Medical Economics February 14, 2025
Key Takeaways
- CMS reduces Navigator program funding to $10 million, aiming for cost-effectiveness and lower premiums.
- The program’s cost per enrollment was high, with decreased post-enrollment assistance despite increased funding.
- Savings will focus on effective strategies, benefiting full-premium payers and reducing federal subsidy spending.
- The change will save $360 million over four years, impacting states with exchanges in the next grant period.
Some enrollments were costing the government more than $3,000 per enrollee
CMS has announced a reduction in funding to $10 million for the Affordable Care Act Navigator program.
The program received $98 million in the 2024 plan year, and Navigators enrolled 92,000 consumers—0.6% of plan selections through the Federally-facilitated exchanges during the open enrollment period—at a...
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