According to USA Today:
“Bowing to pressure from insurers, federal officials on Tuesday tightened the conditions under which people can sign up for plans on the HealthCare.govexchange outside open enrollment.
The move by the Centers for Medicare and Medicaid Services comes after complaints by health insurers that it was too easy for people to wait until they were sick to sign up and to drop coverage after they got treatment. Earlier Tuesday, UnitedHealth announced a 19% drop in profit and downgraded its earnings forecast citing concerns about its Obamacare enrollment and the flexibility people had to change insurance plans.
CMS announced it would eliminate six more “special enrollment period” categories, a month after dropping the one that allowed people to enroll late if they became surprised by the penalty they face for not having insurance at tax time. This year, special periods will not be allowed for people, including non-citizens who had errors in their premium tax credits and others who weren’t aware of mistakes or eligibility. .
The state and federal exchanges have to work well for consumers, but they also “must be attractive for insurance companies that offer plans on it,” said HealthCare.gov CEOKevin Counihan in a blog post late Tuesday.
CMS also issued guidance to clarify just who is eligible to sign up during special enrollment periods, which Counihan said is designed to prevent abuse.
Katherine Hempstead, director of the insurance coverage team at Robert Wood Johnson Foundation, called the move “a tangible and timely response.”
“It remains to be seen what the impact will be, but this suggests awareness that for the market to succeed in the long run, CMS needs to focus on more than the consumer experience and getting ‘butts in the seats,’” said Hempstead. “It also needs to ensure that there are market conditions that are conducive to sellers as well as buyers.””
Tags: 2016, ACA, ACA requirements, affordable care, Affordable Care Act, affordable health insurance, Albany Park, Andersonville, Arlington Heights, Barrington, Bartlett, BCBS, Berwyn, Blue Cross, Bucktown, budget cuts, buy health insurance, buying insurance, care reform legislation, Carpentersville, Changeing Health Care, Chicago, Chicagoland, Cicero, Cook, Cook County, Costs, coverage plan, Crystal Lake, Deer Park, Deerfield, DeKalb, DeKalb County, Desplaines, Dundee, DuPage, DuPage County, ebola, Elgin, Elmwood Park, enroll, enrollment, exchange, Forest Park, Fox River Grove, Fox Valley, Franklin Park, Geneva, Gilberts, Glen Ellyn, Glencoe, Glendale Heights, Government, government regulations, group rates, health, health care benefits, health care costs, health care law, health care reform, health care system, health insurance costs, health insurance coverage, Health insurance exchange, health insurance marketplace, health insurance premiums, health insurance reform, Health Marketplace, health plan, health programs, health reform, health savings account, healthcare reform, healthcare.gov, High deductible health plan, Hinsdale, Holiday Hills, Huntley, IL, Illinois, Illinois Department of Insurance, Illinois health insurance exchange, individual health insurance, individual insurance, insurance, Insurance benefit consultant, insurance industry, insurance news, insurance plan, Insurance Reform, Kane, Kane County, Kendall, Kendall County, Lake County, Lake in the Hills, Lake View, Lakewood, Lincolnwood, Logan Square, Maple Park, Marengo, Massachusetts, McCullom Lake, McHenery, McHenry, McHenry County, Medicaid, medical expenses, Medicare, new health care, New health insurance law ACA, North Aurora, North Barrington, North West Suburbs, Northern Illinois, Northlake, Northwest Suburbs, Oak Park, Oakbrook Terrace, Obama care, ObamaCare, Obamacare regulation, open enrollment, Palatine, Park Ridge, Penalty, Prairie Grove, Ringwood, Riverwoods, Roselle, Saint Charles, Schaumburg, sign up, Skokie, Sleepy Hollow, South Barrington, South Elgin, special enrollment, St. Charles, state health insurance, Streamwood, Sugar Grove, Tax, the affordable care act, timeline, Trout Valley, Villa Park, Village of Lakewood, Warrenville, Wasco, West Chicago, West Dundee, Wheaton, Will, Winfield, Wood Dale, Woodridge, Woodstock, young adults, young people
