Skip 
Navigation Link
Health Insurance
Resources
Basic InformationLatest News
Insured, But Still Barred From Top-Tier Cancer CentersAs Efforts to Repeal Obamacare Fail, Future of Health Care Reform in LimboRevised Senate Bill Would Allow Bare-Bones Health PlansAmerican Adults Without Health Insurance Rises by Two MillionLack of Health Insurance Can Shorten Lives: StudySenate GOP Leaders Delay Vote on Health Reform BillSome Republicans Voice Concerns About Senate Replacement for ObamacareSenate Republicans Reveal Their Replacement for ObamacareHealth Insurers Recruiting Former Pharma Reps to Cut CostsLeading Medical Groups Mobilize Against Obamacare RepealUncertainty for Obamacare Plans as Filing Deadline Approaches4 in 10 Job-Based Health Plans in U.S. Are Now 'High-Deductible'High-Risk Pools May Represent Step Back for U.S. Health CareCBO: 23 Million Would Lose Health Insurance Under House Health Care BillObamacare a Win-Win for Poorer Adults: StudyCDC: Slowing of Decline in Number of Uninsured AdultsPeople With Pre-Existing Health Issues Fear Repeal-and-Replace BillIncreases in Rates of Insured Don't Harm Continuously InsuredGOP Health Reform Push Faces Uncertain Future in the SenateHouse OKs Republican Health Care BillAmericans Uneasy With Push to Repeal Obamacare: HealthDay/Harris PollHouse to Vote Thursday on Amended Bill to Repeal and Replace ObamacareHouse Delays Vote on Obamacare OverhaulSingle-Payer Health System Bill Moves Forward in CaliforniaCrossroads for ObamacareTrump Rolls Out First Set of Obamacare FixesWhite House, GOP Lawmakers Revisit Health Care BillTV Ads for ACA Enrollment Linked to Decline in Uninsured RatesHealth Insurance a Key to IVF Success, Researchers SayHouse Republican Leaders Pull Bill Aimed at Repealing 'Obamacare'Analysis: Millions Would Lose Health Coverage Under GOP OverhaulACA's Medicaid Expansion May Pose Challenges to Timely CareObamacare's Medicaid Expansion Cut Medical Bill Worries, Study FindsRepublicans Introduce Affordable Care Act ReplacementPatient Organizations Offer Advice on Reforming ObamacareOverall, 8.8 Percent of U.S. Population Uninsured in 2016Doctors Handled Influx of Obamacare Patients: StudyCMS Rule Set to Stabilize Small Health Insurance MarketsThe Short- and Long-Term Prognosis for ObamacareTrump Administration Rolls Out New Obamacare RulesWhat's Next for the Obamacare Insurance Exchanges?Jan. 31 Is Next Deadline to Enroll for ObamacareMajority of Primary Care Docs Oppose Repeal of Obamacare: SurveyObamacare Boosted Coverage for the Chronically Ill, Study Finds2 GOP Senators Unveil Obamacare AlternativeObamacare Covered More People With Mental Illness, AddictionsSteep Bills Surprise Patients Who Go 'Out-of-Network'Obamacare Repeal Could Bring Many More Uninsured, Higher PremiumsIRS Reminds Millions About Fines for Not Signing Up for ObamacareHouse Joins Senate in Bid to Repeal Obamacare
Questions and AnswersLinksBook Reviews
Related Topics

Health Policy & Advocacy
Healthcare
Workplace Issues

CMS Rule Set to Stabilize Small Health Insurance Markets


HealthDay News
Updated: Feb 21st 2017

new article illustration

TUESDAY, Feb. 21, 2017 (HealthDay News) -- The U.S. Centers for Medicare & Medicaid Services (CMS) has proposed a rule in relation to new reforms intended to stabilize individual and small group health insurance markets for 2018.

The rule proposes policy and operations changes designed to stabilize the Marketplace, including special enrollment period pre-enrollment verification, which would expand the pre-enrollment verification of eligibility to individuals who newly enroll through special enrollment periods. The change would help ensure that special enrollment periods are available for all who are eligible, and would require individuals to submit supporting documentation.

In addition, the rule proposes allowing issuers to collect premiums for prior unpaid coverage before enrolling a patient in the next year's plan, and making adjustments to provide greater flexibility for issuers to provide more coverage options for patients. The rule also proposes a revised timeline for the Qualified Health Plan certification and rate review process for 2018, which would provide issuers with additional time to implement proposed changes, and suggests shortening the annual open enrollment period for the individual market.

"This proposal will take steps to stabilize the Marketplace, provide more flexibility to states and insurers, and give patients access to more coverage options," Patrick Conway, M.D., of the CMS, said in a statement. "They will help protect Americans enrolled in the individual and small group health insurance markets while future reforms are being debated."

More Information