Boldest Parts of New ACA Exchange Rule Face Uncertain Fate
In a proposed rule released on Nov. 25, CMS floated some ambitious changes to the regulations governing the Affordable Care Act (ACA) exchanges, most notably allowing states to ditch a centralized health plan marketplace and instead rely on private web brokers, agents and insurers to enroll people in coverage.
However, as with the recent revival of a rule that restructures the prescription drug rebate system in Medicare Part D (HPW 11/25/20, p. 5), legal experts say this regulation may never be implemented as written.
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