Insurers need predictable rules to figure out how much they’re likely to pay for medical costs and set their premiums to account for that, Levitt said. They also need data on the health status and costs of covering individuals enrolling in Obamacare, and that is accumulating annually.

“We’re evaluating all these proposals on whether it advances stability in the market and affordability for consumers,” Greg Gierer, vice president for policy for America’s Health Insurance Plans, an industry group, said by phone.

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