Health insurers are the big winners of Biden’s inflationary legislation.

The famous bill that President Biden signed earlier this month has made little noise to continue Drug prices of drug companies.

But a separate provision in the law — the three-year extension of Affordable Care Act subsidies — will have a big, immediate impact on our health care system, whose main supporters are insurance companies.


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Eleven’s health.

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For these health insurers, the extension was crucial because their growth depended on continued expansion of government support. The pandemic led to an era of big government that drove insurance rates to record highs in the US. Always low from 8%

That was really good for the previously uninsured. That led to a huge increase in revenue at Centenary and Elevens, which gets most of its business from insuring low-income families through programs like Medicaid.

Centene, the nation’s largest Medicaid provider, saw its revenue rise from $60 billion in 2018 to $126 billion in 2021. That figure is expected to grow this year, but is at risk of falling if pandemic-era measures come in. dead end.

The bigger concern is that Mr. Biden has declared the end of the public-health emergency that expanded Medicaid. The epidemic Since its inception in 2020, states have received more federal support Stop killing people Medicaid regardless of income levels. So someone who was on Medicaid in early 2020 because she was unemployed due to Covid-19, but later found a more lucrative role, is still getting Medicaid coverage because states don’t re-determine her benefits as they normally do each year. That is unsustainable and unlikely to continue.

For now, the freeze has helped boost Medicaid enrollment to 88 million people, an increase of 17 million from February 2020, according to the Kaiser Family Foundation. Between 10 million and 15 million people will lose their insurance after a public-health emergency is declared, said Gary Taylor, an analyst at Cowen Inc.

Growth in Medicaid isn’t the only part of the health-insurance system at risk. Various Covid-19 relief measures in the marketplace exchanges — also known as Obamacare — have resulted in about 15 million enrollees. Enrollment there increased thanks to generous subsidies, eventually making insurance affordable in the marketplace. Unlike Medicaid surpluses, those are now safe because the Inflation Act extended subsidies for three more years.

Centene’s problem is that less than 10% of its members come from that program, compared to 60% of its membership pool that comes from Medicaid. Hence, the re-determination of territory as soon as 2023 is a major threat to the revenue.

But extending marketplace subsidies will indirectly help alleviate some of those concerns. That’s because many of those expected to be kicked out of Medicaid now have more affordable insurance plans to switch to, Mr. Taylor said.

“There’s this churn in this population that goes between Medicaid and the exchanges, and the companies are very aware of that and very focused on getting those people moving any way they can,” he said.

Before the IRA passed this summer, insurers like Centene sat on the precipice of enrollment. They’re still seeing some headwinds from the expected Medicaid changes, but landmark legislation passed by Congress pulls them back from the brink.

Write to David Weiner at

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