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Exchange plans tasked with manual switches
Pushback on narrow networks likely the reason behind administration's new tweak
By Julie Miller
Federal officials are allowing enrollees who signed up on healthcare.gov to switch their plans through March 31, according to the Washington Post. Reportedly, a memo was sent to insurers notifying them of the change.
“Health plans are focused on ensuring consumers have the support they need to choose the coverage option that is right for them,” says Clare Krusing, spokesperson for America’s Health Insurance Plans (AHIP).
The change is one that plans are generally supportive of because it’s in their best interest to make sure members enroll in the right policy. New members and potential members are overwhelming plans’ call centers with questions surrounding open enrollment, while at the same time narrow networks are under fire from federal officials who suggest that next year's plans will be reviewed for network adequacy.
Undoubtedly allowing consumers to switch plans is a response to complaints from members who signed up for a plan and found out later that their preferred providers are not in-network. Previously, healthcare.gov visitors could withdraw an application and start over, but they weren’t able to disenroll after choosing a plan.
According to AHIP, plans will have to accommodate the switches manually because the new exchange functionality isn't ready yet.
However, a spokesperson for Covered California-a state-operated exchange that has performed relatively well during open enrollment-says its platform has always offered the ability for consumers to switch plans.
Bridging the Diversity Gap in Rare Disease Clinical Trials with Harsha Rajasimha of IndoUSrare
November 8th 2023Briana Contreras, an editor with Managed Healthcare Executive, spoke with Harsha Rajasimha, MD, founder and executive chairman of IndoUSrare, in this month's episode of Tuning in to the C-Suite podcast. The conversation was about how the disparity in diversity and ethnicity in rare disease clinical trials in the U.S. has led to gaps in understanding diseases and conditions, jeopardizing universal health, and increasing the economic burden of healthcare.
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Managing Editor of Managed Healthcare Executive, Peter Wehrwein, had a discussion with William Shrank, M.D., a venture partner with Andreessen Horowitz, a venture capital firm in Menlo Park, California, about how artificial intelligence's role is improving healthcare, where we are today with value-based care and the ongoing efforts of reducing waste in the healthcare space for this episode of the "What's on Your Mind" podcast series.
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Study Raises Concerns Over Insurance Barriers to HIV Prevention Medications
November 29th 2023Despite its efficacy, PrEP remains underutilized compared to the need for it. High costs are among the barriers to PrEP use, along with limited knowledge among clinicians, lack of health insurance, stigma, and underestimation of personal HIV risk.
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