Universal Coverage

1. The PCIP Program Has Experienced Lower-than-Expected Enrollment: The program’s low enrollment relative to the millions of uninsured Americans reflects the program’s lack of premium subsidies
2. The PCIP Program Has Experienced Higher-than-Expected Per-Enrollee Claims Costs: Like the existing state high-risk pools, premiums in the PCIP program have run well short of claims costs
3. High-Risk Pools Are Not a Long-Term Solution for Expanding Health Insurance Coverage: The experiences of the PCIP program demonstrate the inefficiency of segmenting insurance risk pools
4. Older Adults with Health Problems with Low and Moderate Incomes Will Face Far Lower Premiums in 2014 for Plans Offered Through the Marketplaces Compared with the PCIP Program

Source: The Commonwealth Fund
Source URL: http://www.commonwealthfund.org/Publications/Testimonies/201...

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