Administration To Sponsor Nationwide Health Insurance Plans

I don't remember reading about anything like this before, and I can't quite figure out why this isn't, in effect, a public option -- but I'm not complaining. As for the concerns about meeting state standards, the administration has done a

[oldembed src="http://www.youtube.com/embed/ZXFHXqrrJ6g?rel=0" width="425" height="239" resize="1" fid="21"]

I don't remember reading about anything like this before, and I can't quite figure out why this isn't, in effect, a public option -- but I'm not complaining. As for the concerns about meeting state standards, the administration has done a conscientious job with the new Affordable Care Act so far, so I'm going to assume they have this covered until I see information that indicates otherwise. I hear a lot of people say they're worried about their employers wanting to drop health insurance, and this will be a ready option:

WASHINGTON — The Obama administration will soon take on a new role as the sponsor of at least two nationwide health insurance plans to be operated under contract with the federal government and offered to consumers in every state.

These multistate plans were included in President Obama’s health care law as a substitute for a pure government-run health insurance program — the public option sought by many liberal Democrats and reviled by Republicans. Supporters of the national plans say they will increase competition in state health insurance markets, many of which are dominated by a handful of companies.

The national plans will compete directly with other private insurers and may have some significant advantages, including a federal seal of approval. Premiums and benefits for the multistate insurance plans will be negotiated by the United States Office of Personnel Management, the agency that arranges health benefits for federal employees.

Walton J. Francis, the author of a consumer guide to health plans for federal employees, said the personnel agency had been “extraordinarily successful” in managing that program, which has more than 200 health plans, including about 20 offered nationwide. The personnel agency has earned high marks for its ability to secure good terms for federal workers through negotiation rather than heavy-handed regulation of insurers.

John J. O’Brien, the director of health care and insurance at the agency, said the new plans would be offered to individuals and small employers through the insurance exchanges being set up in every state under the 2010 health care law.

[...] National insurance plans will be subject to regulation by the federal government, state insurance commissioners and state insurance exchanges. That mix could cause confusion for some consumers who have questions or complaints about their coverage.

The federal standards will pre-empt state rules in at least one respect: the national health plans will automatically be eligible to compete against other private insurers in the new exchanges, regardless of whether they have been certified as meeting the standards of those exchanges.

About Susie Madrak

Comments

We welcome relevant, respectful comments. Please refer to our Terms of Service for information on our posting policy.