Ok, if you have been following my Facebook Agency page, you will know I have been all over utilization costs and guaranteed issue as the key issues that have driven up healthcare premiums. I have consistently said that when you offer health insurance to all with no way to actually rate the premium based on elements of risk management, you will end up chasing utilization costs that will be collected via increased renewal premiums.
Well, look what I found from the Congressional Budget Office. They essentially admit I was right. Here is the link to CBO publication
https://www.cbo.gov/publication/52371
Here is the quote regarding an admission of increased costs and thereby admitting there will be no way to control them.
"Leaving the ACA’s market reforms in place would limit insurers’ ability to use strategies that were common before the ACA was enacted. For example, insurers would not be able to vary premiums to reflect an individual’s health care costs or offer health insurance plans that exclude coverage of preexisting conditions, plans that do not cover certain types of benefits (such as maternity care), or plans with very high deductibles or very low actuarial value (plans paying a very low share of costs for covered services)."
As you can see the government understands what they are up against and have zero intention to fix it.
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