President Donald Trump plans to cut subsidy payments to insurers in his most aggressive move yet to undermine Obamacare after months of unsuccessful repeal efforts on Capitol Hill, according to two sources.
I’ve been working with Charles Gaba, Louise Norris, Andrew Sprung and a few others trying to inventory how states are allowing insurers to deal with the uncertainty of whether or not Cost Sharing Reduction (CSR) payments would be made. The preliminary data is here This is a living document that we will be modifying as we learn more.
We are missing Washington DC, New York, Oklahoma and Texas. As you hear more, please tell us. Below is the map of our best estimate as of tonight. WARNING: THIS MAP IS PRELIMINARY AND SUBJECT TO CHANGE AS NEW INFORMATION COMES IN
No CSR Strategy: Assumes CSR will be paid
Broad Load: CSR costs spread to all plans in all metal bands
Silver Load: CSR costs placed only on Silver plans
Silver Switch: CSR costs placed only on-Exchange Silver Plans
Mixed Strategies: Multiple strategies being used like in New Mexico and Georgia.
Reserve: States assume that CSR will be paid in first filing but had a plan in place if CSR is not paid. Plans vary widely.