One of the most popular components of the Patient Protection and Affordable Care Act -- a special health insurance program for people with health problems -- has had trouble providing coverage that sick people can afford in a sustainable way.
Jean Hall, a Medicaid researcher at the University of Kansas, and Janice Moore, a data manager at the university, have discussed the problems at the Pre-Existing Condition Insurance Plan (PCIP) program in a new report released by the Commonwealth Fund.
In New Mexico, the state risk pool has a loss ratio equal to 442% of the standard-plan loss ratio. The PCIP plan has a loss ratio equal to 1,151% of the standard-plan loss ratio.
"Given the general lack of affordability of high-risk pool coverage at the individual level and the high costs of plan operation, the potential of high-risk pools as a vehicle for coverage expansion remains quite limited," the researchers said.