The Wisconsin Medical Society submitted comments to the Office of the Commissioner of Insurance (OCI) this week in support of its 1332 waiver application. If approved, the waiver would allow Wisconsin to apply for federal funding to operate a state-based reinsurance program for individuals receiving coverage through the state’s health insurance exchange.
The proposal is part of Gov. Scott Walker’s Wisconsin Healthcare Stability Plan. Under section 1332 of the Affordable Care Act (ACA), states may seek waivers from provisions of the ACA provided they can demonstrate the changes would cover the same amount of people, provide the same level of coverage, not increase costs for patients, and be budget-neutral from a federal perspective.
The reinsurance program would cover between 50 percent and 80 percent of claims costing between $50,000 and $250,000. In addition, OCI estimates that on average, it will also will reduce premiums by 10.1 percent and increase enrollment in Wisconsin’s exchange by 0.8 percent.
In conjunction with the written testimony, Jacob Prunuske, MD, and Clarence Chou, MD, provided testimony on behalf of the Society in Wausau and Milwaukee, respectively.
OCI will formally submit the waiver application to the Department of Health and Human Services on April 20. Click here to access the Society comment letter, and if you have any questions please contact the Society’s Policy Specialist H.J. Waukau.
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