Discover and read the best of Twitter Threads about #nbpp2024

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📣 NBPP 2024, Part 5: User Fees, Risk Adjustment, Agents, Brokers & Web Brokers:
#ACA #GetCovered #NBPP2024 #xp acasignups.net/22/12/15/nbpp-…
CMS is proposing to shave another 0.25% off the federal exchange user fee. I have mixed feelings about this; it would save enrollees around $18/year apiece on average, but as @BenDAvanzo notes, this is one of the few federal programs that has a dedicated funding source, so...
There's several big wonky sections related to changes to how ACA risk adjustment works. I don't know enough about risk adjustment to comment, so I've just posted the descriptions as is.
Read 4 tweets
📣 NBPP 2024, Part 4: Medicaid/CHIP, Special Enrollment Periods, Income Data & Navigator Expansion:
#NBPP2024 #ACA #Medicaid #CHIP #Navigators #xp
acasignups.net/22/12/14/nbpp-…
CMS is expanding the timeframe for people who are kicked off of Medicaid to select an #ACA exchange plan via Special Enrollment from 60 days to 150 days (60 before / 90 after).

That'll be a huge thing once the Public Health Emergency ends & millions lose Medicaid eligibility.
CMS is also proposing to let exchanges offer an earlier effective start date to avoid people having up to a 16-day coverage gap if they lose coverage mid-month. This, again, is probably mostly triggered by the impending end of the PHE, but it applies in other cases as well.
Read 6 tweets
📣 NBPP 2024 Part 3: Dental Plans, Re-Enrollment Hierarchy & QHP Marketing Names
#ACA #NBPP2024 #GetCovered #DentalPlans #AutoRenewals #HighCSR #SecretPlatinum #xp
acasignups.net/22/12/13/nbpp-…
The re-enrollment change is HUGE. Until now, if you don't take any action, CMS will automatically re-enroll you in the exact same policy, but if it's not available they'll re-enroll you in whatever the closest equivalent to that plan is. For the most part this makes sense... #xp
...but a LOT of people enroll in Bronze plans when they're eligible for a high-CSR plan, often w/the same carrier & the same provider network. Going forward, CMS is proposing to auto-renew people in that situation into #SecretPlatinum plans instead, saving them hundreds! #xp
Read 4 tweets
📣 NBPP 2024 Part 2: Standardized Plans & Meaningful Differences (HUGE!!)
#NBPP2024 #ACA #GetCovered #StandardizedPlans #MeaningfulDifference #xp
acasignups.net/22/12/13/nbpp-…
Robin Williams starred in Moscow on the Hudson, in which he plays a Soviet-era Russian saxophone player who defects to the U.S. in New York City.

In one scene, he's overwhelmed by the bewildering number of coffee brands available at the grocery store.
I picture this scene whenever I think about the glut of "different" insurance policies available in some states via the #ACA exchanges. While too little choice is a real problem, so is *too many choices* when the enrollee can't make heads or tails of the differences between them.
Read 6 tweets

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