Tag Archives: healthcare.gov

ACA Implementation Round-Up: Insurer Quality Ratings And More

Recent CMS actions implementing the ACA include the release of further details on the use of a quality rating system for qualified health plans in connection with the 2017 open enrollment period, the announcement of an employer coverage verification study, and more.

May 3, 2016

In Annual Baseline Budget Projections, CBO Decreases Marketplace Enrollment Estimates (Update)

In its March 2016 baseline budget projections, the Congressional Budget Office reduced its enrollment projections for the ACA marketplaces. The CBO’s projected costs of the ACA’s coverage provisions was up a bit but still substantially below original projections.

March 25, 2016

New Section 1332 Guidance A Mixed Bag For States

In December, HHS and Treasury released new guidance on how the agencies will evaluate state applications for the ACA’s Section 1332 State Innovation Waivers. For states, it turned out to be a classic example of “be careful what you wish for,” as the the new guidance considerably limits their...

February 29, 2016

CMS Announces New Requirements To Enroll In Special Enrollment Periods (Updated)

CMS recently announced that it is going to begin requiring documentary verification to determine eligibility for some special enrollment periods for the federal exchange, Healthcare.gov.

February 24, 2016

The OIG Report Analyzing Healthcare.gov’s Launch: What’s There And What’s Not

OIG has released a lengthy report analyzing the federal marketplace’s implementation, from the problematic launch to the subsequent course corrections, but the report could have included discussion of the difficulty of performing such a complex task in an atmosphere of intense political hostility.

February 24, 2016

The 2016 Open Enrollment Tally: 12.7 Million Selected Plans, 1 Million More Than 2015

CMS has released its final enrollment snapshot for the 2016 open enrollment period which ended on January 31. Overall, 12.7 million individuals selected plans in 2016 through HealthCare.gov and the state-operated marketplaces, up 1 million from 2015, though the numbers are not truly comparable.

February 4, 2016

ASPE Releases Enrollment Data From Healthcare.gov And State-Based Marketplaces

On January 7, 2016 the HHS Assistant Secretary for Evaluation and Planning (ASPE) released data on marketplace enrollment for both the states that used the Healthcare.gov enrollment platform and the 13 state-based marketplaces that used their own enrollment platform.

January 8, 2016

Healthcare.gov Got The Math Wrong For Dependents With Social Security Income And It May Be Costing Families Thousands

Modified adjusted gross income (MAGI) is the methodology adopted by the Affordable Care Act to determine eligibility for Medicaid, the Children’s Health Program (CHIP), and financial assistance in purchasing coverage through the Health Insurance Marketplaces.

April 20, 2015