Obama 行政 確認するs 二塁打-digit 賞与金 引き上げ（る）s
WASHINGTON (AP) ― 賞与金s will go up はっきりと next year under 大統領 Barack Obama's health care 法律, and many 消費者s will be 負かす／撃墜する to just one 保険会社, the 行政 確認するd Monday. That's sure to stoke another "Obamacare" 論争 days before a 大統領の 選挙.
Before taxpayer-供給するd 補助金s, 賞与金s for a midlevel （判断の）基準 計画（する） will 増加する an 普通の／平均（する） of 25 パーセント across the 39 明言する／公表するs served by the federally run online market, によれば a 報告（する）／憶測 from the Department of Health and Human Services. Some 明言する／公表するs will see much bigger jumps, others いっそう少なく.
Moreover, about 1 in 5 消費者s will only have 計画（する）s from a 選び出す／独身 保険会社 to 選ぶ from, after major 国家の 運送／保菌者s such as UnitedHealth Group, Humana and Aetna 規模d 支援する their 役割s.
The HealthCare.gov 2017 web 場所／位置 home page as seen in Washington, Monday, Oct. 24, 2016. The Obama 行政 is 確認するing that 賞与金s will go up はっきりと next year for health 保険 sold to millions of 消費者s through HealthCare.gov. (AP Photo/Pablo Martinez Monsivais)
"消費者s will be 直面するd this year with not only big 賞与金 増加するs but also with a 拒絶する／低下するing number of 保険会社s 参加するing, and that will lead to a tumultuous open enrollment period," said Larry Levitt, who 跡をつけるs the health care 法律 for the nonpartisan Kaiser Family 創立／基礎.
共和国の／共和党のs pounced on the numbers as a 警告 that 保険 markets created by the 2010 health 精密検査する are teetering toward a "death spiral." 調印する-up season starts Nov. 1, about a week before 国家の 選挙s in which the GOP remains committed to a 十分な 廃止する.
"It's over for Obamacare," 共和国の／共和党の 大統領の 候補者 Donald Trump said at a （選挙などの）運動をする 決起大会／結集させる Monday evening in Tampa, Florida.
Trump said his Democratic 競争相手, Hillary Clinton, "wants to 二塁打 負かす／撃墜する and make it more expensive and it's not gonna work. ... Our country can't afford it, you can't afford it." He 約束d his own 計画（する） would 配達する "広大な／多数の／重要な health care at a fraction of the cost."
The new numbers aren't too surprising, said Sen. Orrin Hatch, R-Utah, who 議長，司会を務めるs a 委員会 that 監督するs the 法律. It "does little to 追い散らす the notion we are seeing the 法律 implode at the expense of middle-class families."
HHS essentially 確認するd 明言する／公表する-by-明言する／公表する 報告（する）／憶測s that have been comi ng in for months. Window shopping for 計画（する）s and 賞与金s is already 利用できる through HealthCare.gov.
行政 公式の／役人s are 強調する／ストレスing that 補助金s 供給するd under the 法律, which are designed to rise と一緒に 賞与金s, will 絶縁する most 顧客s from sticker shock. They 追加する that 消費者s who are willing to switch to cheaper 計画（する）s will still be able to find 取引s.
"Headline 率s are 一般に rising faster than in previous years," 定評のある HHS 広報担当者 Kevin Griffis. But he 追加するd that for most 消費者s, "headline 率s are not what they 支払う／賃金."
The 広大な 大多数 of the more than 10 million 顧客s who 購入（する） through HealthCare.gov and its 明言する／公表する-run 相当するものs do receive generous 財政上の 援助. "Enrollment is concentrated の中で very low-income individuals who receive 重要な 政府 補助金s to 減ずる 賞与金s and cost-株ing," said Caroline Pearson of the 協議するing 会社／堅い Avalere Health
But an 概算の 5 million to 7 million people are either not 適格の for the income-based 援助, or they buy individual 政策s outside of the health 法律's markets, where the 補助金s are not 利用できる. The 行政 is 勧めるing the latter group to check out HealthCare.gov. The spike in 賞与金s 一般に does not 影響する／感情 the 雇用者-供給するd 計画（する）s that cover most 労働者s and their families.
In some 明言する／公表するs, the 賞与金 増加するs are striking. In Arizona, unsubsidized 賞与金s for a hypothetical 27-year-old buying a （判断の）基準 "second-lowest cost silver 計画（する）" will jump by 116 パーセント, from $196 to $422, によれば the 行政 報告（する）／憶測.
But HHS said if that hypothetical 消費者 has a 公正に／かなり modest income, making $25,000 a year, the 補助金s would cover $280 of the new 賞与金, and the 消費者 would 支払う／賃金 $142. Cavea t: if the 消費者 is making $30,000 or $40,000 his or her 補助金 would be 意味ありげに lower.
Dwindling choice is another 問題／発行する.
The total number of HealthCare.gov 保険会社s will 減少（する） from 232 this year to 167 in 2017, a loss of 28 パーセント. (保険会社s are counted 多重の times if they 申し込む／申し出 ニュース報道 in more than one 明言する／公表する. So Aetna, for example, would count once in each 明言する／公表する that it 参加するd in.)
Switching 保険会社s may not be simple for 患者s with chronic 条件s.
While many 運送／保菌者s are 申し込む／申し出ing a choice of 計画（する） designs, most use a 選び出す／独身 prescription formulary and 内科医 網状組織 across all their 製品s, explained Pearson. "So, enrollees may need to change doctors or 麻薬s when they switch 保険会社s," she said.
全体にわたる, it's 形態／調整ing up to be the most difficult 調印する-up season since HealthCare.gov 開始する，打ち上げるd in 2013 and the computer system froze up.
Enrollment has been lower than 最初 事業／計画（する）d, and 保険会社s say 患者s turned out to be sicker than 推定する／予想するd. Moreover, a コンビナート／複合体 内部の system to help 安定させる 賞与金s has not worked as hoped for.
Nonetheless, Obama says the underlying structure of the 法律 is sound, and 現在の problems are only "growing 苦痛s." The 大統領，／社長 has called for a 政府-sponsored "public 選択" 保険 計画（する） to compete with 私的な companies.
共和国の／共和党のs, 含むing Trump, are 部隊d in calling for 完全にする 廃止する, but they have not （一定の）期間d out how they would 演説（する）／住所 the problems of the uninsured.
Clinton has 提案するd an array of 直す／買収する，八百長をするs, 含むing sweetening the 法律's 補助金s and 許すing more people to qualify for 財政上の 援助.
The 法律 makes carrying health 保険 a 合法的な 義務 for most people, and 禁じるs 保険会社s for turning away the sick. It 申し込む／申し出s 補助金を支給するd 私的な 計画（する）s to people who don't have ニュース報道 through their 職業s, along with a 明言する／公表する 選択 to 拡大する Medicaid for low-income people.
大部分は as a result, the nation's uninsured 率 has dropped below 9 パーセント, a 歴史的に low level. More than 21 million people have 伸び（る）d ニュース報道 since the Affordable Care 行為／法令／行動する passed in 2010.
___
Online:
www.healthcare.gov
https://aspe.hhs.gov/pdf-報告（する）／憶測/health-計画（する）-choice-and-賞与金s-2017-health-保険-marketplace
