Here are three insights.
1. Payers have been seeking a verification process for consumers who sign up for coverage after the national marketplace deadline.
2. America’s Health Insurance Plans ‘tentatively’ approved the policy, claiming the police will make sure qualified enrollees have access to coverage during transitions while ultimately reducing abuse and misuse of special enrollment periods.
3. Earlier this week, AHIP released a report critiquing the special enrollment period, arguing consumers often waited until they became sick to sign up for insurance.
More articles on coding & billing:
Fraudulent billing comprises 68% of healthcare fraud — 5 key points
GAO: CMS takes ‘passive’ approach to preventing healthcare fraud — 6 insights
BCBS Association uses 2B patient records to enhance quality of care: 4 points
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