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May 2016

Recent Stories

From Inside Health Insurance Exchanges - Interim final rules (IFR) released by CMS on May 6 will tighten a loophole that carriers contend makes it far too easy for people to game the enrollment system (81 Fed. Reg. 29146, May 11, 2016). Carriers have complained that lax rules around special enrollment periods (SEPs) make it easy for people to buy coverage only when they need it. SEPs were created under the Affordable Care Act (ACA) to boost enrollment by allowing people to sign up for coverage outside of the regular open-enrollment period if they experience life-altering events such as the birth of a child, the loss of a job or a permanent move. Read more

Armed with more complete information about the health of exchange enrollees —… Read more

CMS is considering several tweaks to its risk-adjustment program including a high-risk… Read more

Beginning next January, health insurers in Colorado will be allowed to use… Read more

From the Editor

Welcome to your Inside Health Insurance Exchanges subscriber-only Web page

Be sure to visit often, for PDFs of issues, archives of articles, and more!

Please e-mail me with your comments, story ideas for future issues, or any other suggestions you have that can make the newsletter more useful for you.

May 18, 2016
New Mexico Blues Returns to State Exchange

Blue Cross Blue Shield of New Mexico is staging a return to the state's individual exchange after dropping out last year when regulators rejected a requested 52% rate hike.

May 18, 2016
E-News Alert for May 18, 2016

This week's headlines

  • Carriers in Washington State Seek 13.5% Rate Hike for 2017
  • Many Exchange Enrollees Stopped Paying in 2015, Re-enrolled in 2016
  • Colorado Exchange Will Lose United and Humana, but May Gain Bright Health
  • Directories Are Virtually Useless for Finding Psychiatric Care, Study Finds

Click here to read the articles in this week's E-Alert.

Previous E-Alerts are archived at "Recent E-Alerts."

May 18, 2016
Oscar Requests Rate Hikes of Up to 30% in New York

Oscar Health is asking for premium increases of between 8% and 30% on its individual exchange plans in New York.

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