Commonwealth Fund Explains Why the House Repeal Bill Is Unlikely to Stabilize Insurance Markets

Monday, March 13, 2017

Commonwealth Fund Explains Why the House Repeal Bill Is Unlikely to Stabilize Insurance Markets

Congress established the Medicare Part D program in 2003, creating for the first time a freestanding outpatient prescription drug insurance product, something the private sector had never offered before.

To ensure this product’s viability, Congress enacted stabilizing measures—a generous reinsurance program to cover high-cost cases, a risk corridor program to share risks with insurers, a risk adjustment program to compensate insurers for the riskiness of the population they covered, and a fallback program for the federal government to assume the risk of providing coverage for service areas where no private carriers stepped forward...

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