October 13, 2009
AHIP Is Right, and May Be Low
Alexandria, VA--Today, CAHI Executive Director Dr. Merrill Matthews
released the following statement:
Critics are up in arms over America's Health
Insurance Plans (AHIP) daring to speak the
truth about the Senate health care reform proposal,
and we applaud the organization's efforts. If anything
AHIP's analysis of health premium increases is too
low. Supporters of the health bills are simply ignoring
years of states' evidence of many of these proposed
Senate and House health reforms.
Last May CAHI released a report, Should We Abandon Risk
Assessment in Health Insurance?, from our
consulting health actuaries estimating the cost-
increasing impact of several health insurance reform
options. It found that the cost of a policy in the
individual market (i.e., non-group) with an individual
mandate, guaranteed issue and some form of
community rating -- all of which are in the Senate and
House plans -- would drive up the cost of a policy
between 65 percent and 95 percent within a few
years -- not 2019.
And a plan with no mandate -- which the president
initially backed -- would more than double the cost of a
policy. Relaxing the penalty, as the Senate Finance
bill has done, moves the legislation closer to the no-
mandate category.
While AHIP looked at the entire private market (i.e.,
group as well as individual policies), CAHI only
considered the individual market. But it is important to
note that the group market is already essentially a
guaranteed issue market. Companies must cover
new employees regardless of their health condition.
So while the Senate bill will have an impact on the
group market, the most dramatic increases will come
in the individual market, where insurers in most states
are still allowed to underwrite policies.
Moreover, the CAHI study was published before
anyone considered imposing excise taxes on the
more costly -- they aren't necessarily "gold-plated" --
plans. And there will likely be even more cost shifting
to the private sector if the legislation cuts
reimbursements and pays doctors close to Medicare
rates.
In sum, both the House and Senate bills will lead to a
dramatic rise in health insurance premiums,
especially in the individual market. And particularly for
younger healthy people. This isn't speculation. It's
already happened in the states that have adopted
guaranteed issue and community rating. Just compare prices
in the individual market in
Massachusetts with
most other states; the premiums are roughly
double.
CAHI does not support an individual mandate. We
think that more competition, fewer regulations and
subsidies for low-income families will lower health
insurance costs and expand coverage. But the
evidence of the damage the current proposals will
cause is there if the administration and the media will
only look.
For more on what similar measures have done in the
states see: Destroying Insurance
Markets
About the Council for Affordable Health Insurance
Founded in 1992, CAHI is a nonprofit, nonpartisan research and advocacy association whose mission is to promote access, affordability and choice in American health care. CAHI's membership includes health insurance companies (active in the individual, small group, HSA and senior markets), small businesses, physicians, actuaries and insurance producers and brokers.
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