Health Ministry Plans Begin to Set Their Own Rules

News August 03, 2023 at 10:57 AM
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Congress freed health care sharing ministries from the Affordable Care Act rules that apply to major medical insurance plans, but the ministries are trying to develop their own rules.

U.S. Government Accountability Office investigators found that the ministries have taken steps such as seeking accreditation and putting warnings about the fact that they are not health insurance companies in their marketing materials, according to a new GAO report.

What It Means

The GAO report shows what kinds of rules a financial services organization may have to adopt to stay in operation, even if it faces no government-mandated rules.

What the GAO Found

The GAO is a congressional agency that helps lawmakers keep tabs on the rest of the government.

The GAO looked at health care sharing ministries and other alternatives to major medical insurance because of some lawmakers' fears that the alternative programs may be luring healthier consumers away from commercial health insurers.

The GAO located nine ministries that are open to the public and reviewed the operations of five.

The nine ministries collectively cover 1.2 million, and the biggest has 392,000 members.

The ministries have a wide range of business models. One, for example, sets up separate bank accounts for member families and has families that are feeling generous shift cash directly from their accounts to the accounts of families with big medical bills.

Three put the members' contributions in centralized funds, and one hopes to promote transparency by putting contributions in an independently audited central trust fund, the GAO says.

Four have panels that resolve member disputes over cost sharing.

Two competing accreditation bodies, the Health Care Sharing Accreditation Board and the Faith-Based Sharing Review program have emerged, the GAO notes.

Credit: Melanie Bell/ALM

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