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. 2019 Mar 21;56:0046958019836060. doi: 10.1177/0046958019836060

Table 2.

Projected Total Reinsurance Costs for a Hypothetical 2020 Reinsurance Program by Payment Rate, Attachment Point, State, and Year.

Attachment point, $ Projected reinsurance costs and standard deviations, $ billions
National California Florida Illinois Texas
90% Payment rate
 20,000 18.0
(1.9)
2.3
(0.4)
1.6
(0.3)
0.8
(0.2)
1.3
(0.3)
 40,000 10.7
(1.2)
1.4
(0.3)
1.0
(0.3)
0.5
(0.2)
0.7
(0.2)
 60,000 7.2
(0.9)
0.9
(0.2)
0.7
(0.2)
0.3
(0.2)
0.5
(0.2)
80% Payment rate
 20,000 16.0
(1.9)
2.1
(0.4)
1.4
(0.3)
0.7
(0.2)
1.1
(0.3)
 40,000 9.5
(1.2)
1.2
(0.3)
0.9
(0.3)
0.4
(0.2)
0.7
(0.2)
 60,000 6.4
(0.9)
0.8
(0.2)
0.6
(0.2)
0.3
(0.2)
0.4
(0.2)
70% Payment rate
 20,000 14.0
(1.9)
1.8
(0.4)
1.2
(0.3)
0.6
(0.2)
1.0
(0.3)
 40,000 8.3
(1.2)
1.1
(0.3)
0.8
(0.3)
0.4
(0.2)
0.6
(0.2)
 60,000 5.6
(0.9)
0.7
(0.2)
0.5
(0.2)
0.2
(0.2)
0.4
(0.2)

Note. All hypothetical programs have a reinsurance cap of $250,000. Expenditures are converted into 2020 dollars using the medical Consumer Price Index (2008-2017) and the National Health Expenditures Accounts projections (2018-2020). Payment rates are the percentage paid to insurers within the reinsurance corridor (eg, $40,000-$250,000).