Thursday, February 16, 2017 1:11 PM
On February 15, the Centers for Medicare and Medicaid Services (CMS) released a proposed rule designed to stabilize the health insurance marketplace for 2018. The proposed rule would verify eligibility of individuals who newly enroll through special enrollment periods, which has been a concern of insurers with respect to individuals waiting until they need coverage to enroll. It will also allow an insurer to collect premiums for prior unpaid coverage before enrolling an individual in next year’s plan with the same insurer. This is designed to encourage patients to avoid coverage lapses. The rule would also move the assessment of network adequacy to states, and it would shorten the open enrollment for the 2018 coverage year to run from November 1, 2017, through December 15, 2017.
The proposed rule can be found at https://www.federalregister.gov/documents/2017/02/17/2017-03027/patient-protection-and-affordable-care-act-market-stabilization and a summary is available at https://www.cms.gov/Newsroom/MediaReleaseDatabase/Press-releases/2017-Press-releases-items/2017-02-15.html.
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