Employers and their broker partners know that paying for chronic conditions poses a serious challenge. The Affordable Care Act (ACA) sought to address how the U.S. could better handle 20% of the population that consumes 80% of healthcare resources, including 5% that consumes 50% to 55%. But for healthcare to become affordable outside of a single-payer, government-run system, it is critical for health insurance to be reimagined.
The ACA’s original intent was to create a health insurance product for people who would not qualify for an underwritten individual policy if they left their employers. It eliminated chronic condition underwriting for health insurance, but in the process, created a completely unsustainable model.
