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In the next three-year contract that Covered California strikes with insurance companies, there will be a quality-focused stipulation: any hospital that doesn’t meet certain targets for safety and quality can be excluded from the health plans sold through the marketplace.
Some advocacy groups and lawmakers would want to see the government compete with private insurers in the health care marketplace and offer more coverage choices in regions with few current options or high-priced plans.
Politifact takes a look at the issue and what the current single-payer bill would entail for California.
The analysis found that the elimination of the individual mandate in 2019 will be the main driver of the spike in premiums. “The middle class will be priced out of insurance in about a third of America,” said Peter Lee, executive director of Covered California.
California would continue to have a stable market partly because so many people in the exchange have their premiums paid or partly paid through subsidies, or premium tax credits, said Covered California Executive Director Peter Lee. But premiums will most likely go up.
When the penalty for not having insurance disappears in 2019, consumers are more likely to go without coverage.
Overall, experts are surprised at how “remarkably stable” the marketplaces are across the country after such a tumultuous year.
Covered California has previously said the pace of new enrollees for the current open-enrollment period remains ahead of last year.
Covered California officials say they’re fielding questions about whether the individual mandate is in effect for this year. It is.
With their tax package, Republicans have achieved a long-sought for goal of getting rid of the individual mandate. While some experts say it will cause a death spiral, others say it won’t be quite that dire.