The Centers for Medicare & Medicaid Services today issued a proposed rule designed to help stabilize the Health Insurance Marketplaces. The rule proposes changes in six areas: special enrollment periods; guaranteed issue; actuarial value; network adequacy; qualified health plan certification calendar; and open enrollment periods. The new policies are intended to make certain coverage options more affordable to consumers, reduce certain administrative burdens on plans, and reduce adverse selection to improve the risk pools. Most of the policies would go into effect for the 2018 plan year, but several would be implemented in 2017. The changes would not apply to states that operate their own Marketplaces. “The AHA has long advocated for measures to stabilize the insurance marketplaces, and we appreciate that the Administration signaled its commitment to working to achieve this goal,” said AHA Executive Vice President Tom Nickels. “We believe many of today’s proposals have the potential to make participation in the marketplaces more appealing to insurers and consumers, such as allowing insurers to offer less-expensive options. However, we will be reviewing them in more detail to ensure that they both improve consumer access to coverage and maintain important consumer protections including maintaining access to essential community providers. We are committed to working with the Administration to protect this vital coverage source for consumers.” For more on the proposed rule, see today’s AHA Special Bulletin for members.

Related News Articles

Headline
Enrollment in private health insurance plans remained concentrated among a small number of issuers in 2015 and 2016
Headline
The Department of Health and Human Services this week awarded $487 million in fiscal year 2019 grants to help states and territories increase access to…
Headline
The National Health Law Program and other groups yesterday filed a class action lawsuit against the Department of Health and Human Services for approving a…
Headline
The three medications approved by the Food and Drug Administration to treat opioid use disorder — methadone, buprenorphine and extended-release naltrexone —…
Headline
Hospitals in states that impose Medicaid work requirements could see reduced Medicaid revenues and operating margins and increased uncompensated care costs,…
Headline
About 34 percent of uninsured U.S. adults did not take their medication as prescribed in 2017 in order to reduce their prescription drug costs, according to a…