"Selling Health Insurance Across State Lines: An Assessment of State Laws and Implications for Improving Choice and Affordability of Coverage," - Oct 2012, The Center on Health Insurance Reforms, Georgetown University Health Policy Institute
Across state lines legislation was largely unsuccessful because of the localized nature of how health care is delivered. Respondents universally reported the enormous difficulty that out-of-state insurers face in building a network of local providers, and insurers identified doing so as a significant barrier to market entry that far surpasses concerns about a state’s regulatory environment or benefit mandates. State officials and insurers also noted that across state lines legislation ignores the primary cause of high prices - the cost of delivering care - and fails to account for often dramatic differences in the cost of care between states and regions.(read more) |