It's been reported that Pres-Elec Trump wants to keep two facets of obamacare; 1) Parents allowed to keep their children on their plans till age 26. I would hope a qualifier that they be in school. 2) Coverage cannot be denied for preexisting conditions.
In the first case I cannot see an underwriting problem, or at least one that would affect the rating of the policy other than the number of insureds on a given policy and factoring in the percentage of children born with congenital problems.
On the preexisting condition problem...it cannot be allowed if the plan is to survive without huge subsidies.
My suggested solution, (aren't I arrogant) would be to have companies revert to their underwriting standards prior to obamacare and issue private policies based on those standards as in the past at rates approved by the individual states until enough data can be gathered to set national rates, if needed.
For those with preexisting conditions, set up an assigned risk pool, much like Texas had and functioned as the Texas Assigned Risk Health Insurance Pool. This pool issued policies to those with preexisting conditions and were allowed to charge up to 150% of the rates established for a like individual without the preexisting conditions. The policy was then assigned to a company for servicing. If the pool had an underwriting loss, that loss was shared by the companies doing health insurance business in the state on the same ratio as their share of business in the state.
If soon to be president Trump follows through with this ill conceived plan, he will just be putting in to force a business model that will not last. Maybe mine wouldn't either but it darn sure would have a better chance.
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