CMS Taking Steps to Stabilize Individual Market Risk Pool

CMS announced several actions to stabilize the risk pool for individual health insurance coverage, including plans sold on HealthCare.gov, by enrolling more healthy people and discouraging potential gaming by enrollees and insurers. The actions include: limiting access to short-term limited duration plans that are exempt from ACA reforms; improving the risk adjustment program to more accurately reflect enrollee costs; helping older consumers transition to Medicare; implementing a new confirmation process for special enrollment periods; and addressing data-matching issues. In conjunction with the announcement, the Departments of Labor, Treasury, and Health and Human Services jointly released a proposed rule that would implement some of these changes.