Q: What’s the likelihood of maintaining a viable individual insurance market in the next several years?
“It’s the individual market and it’s also Medicaid expansion. Both are important to insurers.
“There are some immediate things that need to happen. This whole issue of cost-sharing subsidies. … So our first message has been that the Republicans will need to agree to appropriate funding for the costsharing subsidy because without that funding people will likely exit the individual market. Then we’re back to the individual market only being those who can pay high premiums without subsidies.
“The incoming administration and the Republicans who ran for repeal and replace also said they didn’t want to see people lose coverage. So you’ve got to sync up those two things.
“The same thing is true in Medicaid expansion. All the governors and insurance commissioners are saying what we need. But the most immediate thing for us is going to be the cost-sharing subsidies so we can keep the individual market. Without that, it’s going to be difficult for insurers to price, and that will impact physicians and hospitals because they won’t know what the status of their contracts are going to be.”