BCBS of NC attributes proposed 23% rate hike to uncertainty of cost-sharing reductions

Durham-based Blue Cross and Blue Shield of North Carolina requested a 22.9 percent average rate increase for health plans it sells on the ACA exchange.

The insurer attributed most of the hike to funding for cost-sharing reduction payments, which BCBSNC projects will not be provided in 2018.

BCBSNC said were it known if the cost-sharing reductions will be fully funded next year, its "requested increase would have been 8.8 percent."

The payer said a tax on health insurers and increased medical costs also contributed to the change. BCBSNC said it is still unsure if it will participate in the 2018 ACA exchanges. 

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