4 ms·

Seems like the only answer would be one risk pool then.

• zrail 7y ago
  Yes. That is one way to think about the invisible high risk pools and reinsurance plans that some states have now for their ACA plans. Essentially they cap the per-individual risk in each pool and transfer the excess to the state as a whole. Several national plans like that have been proposed in Congress over the years but have failed mostly for partisan reasons.