Health Affairs February 1, 2020
Katie Keith

The Centers for Medicare and Medicaid Services (CMS) released its proposed 2021 Notice of Benefit and Payment Parameters rule on January 31, 2020. An earlier post addressed the rule’s changes in plan benefits, market reforms, and special enrollment periods. This post considers proposed changes to the exchanges. A third post will cover the proposed changes to the risk adjustment program.

Automatic Reenrollment Process

The most significant potential proposed change is related to the automatic reenrollment process. There has long been speculation that the Trump administration would end the automatic reenrollment process, and CMS uses the proposed rule as an opportunity to propose a number of changes to this process. Under current regulations, exchange enrollees that remain eligible for a QHP...

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