It's mid-April. By now, most pundits had expected that the Affordable Care Act's (ACA) eulogy would have been read, and the insurance industry would be preparing for the introduction of "Trumpcare" over the coming years.
"Does it meet all the carriers' asks when it comes to what changes are needed?" Instead, they'd like to go back to a world where the sick are mostly on their own, and insurance companies are mostly free to discriminate against them.
She could not be reached late Thursday for comment on the final version.
The rule could also allow insurers to collect unpaid premium payments and make it harder for people to move in and out of insurance plans, according to health care industry experts.
The proposed change aims to discourage people from gaming the system. Trump also says that, "the president can not have a conflict of interest" a statement which simply is not true. Last year, more than two-thirds of Molina's members on the exchanges benefited from the payments.
The final rule sets the 2018 enrollment period from November 1 to December 15, 2017. That period "provides sufficient time for consumers to enroll", the administration has said, and would mean all who sign up would have a full year of coverage starting January 1.
Still, health plans say the rule is a first step at addressing the concern of sicker people flooding the marketplace to pick up insurance for the sole objective of covering expensive services and then dropping coverage.
In an interview with The Wall Street Journal on Wednesday, Trump suggested he is willing to cut the federal funding for cost sharing reductions (CSRs), which House Republicans have challenged in a lawsuit. Additionally, the deadline falls around the holidays, when money and time are often tight, which could have a chilling effect on insurance sign-ups.
"We intend to conduct outreach to consumers to ensure that they are aware of the newly shortened open enrollment period", according to the document. They are weighing their options and may soon announce whether they plan to offer coverage for next year. This would change to 20 percent under the new rules, meaning less coverage would be available to the poor and underserved.
Russian Federation casts 8th veto to block condemnation of Assad regime gas attack
Tillerson and Lavrov are expected to hold a news conference that begins soon. The two were tasked with finding any common ground on the crisis in Syria.
Customers will now have to verify first that they qualify for a special-enrollment period before they can enroll. "It didn't work at keeping premiums down for everybody and it didn't really provide coverage for people with pre-existing conditions".
Consumer groups are unhappy with the pre-verification idea - and the extra requirement of prior coverage for people who have gotten married. It made very little sense for healthy adults to enroll for health insurance when they could save thousands by staying uninsured and paying the penalty. This was a big point of debate when Congress was writing the health law.
Congress may be undecided about former President Barack Obama's Affordable Care Act, but Montana lawmakers are pushing through legislation they believe will bring down health care costs and increase price transparency regardless of what happens in Washington.
Kaiser Permanente noted the same and anxious the shortened enrollment window would reduce plan sales, which would impact the overall risk pool and could result in higher premiums.
The Trump rule tweaks the formula, allowing insurers to create plans with larger variations around the average. The prudent move would be either to quit the exchanges or to impose huge premium increases to offset the risk that the subsidies will disappear - enough to deter people from signing up.
It could also raise out-of-pocket medical expenses, the experts said, because it gives insurers more flexibility in determining the value of their coverage.
In fact, several key Republicans in Congress, including Greg Walden of OR, chairman of the House Energy and Commerce Committee, have said they would prefer Congress to pass legislation explicitly funding the subsidies.
"This funding helps those who need it the most access quality care: low- and modest-income consumers earning less than 250 percent of the federal poverty level".