Tiffany Bond  🦞 🇺🇸Verified account

Not inherently good/bad, but adds complications/costs. It really isn't clear there would be any competition gains for consumers. #mepolitics

Also unclear that insurers have any desire to participate cross-state this way; my out-of-state claims seemed to annoy insurers #mepolitics

There have been premium increases & challenges keeping market places competitive, in part because they are not profitable. #mepolitics

Lack of profitability is driven by administrative efficiency (how well company works), risk pool (how many people/how diverse), #mepolitics

& subsidies (both for premiums and for services) #mepolitics

This EO's solution is AHPs, STLDI, and HRAs. I'm not a health insurance expert, so I'll do my best with these. #mepolitics

AHPs seem to be good & bad. They can provide self-employed/small employers (huge part of Maine) access in different ways. #mepolitics

This would provide those folks access to potentially less expensive insurance, but make the risk pools they leave less stable. #mepolitics