Tag: marketplace

OIG Releases September Work Plan Items; Includes Part D Sponsor Reporting of Rebates and Price Concessions to Medicare

As we recently announced, the Office of Inspector General (OIG) is updating its Work Plan monthly rather than its previous twice-yearly publications. The September updates include 9 new Work Plan items: Federal Marketplace Enrollment Systems. OIG will assess operational readiness, internal controls, and IT security in preparation for the fifth open enrollment period. […]

CMS Issues Final Rule on Marketplace Auto-Enrollment

On September 5, 2014, the Centers for Medicare and Medicaid Services (CMS) published a final rule, effective October 6, 2014, that, among other things, specifies the auto-enrollment process for consumers who receive health insurance coverage through a qualified health plan offered under a federally-facilitated marketplace (Marketplace). According to a fact sheet released by CMS, “[a]s […]

Federal Health Insurance Marketplace Sends Notices Regarding Citizenship and Immigration Data Inconsistencies

The Centers for Medicare & Medicaid Services (“CMS”) announced that the Federal Health Insurance Marketplace (“Marketplace”) began sending follow-up notices to consumers with citizenship or immigration data inconsistencies who have not responded to previous notices via mail, email, and phone. CMS cautions that consumers who have not yet responded must act […]

Online Enrollment Delayed for ACA’s Small Business Marketplace

The Obama Administration announced yesterday, September 26, 2013, that it will be delaying the online enrollment for small business owners in the federally-facilitated health insurance marketplace (“Marketplace”), as provided for under the Affordable Care Act (“ACA”) until November 2013. 

The Countdown to October 1, 2013: HHS Builds Partnerships to Increase Enrollment in the Marketplace

The Secretary of the U.S. Department of Health and Human Services  (HHS), Kathleen Sebelius, recently announced partnerships with pharmacies to increase enrollment in the Health Insurance  Marketplace, which is scheduled to open for enrollment on October 1, 2013. According to the announcement, these pharmacies will “take an active role in outreach and education to […]

Innovator Spotlight: Sally Poblete, Founder & CEO, Wellthie, Inc. — http://wellthie.com

We will be posting feature articles from time to time in an effort to showcase various industry leaders and their exciting contributions to the health care and life sciences industries. When Sally Poblete decided to start Wellthie, Inc., she had one primary goal in mind: to make health care delivery […]

HHS Awards $67 Million in Navigator Grants under ACA

The United States Department of Health and Human Services (“HHS”) announced today that it awarded $67 million in grants to 105 navigator grant applicants. The navigator program was created under the Affordable Care Act (“ACA”) in an effort to provide unbiased information about health insurance options. Specifically, navigators will serve as an in-person resource for […]