{"id":11804,"date":"2017-06-21T16:52:00","date_gmt":"2017-06-21T16:52:00","guid":{"rendered":"http:\/\/associatednews.us\/content\/2017\/06\/21\/ceos-say-theyll-sell-health-insurance-next-year-but-are-flying-blind\/"},"modified":"2017-06-21T16:52:00","modified_gmt":"2017-06-21T16:52:00","slug":"ceos-say-theyll-sell-health-insurance-next-year-but-are-flying-blind","status":"publish","type":"post","link":"https:\/\/associatednews.us\/content\/ceos-say-theyll-sell-health-insurance-next-year-but-are-flying-blind\/","title":{"rendered":"CEOs Say They&#039;ll Sell Health Insurance Next Year, But Are Flying Blind"},"content":{"rendered":"<p><span style=\"font-style:italic;font-size:16px\">By  <a class=\"colorbox\" href=\"http:\/\/www.npr.org\/sections\/health-shots\/2017\/06\/21\/533808635\/ceos-say-theyll-sell-health-insurance-next-year-but-are-flying-blind?utm_medium=RSS&amp;utm_campaign=healthcare\">Alison Kodjak<\/a><\/span>  <\/p>\n<div class=\"ftpimagefix\" style=\"float:left\"><a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/sections\/health-shots\/2017\/06\/21\/533808635\/ceos-say-theyll-sell-health-insurance-next-year-but-are-flying-blind?utm_medium=RSS&amp;utm_campaign=healthcare\"><img decoding=\"async\" width=\"150\" src=\"https:\/\/media.npr.org\/assets\/img\/2017\/06\/21\/mario-1_custom-7d04fad514cadbd9cb2264adbff14d0d6682e7f6-s1100-c15.jpg\" alt=\"\"><\/a><\/div>\n<div>\n<div>\n<div><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2017\/06\/21\/mario-1_enl-7d04fad514cadbd9cb2264adbff14d0d6682e7f6-s1200.jpg\">Enlarge this image<\/a><\/div>\n<\/div>\n<div>\n<div>\n<div>\n<p>\n                Mario Schlosser, CEO of the startup Oscar Health, says he&#8217;s optimistic that Congress will come up with a humane health care bill.<\/p>\n<p>                <b><\/p>\n<p>                    Noam Galai\/Getty Images<\/p>\n<p>                <\/b><b><b>hide caption<\/b><\/b><\/p>\n<\/div>\n<p><b><b>toggle caption<\/b><\/b><\/div>\n<p><span><\/p>\n<p>        Noam Galai\/Getty Images<\/p>\n<p>    <\/span><\/div>\n<\/div>\n<p>The Senate vote on a bill to repeal and replace the Affordable Care Act is, according to conventional wisdom, one week away.<\/p>\n<p>And <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/2017\/06\/20\/533693744\/heres-what-we-know-about-the-senate-gop-health-care-bill\">we still don&#8217;t know<\/a> what&#8217;s in the bill.<\/p>\n<p>Not having concrete information is deeply uncomfortable for a journalist like me.<\/p>\n<p>But for lots of people, like those who work in the insurance industry, not knowing what&#8217;s in that bill is a bigger deal. Wednesday is a deadline of sorts for these companies. If they want to sell policies next year in states that use the federal health exchange on <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.healthcare.gov\/\">Healthcare.gov<\/a>, they have to let Health and Human Services know their intentions.<\/p>\n<p>How are they dealing?<\/p>\n<p>I reached out to a couple of insurance executives and asked.<\/p>\n<p><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.linkedin.com\/in\/mario-schlosser-670a7a\/\">Mario Schlosser<\/a> is CEO of<a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.hioscar.com\/\"> Oscar<\/a>, the insurance startup that&#8217;s betting hard on the Affordable Care Act, also known as Obamacare.<\/p>\n<p><!-- END ID=\"RES533810877\" CLASS=\"BUCKETWRAP INTERNALLINK INSETTWOCOLUMN INSET2COL \" --><\/p>\n<p>Wednesday morning, Oscar <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.hioscar.com\/news\/looking-ahead-to-our-2018-map\">announced<\/a> it&#8217;s going to keep selling individual insurance in New York in 2018, and expanding its offerings in five states \u2013 New Jersey, Ohio, California, Florida and Tennessee.<\/p>\n<p>It&#8217;s a bold move, considering Congress is right now considering dismantling the Affordable Care Act markets and changing the rules governing health insurance.<\/p>\n<p>&#8220;When the dust settles, the individual market will be stable, and we want to be part of getting it there,&#8221; Schlosser told me.<\/p>\n<p>He agreed with President Trump that the <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/2017\/05\/05\/527092478\/obamacare-vs-american-health-care-act-heres-where-they-differ\">American Health Care Act<\/a>, passed by the House in May, is &#8220;mean.&#8221;<\/p>\n<p>&#8220;I think that bill was mean and I think that bill would lead to loss of coverage that would be bad for pretty much everybody in the system,&#8221; he said.<\/p>\n<aside>\n<div><\/div>\n<\/aside>\n<aside>\n<div><\/div>\n<\/aside>\n<p>Schlosser said it&#8217;s crucial for the Trump administration to stabilize the current system in preparation for any changes. That includes enforcing the individual mandate, which penalizes people who don&#8217;t buy insurance, and promising to make cost-sharing payments required under the ACA that reimburse insurers for giving extra discounts to the lowest-income customers.<\/p>\n<p>If they don&#8217;t, &#8220;it would kill the market overnight.&#8221; Schlosser said.<\/p>\n<p>&#8220;That would be terrible for society, it would be terrible for the whole health care system, and everybody would be worse off,&#8221; he said.<\/p>\n<p>I pointed out to Schlosser that his company has a direct line to the White House. His partner and co-founder is Joshua Kushner, the brother of Jared Kushner, Trump&#8217;s son-in-law and senior adviser.<\/p>\n<p>Schlosser avoided talking about that relationship and suggested he didn&#8217;t know what Trump will do.<\/p>\n<p>Later, I sat down for a cup of coffee at the National Press Club with <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.ibx.com\/company_info\/our_company\/officers\/hilferty.html\">Dan Hilferty<\/a>, who runs <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.ibx.com\/index.jsp\">Independence Blue Cross<\/a> in Philadelphia and is chairman of the board of the Blue Cross Blue Shield Association. His company sells ACA health plans in the Philadelphia area and southern New Jersey.<\/p>\n<p>&#8220;I&#8217;m here in DC because of what&#8217;s happening in health care,&#8221; he said. But acknowledged he doesn&#8217;t know what&#8217;s in the Senate bill, even though the Blue plans he represents as chairman of the association insure one-third of all Americans.<\/p>\n<p>Hilferty said the ACA has problems, but it did manage to bring insurance coverage to about 20 million people who didn&#8217;t have it before. That&#8217;s what he&#8217;s focused on in meetings with members of Congress.<\/p>\n<p><!-- END ID=\"RES533810933\" CLASS=\"BUCKETWRAP INTERNALLINK INSETTWOCOLUMN INSET2COL \" --><\/p>\n<p>The Congressional Budget Office says the bill passed by the House would result in <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.cbo.gov\/publication\/52752\">23 million fewer<\/a> people having insurance coverage in 10 years, compared to current law.<\/p>\n<p>&#8220;So I would say let&#8217;s build a system that doesn&#8217;t that doesn&#8217;t push those 20 million people back to uninsured, &#8220;Hilferty said.<\/p>\n<p>He says his company is focused on ensuring that whatever lawmakers do, they don&#8217;t make it harder for low-income people to get insurance.<\/p>\n<p>&#8220;Frankly, we don&#8217;t care if it&#8217;s the ACA or the AHCA as long as it gives us the ability to cover more people, get them access to care and not lose money,&#8221; Hilferty said.<\/p>\n<p>Like Schlosser, Hilferty is worried about what&#8217;s going to happen next year. His company has filed to sell ACA plans in the Philadelphia area. But if the Trump administration doesn&#8217;t commit to making cost-sharing payments or to enforcing the individual mandate that requires people to have insurance, his rates could go up a lot.<\/p>\n<p>Either way, both companies are operating as if the ACA markets will be alive and functioning in 2018.<\/p>\n<p>&#8220;I do think that in the end, reason and compassion will prevail in DC,&#8221; Schlosser said.<\/p>\n<p><strong><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/\">Let&#8217;s block ads!<\/a><\/strong> <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/acceptable.html\">(Why?)<\/a><\/p>\n<p>Source:: <a href=\"http:\/\/www.npr.org\/sections\/health-shots\/2017\/06\/21\/533808635\/ceos-say-theyll-sell-health-insurance-next-year-but-are-flying-blind?utm_medium=RSS&amp;utm_campaign=healthcare\" class=\"colorbox\" title=\"CEOs Say They&#039;ll Sell Health Insurance Next Year, But Are Flying Blind\" rel=\"nofollow\">http:\/\/www.npr.org\/sections\/health-shots\/2017\/06\/21\/533808635\/ceos-say-theyll-sell-health-insurance-next-year-but-are-flying-blind?utm_medium=RSS&amp;utm_campaign=healthcare<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"ftpimagefix\" style=\"float:left\"><a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/sections\/health-shots\/2017\/06\/21\/533808635\/ceos-say-theyll-sell-health-insurance-next-year-but-are-flying-blind?utm_medium=RSS&amp;utm_campaign=healthcare\"><img decoding=\"async\" width=\"150\" src=\"https:\/\/media.npr.org\/assets\/img\/2017\/06\/21\/mario-1_custom-7d04fad514cadbd9cb2264adbff14d0d6682e7f6-s1100-c15.jpg\" alt=\"\"><\/a><\/div>\n<div>\n<div>\n<div><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2017\/06\/21\/mario-1_enl-7d04fad514cadbd9cb2264adbff14d0d6682e7f6-s1200.jpg\">Enlarge this image<\/a><\/div>\n<\/div>\n<div>\n<div>\n<div>\n<p>\n                Mario Schlosser, CEO of the startup Oscar Health, says he&#8217;s optimistic that Congress will come up with a humane health care bill.<\/p>\n<p>                <b><\/p>\n<p>                    Noam Galai\/Getty Images<\/p>\n<p>                <\/b><b><b>hide caption<\/b><\/b><\/p>\n<\/div>\n<p><b><b>toggle caption<\/b><\/b><\/div>\n<p><span><\/p>\n<p>        Noam Galai\/Getty Images<\/p>\n<p>    <\/span><\/div>\n<\/div>\n<p>The Senate vote on a bill to repeal and replace the Affordable Care Act is, according to conventional wisdom, one week away.<\/p>\n<p>And <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/2017\/06\/20\/533693744\/heres-what-we-know-about-the-senate-gop-health-care-bill\">we still don&#8217;t know<\/a> what&#8217;s in the bill.<\/p>\n<p>Not having concrete information is deeply uncomfortable for a journalist like me.<\/p>\n<p>But for lots of people, like those who work in the insurance industry, not knowing what&#8217;s in that bill is a bigger deal. Wednesday is a deadline of sorts for these companies. If they want to sell policies next year in states that use the federal health exchange on <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.healthcare.gov\/\">Healthcare.gov<\/a>, they have to let Health and Human Services know their intentions.<\/p>\n<p>How are they dealing?<\/p>\n<p>I reached out to a couple of insurance executives and asked.<\/p>\n<p><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.linkedin.com\/in\/mario-schlosser-670a7a\/\">Mario Schlosser<\/a> is CEO of<a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.hioscar.com\/\"> Oscar<\/a>, the insurance startup that&#8217;s betting hard on the Affordable Care Act, also known as Obamacare.<\/p>\n<p><!-- END ID=\"RES533810877\" CLASS=\"BUCKETWRAP INTERNALLINK INSETTWOCOLUMN INSET2COL \" --><\/p>\n<p>Wednesday morning, Oscar <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.hioscar.com\/news\/looking-ahead-to-our-2018-map\">announced<\/a> it&#8217;s going to keep selling individual insurance in New York in 2018, and expanding its offerings in five states \u2013 New Jersey, Ohio, California, Florida and Tennessee.<\/p>\n<p>It&#8217;s a bold move, considering Congress is right now considering dismantling the Affordable Care Act markets and changing the rules governing health insurance.<\/p>\n<p>&#8220;When the dust settles, the individual market will be stable, and we want to be part of getting it there,&#8221; Schlosser told me.<\/p>\n<p>He agreed with President Trump that the <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/2017\/05\/05\/527092478\/obamacare-vs-american-health-care-act-heres-where-they-differ\">American Health Care Act<\/a>, passed by the House in May, is &#8220;mean.&#8221;<\/p>\n<p>&#8220;I think that bill was mean and I think that bill would lead to loss of coverage that would be bad for pretty much everybody in the system,&#8221; he said.<\/p>\n<aside>\n<div><\/div>\n<\/aside>\n<aside>\n<div><\/div>\n<\/aside>\n<p>Schlosser said it&#8217;s crucial for the Trump administration to stabilize the current system in preparation for any changes. That includes enforcing the individual mandate, which penalizes people who don&#8217;t buy insurance, and promising to make cost-sharing payments required under the ACA that reimburse insurers for giving extra discounts to the lowest-income customers.<\/p>\n<p>If they don&#8217;t, &#8220;it would kill the market overnight.&#8221; Schlosser said.<\/p>\n<p>&#8220;That would be terrible for society, it would be terrible for the whole health care system, and everybody would be worse off,&#8221; he said.<\/p>\n<p>I pointed out to Schlosser that his company has a direct line to the White House. His partner and co-founder is Joshua Kushner, the brother of Jared Kushner, Trump&#8217;s son-in-law and senior adviser.<\/p>\n<p>Schlosser avoided talking about that relationship and suggested he didn&#8217;t know what Trump will do.<\/p>\n<p>Later, I sat down for a cup of coffee at the National Press Club with <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.ibx.com\/company_info\/our_company\/officers\/hilferty.html\">Dan Hilferty<\/a>, who runs <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.ibx.com\/index.jsp\">Independence Blue Cross<\/a> in Philadelphia and is chairman of the board of the Blue Cross Blue Shield Association. His company sells ACA health plans in the Philadelphia area and southern New Jersey.<\/p>\n<p>&#8220;I&#8217;m here in DC because of what&#8217;s happening in health care,&#8221; he said. But acknowledged he doesn&#8217;t know what&#8217;s in the Senate bill, even though the Blue plans he represents as chairman of the association insure one-third of all Americans.<\/p>\n<p>Hilferty said the ACA has problems, but it did manage to bring insurance coverage to about 20 million people who didn&#8217;t have it before. That&#8217;s what he&#8217;s focused on in meetings with members of Congress.<\/p>\n<p><!-- END ID=\"RES533810933\" CLASS=\"BUCKETWRAP INTERNALLINK INSETTWOCOLUMN INSET2COL \" --><\/p>\n<p>The Congressional Budget Office says the bill passed by the House would result in <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.cbo.gov\/publication\/52752\">23 million fewer<\/a> people having insurance coverage in 10 years, compared to current law.<\/p>\n<p>&#8220;So I would say let&#8217;s build a system that doesn&#8217;t that doesn&#8217;t push those 20 million people back to uninsured, &#8220;Hilferty said.<\/p>\n<p>He says his company is focused on ensuring that whatever lawmakers do, they don&#8217;t make it harder for low-income people to get insurance.<\/p>\n<p>&#8220;Frankly, we don&#8217;t care if it&#8217;s the ACA or the AHCA as long as it gives us the ability to cover more people, get them access to care and not lose money,&#8221; Hilferty said.<\/p>\n<p>Like Schlosser, Hilferty is worried about what&#8217;s going to happen next year. His company has filed to sell ACA plans in the Philadelphia area. But if the Trump administration doesn&#8217;t commit to making cost-sharing payments or to enforcing the individual mandate that requires people to have insurance, his rates could go up a lot.<\/p>\n<p>Either way, both companies are operating as if the ACA markets will be alive and functioning in 2018.<\/p>\n<p>&#8220;I do think that in the end, reason and compassion will prevail in DC,&#8221; Schlosser said.<\/p>\n<p><strong><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/\">Let&#8217;s block ads!<\/a><\/strong> <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/acceptable.html\">(Why?)<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[47],"tags":[],"class_list":["post-11804","post","type-post","status-publish","format-standard","hentry","category-health"],"_links":{"self":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/posts\/11804","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/comments?post=11804"}],"version-history":[{"count":0,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/posts\/11804\/revisions"}],"wp:attachment":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/media?parent=11804"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/categories?post=11804"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/tags?post=11804"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}