HHS plans to revive the insurance marketplace — Here’s how

Government officials are looking to keep the insurance marketplace afloat as major payers leave state exchanges. Therefore, the HHS is employing various strategies, according to Kaiser Health News.

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Here are four takeaways:

1. HHS Secretary Sylvia Burwell said the agency is meeting with some payers to encourage then to offer plans in U.S. regions where competition may be lagging next year.

2. Officials are also making operational adjustments in various Affordable Care Act marketplaces. The Obama administration proposed a rule that would make the risk adjustment formula more accurate by using prescription drug data as a means to assess enrollees’ health.

3. The agency is also targeting enrollees and is putting resources toward outreach efforts to enroll when the marketplaces open on Nov. 1. HHS is working with Internal Revenue Service to contact people who paid a penalty for failing to purchase coverage. The agencies will give such individuals information about how to enroll in the exchanges.

4. Ms. Burwell said although consumers may have fewer coverage options and may pay more, 85 percent of ACA enrollees receive tax credits.

More articles on coding & billing:
Pew Charitable Trusts: Medicaid claims nearly $0.17 of every state’s revenue dollar: 5 thoughts
Taxpayers pay 71% of California’s healthcare costs: 5 insights
Scott & White Health Plan leaves ACA: 4 thoughts

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