The new federal health law risk management programs could scramble old carrier strategies for managing risk.
Jason Petroske and Jason Siegel, actuaries at Milliman, write in a new commentary that the Patient Protection and Affordable Care Act "3Rs" programs could make older patients and those with chronic health problems, such as heart disease and cancer, the most profitable people to insure in the individual and small-group markets.
If individual and small-group plans as a whole end up insuring far more sicker, older patients than they expected, that could swamp the whole market, the Milliman actuaries warn.
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