Trump’s Latest Move Shakes ACA, But Effect Was Foreseen In Georgia

The Affordable Care Act created the exchanges to help people without job-based or government insurance to buy affordable coverage. The cost-sharing subsidies that will be eliminated have been going to insurers, which use them to lower out-of-pocket costs.

Andrew Harnik / Associated Press file

On one level, the White House’s pledge late Thursday to stop cost-sharing payments to health insurers under the Affordable Care Act won’t make a major difference in Georgia.

That’s because three of the four health insurers offering coverage on the state exchange have already factored in the likely elimination of the payments in their huge 2018 premium increases.

The ACA created the exchanges to help people without job-based or government insurance to buy affordable coverage. The cost-sharing subsidies that will be eliminated have been going to insurers, which use them to lower the out-of-pocket costs, such as deductibles and copays, for lower-income exchange customers.