Num­ber of peo­ple with cov­er­age doesn’t tell the whole story

Modern Healthcare - - LETTERS -

Re­gard­ing the story “CMS ac­tu­ary pre­dicts GOP re­peal bill will re­duce cov­er­age by 13 mil­lion” (ModernHealth­, June 13), with the in­creas­ing num­ber of plans that of­fer hor­rific cov­er­age for care (cat­a­strophic cov­er­age de­signs, for ex­am­ple), it is some­what un­fair to sim­ply state a lost cov­er­age num­ber. Much like the con­tin­ued growth of un­der­em­ployed peo­ple (al­beit counted in em­ployed num­bers), we should iden­tify all those in the pop­u­la­tion who are tech­ni­cally counted in a plan but are pay­ing 90% out of pocket or are not even cov­ered for needs in many cases.

Also men­tioned should be the many in­surance car­ri­ers that bailed out of the Af­ford­able Care Act ex­change mar­ket­place due to their sus­tained losses in these plans. There truly is no de­fined so­lu­tion to health cov­er­age, with pru­dent busi­nesses not want­ing to stay in the game and lose money and cus­tomers who sim­ply can’t af­ford the heavy pre­mi­ums/co-in­surance/de­ductibles. The devil is in the de­tails.

Charles Cronauer Bal­ti­more

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