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Potential Impact of Selling Health Insurance Across State Lines (PDF)
American Academy of Actuaries Link to more items from this source
Feb. 14, 2017
"Allowing insurers to sell coverage across state lines has limited potential for premium savings, as premiums would continue to reflect local health care costs. Out-of-state insurers could have difficulty developing provider networks and negotiating provider payment discounts. Unintended consequences could result if states are given more flexibility regarding benefit requirements or issue and rating rules. Adverse selection would occur, threatening the viability of insurers licensed in states with more restrictive requirements."

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