Changes to Preliminary Regulations
Governing boards for state health insurance exchanges are required to have at least one voting consumer representative
Health insurance exchanges provided with option to allow HHS to determine eligibility for insurance subsidies
Allows states to select Medicaid agency of choice to determine applicant eligibility
Health insurance exchanges cannot allow insurance agents to determine eligibility for insurance subsidies or Medicaid
According to a recent Washington Post article, some are concerned with the lack of guidance on how state health insurance exchanges will be established in states unwilling to create their own exchanges. "There’s no new information on how that would work, what the partnership model would look like or what states would have to pay – and that’s all information many states have anxiously awaited,” said atti Boozang, managing director at Manatt Health Solutions.
Effect of Health Insurnace Exchange Rules for Employers...Small and Large
Health care reform includes the creation of American Health Benefit Exchanges for individuals and Small Business Health Options Program (SHOP) exchanges for businesses with up to 100 employees. The SHOP exchangs will allow small employers to offer coverage from multiple issuers.
Many large employers with employees in multiple states are taking more of a wait-and-see approach to deal with health insurance exchanges in multiple states.
Have the HHS final and interim rules provided any clarity for you on how health insurance exchanges will work?