Modern Healthcare June 20, 2019
The Trump administration’s project to undermine the Affordable Care Act insurance exchanges is now complete. Its latest rule will allow employers to funnel tax-exempt cash to employees to buy health plans.
Workers could use the cash—comparable to the vouchers once proposed for Medicare—to buy plans that meet ACA standards. Or, they could use a separate account to buy short-term or limited-benefit plans, which include ones that discriminate against people with pre-existing conditions.
This follows on previous administration moves to discourage ACA sign-ups. It cheered the elimination of the individual mandate. It cut the advertising and navigator budgets that helped people sign up. And it cut the cost-sharing reimbursements for insurers, which were designed to keep the exchange-based plans affordable.