Insurance Exchanges

Minnesota Health Insurance Exchange has launched its new website, which includes an introductory video on the benefits of the health insurance exchange and how it will work, a benefits calculator for determining tax credits eligibility, information on analysis and grants, and targeted pages for individuals and families, small businesses, agents and brokers, health plans, and others.

Wakely Consulting Group has prepared this policy brief to aid state Exchanges in the process of certifying, recertifying, de-certifying and managing the relationship with qualified health plans (QHPs).

The Center on Budget and Policy Priorities has updated its guide “State Policy Decisions in State-Based Exchange Implementation”. This guide is a compilation of the policy decisions states will need to make when building a state-based exchange. This guide identifies areas where states have flexibility in the design of their exchanges and helps advocates, policymakers, and other stakeholders look for ways to get involved in this process.

HHS released joint Medicaid and exchange proposed rules addressing appeals and notices, eligibility and enrollment, Alternative Benefit Plans, and Medicaid cost-sharing.

Nevada’s Silver State Health Insurance Exchange presented this report to its Board to assist in determining the proper procedures and methods for plan certification, recertification and decertification, in addition to offering component plan certification recommendations.

The Maryland Health Benefit Exchange has released this grant solicitation for applicants interested in serving as regional entities in its Connector Program.  The Connector entities will consist of Navigators licensed by the Maryland Insurance Administration and non-certified assisters.

Consumers offered employer-sponsored insurance (ESI) can be ineligible for subsidies in health insurance exchanges (HIX), and until better ESI data become available, HHS proposes using post-enrollment audits, rather than pre-enrollment verification for this eligibility requirement. This paper examines two strategies through which exchanges can implement this policy by focusing audits on the consumers who are most likely to be ineligible.

Vermont’s Green Mountain Care Board has released a request for proposal for “a contractor who can assist in the development of an efficient rate review process that optimizes the data and information provided to the agency and streamlines the agency’s decision-making.”

The U.S. Office of Personnel Management (OPM) has issued a proposed rule to implement the Multi-State Plan Program (MSPP).