CMS officials have told some states that waivers could be approved quickly and seem open to some of the proposed changes, people close to the discus-sions said. A spokeswoman for the agency pointed to a March letter that Health and Human Services Secretary Tom Price sent states encouraging them to look at the process. The Trump administration has already approved a waiver for Alaska, which created a reinsurance program to limit insurers’ claims costs. WSJ 8-25-17
What the heck are they talking about?
Well, the article talks about a mishmash of changes to Obamacare being sought by a number of states, the likely result being scores of different approaches to health care coverage driven more by politics and solving nothing.
Some of these approaches would set up high risk pools to limit losses for insurance companies (while passing these as costs to the states taxpayers). Others would change subsidies of various types thereby shifting costs to patients.
It’s a big, stupid game of moving costs around to give the appearance of fixing Obamacare and the insurance markets. Sooner or later it will all collapse under the weight of rising health care costs.