CMS proposes new rules for Obamacare enrollment, network adequacy

Feb. 15, 2017
The Centers for Medicare and Medicaid Services (CMS) has issued a proposal that would amend standards related to network adequacy stating that CMS would defer to the states’ reviews of the adequacy of health plan networks.

Additionally, CMS is proposing to shorten the enrollment period for patients looking to purchase health care through the Affordable Care Act health insurance exchanges. By shortening the enrollment period ― from Nov. 1 to Jan. 31 to Nov. 1 to Dec. 15 ― CMS states that it hopes to stabilize the insurance market by allowing payers more time to process enrollments. Additionally, the rule states that shortening enrollment can shrink the risk pool “because it will reduce opportunities for adverse selection by those who learn they will need services in late December or January.” 

The public comment period on the rule is open until March 7. The American Academy of Dermatology Association will be commenting on the proposed rule.