Wednesday, July 17, 2013

Here’s why health insurance premiums are tumbling in New York

First I see a headline in the NYT like this Health Plan Cost for New Yorkers Set to Fall 50% then I go to WonkBlog for Here’s why health insurance premiums are tumbling in New York

"A headline about the health care law driving down premiums, by this level of magnitude, is a rarity. But it shouldn’t be shocking: New York has, for two decades now, had the highest individual market premiums in the country. A lot of it seems to trace back to a law passed in 1993, which required insurance plans to accept all applicants, regardless of how sick or healthy they were. That law did not, however, require everyone to sign up, as the Affordable Care Act does.

New York has, for 20 years now, been a long-running experiment in what happens to universal coverage without an individual mandate. It’s the type of law the country would have if House Republicans succeeded in delaying the individual mandate, as they will vote to do this afternoon. The result: a small insurance market with very high insurance premiums.

For years New York has had one of the most heavily regulated insurance markets in the country. The 1993 reforms not only required insurers to accept all customers; they also mandated that insurers charge everyone the exact same price. Young or old, healthy or sick, it doesn’t matter in New York: Everyone gets the same deal."

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