Zero-premium options will still be available at low incomes, barring other blows to the ACA marketplace| xpostfactoid.substack.com
The proposed Marketplace Integrity rule and House-passed budget bill purportedly aim to curb ACA fraud but overlook basic steps to address broker misconduct. CHIR experts explain how these policies increase barriers for eligible enrollees without improving oversight of unethical brokers or implement| CHIRblog
In recent weeks, we’ve seen news reports of Marketplace enrollees’ coverage being switched without their knowledge. Here's what consumers need to know.| healthinsurance.org
JD Vance sketched out an extension of Trump's past actions to, um, "build on" the ACA| xpostfactoid.substack.com
Unauthorized plan-switching in the ACA marketplace, whereby health insurance agents access an existing enrollee’s account, list themselves as the agent of record (AOR), and switch the enrollee into a different plan without the enrollee’s knowledge or consent (or with nominal, uncomprehending consent), obviously hurts enrollees who try to use their health insurance and find that they’re no longer enrolled because they’ve been switched to a different (often inferior) plan.| xpostfactoid.substack.com
The Centers for Medicare & Medicaid Services (CMS) is committed to protecting consumers from bad actors and ensuring the program integrity of the Federally-facilitated Marketplace (FFM). That’s why CMS is taking additional action to address increases in unauthorized changes in consumers’ enrollments by agents and brokers. Starting on July 19, 2024, CMS will block an agent or broker from making changes to a consumer’s FFM enrollment unless the agent is already associated with the consume...| www.cms.gov
Well, not 50. But there are varying degrees of sloppy practice and fraud| xpostfactoid.substack.com
The marketplace necessarily invests a lot of trust in brokers and agents. But HealthCare.gov needs new fraud controls.| xpostfactoid.substack.com
A May 2023 CMS presentation to health insurance agents and brokers selling ACA marketplace plans opens on a celebratory note.| xpostfactoid.substack.com
CMS does not want to kill the golden goose enabling enrollment growth| xpostfactoid.substack.com
The suit sheds apparent light on several questions about how unauthorized plan-switching appears to have been executed at scale| xpostfactoid.substack.com
More or less simultaneously with CMS’s announcement that 15.3 million people had enrolled in health plans via HealthCare.gov through December 15, HealthSherpa announced that 6.1 million of those enrollments were effected through its platform.| xpostfactoid.substack.com
Most enrollments on HealthCare.gov...aren't on HealthCare.gov| xpostfactoid.substack.com
Will a push or a nudge into silver change much?| xpostfactoid.substack.com