Trump could release an executive order as early as this week on "association health plans," which would allow groups of small employers to band together and purchase their health care coverage as a collective — and to buy that insurance from across state lines.
There's considerable concern among nonpartisan health care experts that broader association health plans would weaken insurance markets by peeling healthy consumers away from the rest of the market. But there's another, potentially stronger possibility: that they wouldn't accomplish much at all.
The reason: Networks. Insurance isn't just a local product because of regulatory tradition. It's because people buy insurance so they can use some health care service, and they usually want to use those services reasonably close to the places they live.
Buying insurance from another, less regulated state might sound like an effective cost-saver in economic theory, but who's going to buy a plan from another state when you need to see doctors and hospitals in your area?
Go deeper: If you want to bone up on association health plans before Trump releases his executive order, here's a good primer from the American Academy of Actuaries.