Huge payers have left many Affordable Care Act exchanges, and the Obama administration is proposing new regulations to strengthen the marketplace, according to The Hill.
Here are four thoughts:
1. The administration's proposed rule would make the risk adjustment formula more accurate through using prescription drug data as a means to assess enrollees' health.
2. To help payers with high-cost enrollees, the rule would have payers share costs that surpass $2 million for one individual.
3. CMS is seeking comments on other strategies to impose stricter rules on the extended sign-up periods. Many payers have said the extra time has many Americans scamming the system by only enrolling in coverage when they are sick.
4. Additionally, CMS is seeking comments on how to pose less stringent rules on insurers in how they create their plans, specifically for "bronze" plans.
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