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Originally Posted by onwebcam
It's all about creating competition in the market. Being allowed to purchase across state lines creates competition. In addition, allowing groups to pool together to negotiate lower prices helps further. The adult industry could have it's own insurance association. As with any other industry it should drive down prices. If insurance companies need more profit they have to go to the providers and make them reduce costs. Again driving down prices.
As it is right now insurance companies base pricing/profit/losses on localities. This is why they are pulling out of one place and not others. Something as simple as forcing them to base profits as a whole of the US would help a lot. As of January 2018 Knoxville TN will have 0 providers in ACA. Something like 40k people will lose their insurance and there is no replacement option. That's because the only provider remaining can't sustain all the losses. The same thing happening there will begin to spread across the US.
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I understand how it is supposed to work, but just because a company can take on customers across state lines doesn't mean they will.
Read this. In states like Wyoming, Maine, and Georgia they already allow buying insurance across state lines and it has been a bust because no insurance companies have been interested in taking on customers from those states.
The only way this could work is if they change the law so that states can't enact consumer protections but even that likely won't really help. In the aforementioned states, there are insurers that already meet those state's protection standards yet they still refuse to sell in them because they don't see any benefit in it. Much of this is caused by states not expanding Medicaid so those who are sick and have preexisting conditions end up on the insurers roles and the insurers lose money on them.