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Head Of ŗ£½Ē»»ĘŽā€™s Health Care Exchange Cautions On Market Uncertainty

Chion Wolf
/
WNPR
Access Health CT CEO Jim Wadleigh is concerned the two remaining insurers in the state exchange could drop out.

The U.S Senate recently rejected a number of Republican plans to repeal, replace, or just overhaul the Affordable Care Act. But the health care debate is far from settled.

Jim Wadleigh, CEO for Access Health ŗ£½Ē»»ĘŽ -- the state’s health care exchange -- said he's now concerned that the two remaining insurers offering exchange plans, Anthem and Connecticare, could leave, and tens of thousands of people would lose coverage.

That could lead, Wadleigh said, to more people seeking regular care not from their doctors, but from their closest hospital, which costs a lot more.

ā€œCustomers going to the hospital, using the hospital as their primary care physician -- because by law, hospitals cannot turn away individuals,ā€ Wadleigh said. ā€œThey may wait until much later in their illness, so by the time they do go to the hospital, it’s harder to resolve those issues, which then translates into much higher costs into the system.ā€

Wadleigh said in order to avoid that, carriers need certainty from the Trump administration and Congress that there will not be cuts to vital payment subsidies for low-income customers.  

Trump has threatened to end the crucial payments unless the Senate returns to its "repeal and replace" effort.

ā€œWe all would say that the Affordable Care Act, as created, has not been perfect, and there are lots of opportunities for improvement,ā€ Wadleigh said. ā€œI think we are seeing the beginnings of bipartisan conversations -- in early September -- to talk about ways to improve that health care.ā€

Anthem and Connecticare have until September 8 to declare whether they'll participate in the state health exchange next year.

Patrick Skahill is a reporter and digital editor at ŗ£½Ē»»ĘŽ. Prior to becoming a reporter, he was the founding producer of ŗ£½Ē»»ĘŽ Radio's The Colin McEnroe Show, which began in 2009. Patrick's reporting has appeared on NPR's Morning Edition, Here & Now, and All Things Considered. He has also reported for the Marketplace Morning Report. He can be reached at pskahill@ctpublic.org.

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SOMOS CONNECTICUT is an initiative from ŗ£½Ē»»ĘŽ, the state’s local NPR and PBS station, to elevate Latino stories and expand programming that uplifts and informs our Latino communities. Visit CTPublic.org/latino for more stories and resources. For updates, sign up for the SOMOS CONNECTICUT newsletter at ctpublic.org/newsletters.

SOMOS CONNECTICUT es una iniciativa de ŗ£½Ē»»ĘŽ, la emisora local de NPR y PBS del estado, que busca elevar nuestras historias latinas y expandir programación que alza y informa nuestras comunidades latinas locales. Visita CTPublic.org/latino para mĆ”s reportajes y recursos. Para noticias, suscrĆ­base a nuestro boletĆ­n informativo en ctpublic.org/newsletters.

Fund the Facts

You just read trusted, local journalism that’s free for everyone, thanks to donors like you.

If that matters to you, now is the time to give. Join the 50,000+ members powering honest reporting and a more connected — and civil! — ŗ£½Ē»»ĘŽ.

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