11/22/2014
Enrollees would be able to choose the option to be automatically enrolled in cheaper coverage when they first enter the exchange, the CMS said.
"This alternative enrollment hierarchy could be triggered if the enrollee's current plan's premium increased from the prior year, or increased relative to the premium of other similar plans by more than a threshold amount," the regulation stated.
"As is the case under the existing approach, a consumer would retain the option to take action to enroll in a different plan during open enrollment if he or she wished to do so."
The potential shift in policy comes as the administration strongly encourages enrollees to comparison shop for health plans to avoid price increases in 2015.
Most people who obtained coverage on the marketplaces last year are not expected to come back, however, and it's likely some will be surprised by cost increases.
The idea of automatically changing consumers' coverage could trigger problems as people find themselves in plans with new benefits, cost-sharing and provider networks.
The CMS acknowledged the potential pitfalls.
"We seek comment on such an approach, including with respect to how to ensure that consumers understand the risk of being default re-enrolled in a [new] plan."
source
The Obama administration might allow states to shift ObamaCare enrollees into cheaper plans in 2016 if consumers do not take action to enroll themselves in new coverage.
The proposal was released Friday as part of a 324-page regulation outlining how the marketplaces will operate in 2016.
The Centers for Medicare and Medicaid Services (CMS) said it was weighing the change because consumers tend to favor cheaper plans.The proposal was released Friday as part of a 324-page regulation outlining how the marketplaces will operate in 2016.
Enrollees would be able to choose the option to be automatically enrolled in cheaper coverage when they first enter the exchange, the CMS said.
"This alternative enrollment hierarchy could be triggered if the enrollee's current plan's premium increased from the prior year, or increased relative to the premium of other similar plans by more than a threshold amount," the regulation stated.
"As is the case under the existing approach, a consumer would retain the option to take action to enroll in a different plan during open enrollment if he or she wished to do so."
The potential shift in policy comes as the administration strongly encourages enrollees to comparison shop for health plans to avoid price increases in 2015.
Most people who obtained coverage on the marketplaces last year are not expected to come back, however, and it's likely some will be surprised by cost increases.
The idea of automatically changing consumers' coverage could trigger problems as people find themselves in plans with new benefits, cost-sharing and provider networks.
The CMS acknowledged the potential pitfalls.
"We seek comment on such an approach, including with respect to how to ensure that consumers understand the risk of being default re-enrolled in a [new] plan."
source
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