Open enrollment period

Segmented, Personalized Outreach Drives MAO Retention Efforts

Medicare consumers are facing an overwhelming variety of resources and plan choices and are showing signs of increased movement during the Open Enrollment Period (OEP). As a result, effective member engagement during the OEP and throughout the year is becoming increasingly important and can be achieved through using data to segment membership and deliver targeted, personalized messaging to ensure that a member is in the right plan from the start, industry experts advised during the 13th Annual Medicare Market Innovations Forum, hosted by Strategic Solutions Network, LLC (SSN).

After the Medicare Annual Election Period (AEP) that typically runs from Oct. 15 through Dec. 7, the three-month Medicare OEP starts on Jan. 1 and allows beneficiaries who selected a Medicare Advantage plan to make a onetime coverage change. This year was the fourth OEP since it was reinstated by the Trump administration after a hiatus, and seniors’ utilization of the renewed opportunity is growing.

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ACA Exchange Enrollment Hits Record High

A record 14.5 million people enrolled in Affordable Care Act marketplace coverage from Nov. 1, 2021, through Jan. 15, 2022, including 10.3 million people who live in states using HealthCare.gov and 4.2 million in states with their own marketplace, according to CMS. Three states — Kentucky, Maine and New Mexico — transitioned to their own state-based exchanges for the 2022 plan year. Among the 33 states using HealthCare.gov, all but Hawaii saw an enrollment increase for 2022 compared with 2021, with eight experiencing signup surges of more than 30%.

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News Briefs: More than 14M Sign Up for ACA Plans | Jan. 14, 2022

With the annual open enrollment period for Affordable Care Act marketplace plans about to close, HHS reports that more than 14.2 million people have signed up for plans since the OEP started on Nov. 1, 2021. That figure includes 10 million people selecting or being automatically enrolled in plans on HealthCare.gov through Jan. 12 and 4.2 million on the state-based marketplaces as of Jan. 8. The federal OEP for 2022 plans ends Jan. 15 — making it a month longer than signup periods during the Trump administration. HHS also released a report that detailed how the expansion of premium subsidies under the American Rescue Plan Act has led more customers to choose plans with lower deductibles.

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2022 Outlook: This Year, ‘Smooth Sailing’ Appears Likely for ACA Exchanges

For health insurers that operate in the Affordable Care Act exchanges, 2022 is shaping up to be a relatively stable, profitable year with few regulatory surprises, health policy experts tell AIS Health. Still, there will be some regulatory uncertainty that plans must grapple with as well as a newly proposed rule effective in 2023 that imposes tighter controls on benefits and network design than even the Obama administration attempted.

That regulation is the Notice of Benefit and Payment Parameters (NBPP) 2023 Proposed Rule, released by the Biden administration on Dec. 28. Perhaps the biggest change included in the annual omnibus exchange rule — the move to require standardized ACA marketplace plans — was already known to the industry but still promises to make a significant impact.

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News Briefs: Centene Completes Acquisition of Magellan Health | Jan. 6, 2022

Centene Corp. completed its $2.2 billion acquisition of Magellan Health, Inc. The previously announced deal will allow Centene to expand its behavioral health platform, increase its specialty health and pharmacy capabilities, and enhance its ability to address members’ whole health. Magellan Health will operate independently under Centene’s Health Care Enterprises umbrella, with CEO Ken Fasola and other members of Magellan Health’s leadership team continuing to lead the organization, Centene said on Jan. 4.

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