|By Christopher Snowbeck, Pioneer Press, St. Paul, Minn.|
|McClatchy-Tribune Information Services|
The issue involves a long-standing program called the
One of the key changes coming in 2014 with the federal Affordable Care Act is that insurers no longer will be able to deny people coverage based on pre-existing conditions. To make sure that the expense of covering these patients is evenly spread among insurers, the federal law will give health plans a chance to receive "reinsurance" payments if they happen to attract many patients with costly conditions.
The money will come from a fund that insurers across the country will pay into, but health plans in
regulations wouldn't allow it.
"The money that's going to be deposited by insurers in
Health plans in
Federal officials are reviewing concerns from
"What are the chances the feds will do the right thing and be fair to
MCHA is what's known as a "high-risk pool," and
The program is one of the reasons that
"If high-risk pools are not allowed to participate in the transitional reinsurance program and they continue to exist for some period of time, carriers would pay both the federal reinsurance assessments as well as assessments for the MCHA program," state officials wrote in the
"An analysis by MCHA of their members whose annual claims exceed