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While attention is focused on Republicans' fight to pass a bill to repeal Obamacare starting in 2019, health insurers are busy struggling with decisions they need to make now about how to price premiums and what markets they can afford to be in next year. Hospitals are on the other side of that coin, concerned that a spike in the cost of Obamacare premiums next year will cause many people to simply drop insurance coverage, reducing their revenues in the near future. Republicans in the U.S. House of Representatives voted to undo Obamacare on Thursday, but even if the bill - known as the American Health Care Act (AHCA) - is passed by the Senate it would not solve a critical outstanding issue for insurers looking at 2018: Will the government continue to fund the cost-sharing subsidies that help individuals pay for care?