State Officials Find Deficiencies In N.Y. Health Marketplace Controls
Controls that New York used to screen insurance applicants for coverage and subsidies were deficient, a state audit found. Also in the news are developments in Vermont and Washington state.
The Wall Street Journal:
Audit Finds Deficiencies In New York State’s Health-Insurance Exchange
Some controls New York state relied on to make sure people were eligible for health-insurance coverage and subsidies on the state-run exchange were deficient, potentially letting some consumers get benefits they weren’t entitled to, an audit found. The inspector general for the Department of Health and Human Services reviewed a sample of 45 randomly selected applicants and analyzed their supporting documentation to see if the New York exchange followed federal regulations in determining eligibility for coverage and subsidies. (Armour, 9/23)
The Associated Press:
Officials Hopeful Health Insurance Exchange Makes Deadline
Vermont officials said Tuesday they're cautiously optimistic the state's health insurance exchange will meet next week's deadline for smooth operations. State officials had promised in the spring that Vermont Health Connect would meet key benchmarks by Oct. 1, ahead of the Nov. 1 start to an open-enrollment period when new customers can sign up for health coverage through the exchange. (Gram, 9/22)
The Seattle Times:
Big Switch: Health Exchange Customers To Pay Insurers Now
There have been weeks, even months, of warnings and notices, but starting Thursday, the 155,000 people enrolled in the Washington Health Benefit Exchange (WHBE) must pay their insurance companies directly instead of sending premiums to the state-run program. “After Wednesday at 5 p.m., we’ll no longer be aggregating premiums or accepting payments,” said Michael Marchand, spokesman for WHBE, which operates the state’s health insurance marketplace under the Affordable Care Act (ACA). WHBE officials voted last December to stop managing customer invoices and payments, partly to simplify the process — eliminating a middleman — and partly to halt glitches that left hundreds of enrollees with missed payments, lapsed insurance and incorrect bills. (Aleccia, 9/22)