📣 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.
.@CMSGov is proposing two ways of cutting down on the mountain of virtually-identical plans being offered:

1. Limit the total number of non-standard plans a carrier can offer to no more than 2 network types (HMO, PPO, EPO) per metal level (Bronze, Silver, Gold, Platinum)
2.let carriers offer as many non-standard plans as they wish, but the deductibles have to be at least $1,000 apart from each other. I think this would effectively limit them to around 9 plans total, since the max out of pocket cap is $9,100/year per person anyway.
Both of these are pretty much what healthcare wonks like @bjdickmayhew have been pushing for years. Hopefully this will make the final cut.

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More from @charles_gaba

Dec 15
🚨🚨🚨 The deadline is TONIGHT to enroll in #ACA healthcare coverage starting January 1st for most people in most states! Here's 13 important things to remember before you #GetCovered: #xp
acasignups.net/22/12/15/deadl…
1. DON'T MISS THE DEADLINE!

While the final #ACA Open Enrollment deadline isn't until January 15th in most states, if you want your coverage to start on January 1st, you have to enroll by MIDNIGHT TONIGHT.

In Idaho, today is the *final* deadline for 2023 coverage! #xp
Here's a table laying out the deadlines for each state. Note that some of these may be extended at the last minute...but don't count on that! #GetCovered sooner rather than later if possible. #xp Image
Read 25 tweets
Dec 14
📣 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
Dec 13
📣 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
Dec 13
Hilarious thread. When I was a website developer, I occasionally gained a new client whose existing website had been designed more than a decade earlier with the domain name being registered by a former employee who had left the company years ago. 1/
The problem is that in many of these cases, the ex-employee had registered their employers domain in their own name...often using their personal email address (often Hotmail, AOL or even Prodigy at the time) as the registrant & technical contact. 2/
This is a real problem because in order to move the site to a new server (or even to modify the DNS records for other reasons), you have to have access to the domain name, which the client usually didn't have a clue about. 3/
Read 7 tweets
Dec 13
🚨🚨📣 REMINDER: THURSDAY is the deadline to enroll for coverage starting January 1st! Here's 13 important things to remember before you #GetCovered for 2023! #ACA #xp
acasignups.net/22/12/13/thurs…
Read 11 tweets
Dec 13
Well this is a horrifying episode of Black Mirror…
pluralistic.net/2022/12/12/uns…
Remember how BMW & Mercedes announced they were starting to charge car owners a *subscription fee* for basic functions which the car already included beforehand like heated seats? You haven’t seen anything yet: Image
My apologies for not including the Alt Text (which is particularly relevant for this Tweet!)

"Earlier this year, many people with Argus optical implants – which allow blind people to see – lost their vision when the manufacturer, Second Sight, went bust." 1/
Read 5 tweets

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