States Given Flexibility in Insurance Markets with Waivers

///States Given Flexibility in Insurance Markets with Waivers

States Given Flexibility in Insurance Markets with Waivers

On Monday, the Centers for Medicare and Medicaid Services released a guidance that gave states more power to overhaul their own individual insurance markets through the 1332 waiver. The waiver is meant to stimulate enrollment and allow states to offer more cost-effective but lean association and short term insurance plans. Through the Affordable Care Act, there is a set minimum coverage, but beyond that, the states will have more control in coverage options.

The guidance is meant to allow states to handle certain issues within their own insurance markets, since coverage has become increasingly expensive for some consumers.  

Within the previous administration, the guidance waivers were meant to require states to have comprehensive and affordable coverage just like under the ACA, while demonstrating that the coverage will not increase federal spending. If states failed to show this, their waiver would be denied.

Under the current Trump Administration, the waiver application process is focused not on the outcomes and its affect on people enrolled, but rather on how the changes would affect the availability of insurance coverage within the state’s insurance market. The waivers are also focused on how it affects the general population, rather than those who are considered “vulnerable.”


Read the original article from Modern Healthcare here.

By | 2018-10-25T09:25:23+00:00 October 25th, 2018|Articles, Government Mandates and Compliance|0 Comments