Obamacare exploding? Maybe just a slow burn

After the failed Republican effort to push through the bill, insurers are looking at changes to help 2018, America’s Health Insurance Plans spokeswoman Kristine Grow said.

That includes the market’s cost-sharing subsidies as well as other government payments for sicker-than-usual customers and finalizing a rule the Trump administration proposed that addresses issues insurers say drives up costs.

The Trump administration could do some of that itself if it wants to, such as using its regulatory authority to adjust the formula for how it compensates insurers for the sickest people, Elizabeth Carpenter at healthcare consultancy and research firm Avalere Health said.

But it is unknown if the administration will try to work within the law’s existing framework or take actions to undermine it and blame the Democrats for its failure.

“If they fail to act and they don’t act in an appropriate way, that will further destabilize the marketplace,” Dr. Mario Molina, CEO of Molina Healthcare, said. Molina’s enrollment ballooned to 1 million exchange enrollees this year and the company is weighing if it will submit plans for next year.