The Centers for Medicare and Medicaid Services (CMS) is asking for feedback in its latest Notice of Benefit and Payment Parameters about how it could best handle “silver loading” by Affordable Care Act (ACA) plans, according to a FierceHealthcare report.
Insurance plans after the elimination of cost-sharing reduction plans in 2017 stacked related premium increases into silver-level plans.
The agency is also looking to address some concerns about the practice of automatic re-enrollment offered by the ACA exchange, according to the report. While the practice offers a convenient enrollment solution for consumers, it could be detrimental toward their awareness of changes in their plans.
“While allowing auto re-enrollment was designed to be consistent with broader industry practices, this market is arguably different, since most current enrollees receive significant government subsidies, making them potentially less sensitive to premiums and premium changes,” CMS states in its proposal.