A great number of insurers are losing millions on the Affordable Care Act exchanges, prompting America's Health Insurance Plans to draft an issues brief that proposes changes to the ACA, according to the ct mirror.
Here are four takeaways:
1. The current ACA requirements say the sickest customers should pay no more than three times the premium amounts than the youngest policy holders pay. However, AHIP proposes modifying that three-to-one ratio to a five-to-one ratio.
2. In the proposed changes, AHIP is asking the government to add fraud prevention costs to the ACA minimum medical loss ratio.
3. AHIP also proposes a stricter requirement on those who can participate in the special enrollment period.
4. Sen. Chris Murphy (D-Conn.) claimed the special enrollment allows people who don't qualify for SE to enroll, and these people are often the sickest and cost payers the most money.
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