As we near the end of the third open enrollment period under the Affordable Care Act, navigators and assisters are rightly focused on signing up as many people as they can for marketplace coverage. At the same time, many are also putting more time and energy into a crucial element of an effective enrollment program: follow-up with consumers who are already enrolled.
While the few months of open enrollment are typically what most people think of when they think about marketplace health coverage, the truth is that enrollment happens all year long. Between helping consumers sign up for coverage when they experience certain life changes, enrolling people in Medicaid, and trying to educate the public about the Affordable Care Act, enrollment assisters are busy 365 days a year.
A new report released last week confirms the findings that enrollment experts emphasized on our teleconference with reporters last Wednesday: We still have a ways to go in getting “hard-to-reach” populations enrolled in health coverage.
This year's annual Health Action conference offered an enrollment assister track for people who help consumers enroll in Affordable Care Act (ACA) marketplace coverage. The track attracted navigators, certified application counselors (CACs), and enrollment program managers from across the country. Taking place just days after the close of open enrollment, Health Action 2016 gave assisters a chance to celebrate their successes. Here is a quick run-down of the highlights for assisters, in case you missed it.
Enrollment assisters have an important role to play in educating public officials about issues that consumers face. As trusted voices in their communities, assisters are in an ideal position to help decision-makers understand the health care issues that affect the consumers they work with, such as affordability and access to quality health care.
Public policy outreach and education can help make a difference in the lives of millions.
This is the second year that everyone who files taxes must indicate whether they have health insurance. The good news is that this process is straightforward for most people. The majority of Americans have health coverage and many will simply have to check a box to indicate that they have it. Those who do not have health insurance must either pay a fine or claim an exemption from the requirement. This is all done through the tax filing process.
With a majority of states expanding Medicaid, many more people stand to gain health coverage, including those recently released from jail or prison. States are re-evaluating their policies regarding Medicaid for incarcerated residents.
We’ve taken a closer look at what states have accomplished so far to get a better idea of how this has played out across states. We found that 34 states and the District of Columbia now have some form of policy to suspend Medicaid for people in prison or jail. Here, we explain why more states should adopt this policy.
There's a lot to like in the new “Notice of Benefit and Payment Parameters” rule from the federal government, both about what insurers must offer in the health plans they sell on the federal marketplace in 2017 and about other issues related to enrollment. However, we had hoped the government would release its originally proposed, firmer standards for provider networks and make other parts of this rule mandatory, not voluntary, for insurers.
Overall, the rule, released by the Centers for Medicare and Medicaid Services (CMS) last week, takes significant steps toward making health insurance and care more affordable and making it easier for consumers to compare health plans. In this blog we discuss a number of specific provisions of the rule that will most affect people who buy health insurance through the marketplace.
At the end of February, the Centers for Medicare and Medicaid Services (CMS) announced significant changes to the federal marketplace process for consumers to enroll in health insurance through special enrollment periods (SEPs). While the new SEP process has not been entirely laid out yet, we have significant concerns that these changes will negatively affect consumers, especially low-income consumers and immigrants. Here we describe some principles the new process should follow to meet the needs of consumers.
This week, the House Ways and Means Committee in Congress will vote on legislation that would eliminate caps on how much money marketplace consumers must repay the federal government if they receive more premium tax credits (a form of financial assistance) than they should based on their projected annual income. Families USA is concerned that the bill could deter people from signing up for health insurance if there is no longer a reasonable cap on how much they could be required to repay.