CMS rule set to stabilize small health insurance markets

February 22, 2017

(HealthDay)—The U.S. Centers for Medicare & Medicaid Services (CMS) has proposed a rule in relation to new reforms intended to stabilize individual and small group health insurance markets for 2018.

The rule proposes policy and operations changes designed to stabilize the Marketplace, including special enrollment period pre-enrollment verification, which would expand the pre-enrollment verification of eligibility to individuals who newly enroll through special enrollment periods. The change would help ensure that special enrollment periods are available for all who are eligible, and would require individuals to submit supporting documentation.

In addition, the rule proposes allowing issuers to collect premiums for prior unpaid coverage before enrolling a patient in the next year's plan, and making adjustments to provide greater flexibility for issuers to provide more coverage options for patients. The also proposes a revised timeline for the Qualified Health Plan certification and rate review process for 2018, which would provide issuers with additional time to implement proposed changes, and suggests shortening the annual open enrollment period for the individual market.

"This proposal will take steps to stabilize the Marketplace, provide more flexibility to states and insurers, and give patients access to more coverage options," Patrick Conway, M.D., of the CMS, said in a statement. "They will help protect Americans enrolled in the individual and small group while future reforms are being debated."

Explore further: What's next for the Obamacare insurance exchanges?

More information: More Information

Related Stories

What's next for the Obamacare insurance exchanges?

February 10, 2017
(HealthDay)—Americans who buy health insurance through the Affordable Care Act (ACA) marketplaces could have fewer health plan choices and face new enrollment hurdles and cost pressures in 2018, health policy analysts say.

The short- and long-term prognosis for Obamacare

February 21, 2017
(HealthDay)—As confusing as it may be for health insurance buyers and taxpayers, the latest moves on the Affordable Care Act (ACA) don't spell its imminent collapse, according to experts who follow the law.

HHS: marketplaces open new insurance options for consumers

June 6, 2013
(HealthDay)—Health Insurance Marketplaces, due to be introduced in October 2013, will increase the coverage options for many consumers, according to a memo released by the U.S. Department of Human & Health Services.

Trump administration pulls back on HealthCare.gov ads

January 27, 2017
The Trump administration says it is pulling back advertising to promote HealthCare.gov as open enrollment draws to a close for this year.

'Obamacare' sign-ups show slippage in preliminary report

February 3, 2017
Facing higher premiums, less choice and a last-minute advertising pullback, fewer people signed up for coverage this year through HealthCare.gov, according to numbers from a preliminary government report Friday.

Minnesota's health exchange reports record number of signups

February 9, 2017
A record number of residents signed up for private insurance this year through Minnesota's health exchange, officials said Thursday, attributing the spike in part to uncertainty over the federal health care law and a novel ...

Recommended for you

Don't eat bitter pumpkin, study warns after women lose hair

May 25, 2018
A doctor warned Friday that bitter-tasting pumpkins and squashes can contain potent toxins, after two women were poisoned by their dinners and lost most of their hair.

Hot cars can hit deadly temperatures in as little as one hour

May 24, 2018
A lot can happen at 160 degrees Fahrenheit: Eggs fry, salmonella bacteria dies, and human skin will suffer third-degree burns. If a car is parked in the sun on a hot summer day, its dashboard can hit 160 degrees in about ...

Research finds a little exercise does a lot of good for ageing muscles

May 24, 2018
Getting old doesn't necessarily mean getting weak and frail – just a little bit of exercise can help maintain muscle mass and strength, Otago research has revealed.

In helping smokers quit, cash is king, e-cigarettes strike out

May 23, 2018
Free smoking cessation aids, such as nicotine patches and chewing gum, are a staple of many corporate wellness programs aimed at encouraging employees to kick the habit. But, new research shows that merely offering such aids ...

What makes us well? Diversity, health care, and public transit matter

May 23, 2018
Diverse neighbors. Health centers. Commuter trains. These community attributes, and other key factors, are linked to well-being and quality of life, according to Yale researchers.

Time spent sitting at a screen matters less if you are fit and strong

May 23, 2018
The impact of screen time on cardiovascular disease, cancer incidence and mortality may be greatest in people who have lower levels of grip-strength, fitness and physical activity, according to a study published in the open ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.