Health Care Choices and Premiums: What’s Going on in New York

COMMENTARY Health Care Reform

Health Care Choices and Premiums: What’s Going on in New York

Jul 19th, 2018 1 min read
COMMENTARY BY
Edmund F. Haislmaier

Senior Research Fellow

Ed is an expert in health care policy and frequently is asked to help lawmakers design and draft reforms to the health systems.

Key Takeaways

Since its inception, Obamacare has been, and continues to be, a key driver of increasing prices and decreasing choice in health care.

Over the first three years of Obamacare, per capita monthly premiums in New York increased by 15%, from $377 in 2013 to $435 in 2016.

Over the first five years of Obamacare, 20% more insurers offered Exchange coverage in New York, from 10 in 2013 to 12 in 2018.

Health care remains a major focus of the public discussion as premium prices rise and choices dwindle. Throughout the summer and into the fall, Obamacare insurers will announce decisions about the prices they want to charge and plans they want to offer next year, submitting them to regulators for review and approval.

Research shows prices have been rising steadily since Obamacare was first implemented, more than doubling in some places because of its failed policies and regulations. The best way to provide relief for Americans struggling under these heavy burdens is to replace Obamacare with free-market solutions that put patients and doctors—not federal bureaucrats—in charge of health care decisions and dollars. The three states that have begun to provide this kind of relief – after being granted federal waivers from Obamacare - are seeing rate reductions. Congress should go farther and make it easy for states to take these actions.

  • Over the first three years of Obamacare, per capita monthly premiums in New York increased by 15%, from $377 in 2013 to $435 in 2016.
  • Over the first five years of Obamacare, 20% more insurers offered Exchange coverage in New York, from 10 in 2013 to 12 in 2018. The numbers increased because four of the state’s Medicaid managed care insurers started selling individual market coverage on the Exchange.
  • 2019 Rate Request: In New York, one insurer submitted a request for an average rate decrease of 3.2 percent, others submitted requests for average rate increases ranging from 5.1 percent to 38.6 percent.
  • 2019 Rate Finalized: Finalized by mid-October

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