Biden Admin Backs New SEP, but Is Adverse Selection a Worry?

The Biden administration on June 28 made good on its previous pledge to roll back certain Trump-era regulations regarding the Affordable Care Act exchanges when it issued a proposed rule that CMS deemed a “continuation” of the already finalized two-part Notice of Benefit and Payment Parameters for 2022. But the most consequential part of the proposal, experts say, wasn’t a policy reversal so much as a new idea that federal health officials want to try on for size: offering a monthly special enrollment period (SEP) for a select group of individuals.

“To provide more opportunities for certain low-income consumers to access premium-free or very low-cost coverage made available by the American Rescue Plan Act of 2021, we are proposing to provide Exchanges the option to implement a monthly SEP” for people with a household income no greater than 150% of the federal poverty level (FPL), CMS said in a fact sheet outlining the proposed rule’s provisions.

0

0

0 Comments

0

0

• Health Plan Weekly