CMS issues policies aimed at ensuring ACA plan subsidies are offered to ‘the right people’
Fierce Healthcare January 31, 2020
The Trump administration has unveiled several policy proposals for the Affordable Care Act exchanges that it says will ensure premium tax credits are going to “the right people.”
The Centers for Medicare & Medicaid Services issued its annual proposed Notice of Benefit and Payment Parameters rule (PDF) on Friday. In it, the agency proposed updates to data matching standards to prevent tax credits from being paid to enrollees who have died or are dually eligible for Medicare benefits, CMS officials said.
CMS has also proposed a new approach to automatic re-enrollment for members with $0 premiums after tax credits. To ensure that these enrollees are receiving tax credits appropriately, the agency wants to require that they return to the exchange...