DES MOINES, Iowa (AP) — Iowa could be the first state in the nation with no health insurance company willing to offer policies on its Affordable Care Act exchange next year unless President Donald Trump’s administration approves a stopgap proposal, Iowa Insurance Commissioner Doug Ommen said Monday.Ommen said he and officials from two major Iowa insurance carriers met last week with Centers for Medicare & Medicaid Services officials in Washington to pitch a proposal that would save the Iowa market from collapsing.Several counties in Missouri, Ohio and Washington state have no insurer for next year, but Iowa would be the first state to lose all insurers on an ACA exchange.
The dreaded adverse selection death spiral appears to have gained a grip on Iowa’s non-group medical insurance market. The item reports Iowa Insurance Commissioner Doug Ommen is asking the federal government to redirect advance premium tax credit subsidies to improve the spread of risk in the state’s pool by attracting more younger individuals and using some of the those dollars to cover higher cost people.
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