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The ICHRA plan participants themselves have flowed between insurers and plans in what looks like an orderly fashion, without big, frightening surges of enrollees into underpriced or overly generous plans.

"If there is no extension provided, rising marketplace premiums could significantly impact employer-sponsored health plans," said Cole Harris, the president of CBIZ Benefits & Insurance of Tennessee.

Health care leaders are taking a strategic approach to nursing compensation this year, a survey by the consulting firm SmithCotter found.

Concerned shoppers, wondering if there’s anything they can do, are consulting insurance brokers or talking to representatives at ACA marketplace call centers.

President Trump said replacing some Affordable Care Act individual health insurance premium subsidies with contributions to people's health savings accounts will hurt health insurance companies but help the customers.

The bill includes AHP, ICHRA and stop-loss provisions but might already be "dead on arrival" in the Senate.