risk pool


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risk pool

A government-administered health insurance program for people who cannot obtain insurance privately, e.g., because of costly preexisting medical conditions.
See also: pool
References in periodicals archive ?
1628 would let states with risk pools apply for waivers from some ACA rules.
Linking exchange stability to risk pools, potential premium hikes at the end of this year could strongly discourage young adults from signing up and push those currently enrolled but of unstable means back into the ranks of the uninsured, thus increasing the pressure to increase premiums even more (Bloomberg & Holuhan, 2016).
Each insurer is to contribute an equal sum to the risk pool.
The 14.7% allocation from the risk pools of schemes needed debate.
Specifically, this analysis explores: 1) how high risk pools evolved into a public policy function in state government, 2) how state-level policy reforms are informed by national professional associations that provide guidance through model legislation and through informal networks of consultants and contractors, 3) the numerous funding mechanisms used for pool funding that reveal state variation amidst otherwise common program design, and 4) how high risk pools have come to be seen as platforms to implement federal policy.
The primary purpose of Obamacare's broadening the risk pool is to ensure that those people in the pool who don't contribute and depend on the rest of us to pay if they get into trouble put in their fair share.
These risk pools may present an opportunity for employers to fund through a captive, thereby containing their risk.
An option for addressing this, not currently in use to our knowledge, would be to use income-scaled risk adjustment mechanisms to determine the size of the subsidy received or tax paid into the risk pool by each person.
Despite having been insured through the risk pool, most exhibited one or more indicators of underinsurance, such as total out-of-pocket medical expenses amounting to 10 percent or more of family income.
This approach would assemble and manage risk pools to ensure access, maintain stability, lower costs, and greatly reduce the risk premium deviations in the market.
The insurer knows that individual members of the group do not join a risk pool primarily to get health insurance, so adverse selection is less likely.
One risk pool director said recently that we need a system under which all insurers would pay a reasonable premium to the federal reinsurer for the reinsurance protection they receive.