While Congress struggles to agree on stabilizing the ACA marketplaces, there've been significant developments via regulatory activity. President Trump issued an executive order last fall which directed agencies to consider expanding access to affordable health care by providing regulatory relief in three areas. Proposed rules or guidance on all three directives were issued in recent months.
- Allowing more employers to form Association Health Plans
- Expanding the availability of short-term limited-duration insurance
- Expanding the availability and permitted uses of health reimbursement arrangements
Additionally, CMS released the draft Notice of Benefit and Payment Parameters for 2019 which sets the rules for how the marketplace and the individual and small group markets will operate in plan year 2019. The notice pushes more control back to the states and gives state insurance commissioners flexibility to loosen the essential health benefit standards to allow for less rich health plans and lower premiums. A final rule is still pending, as is any announcement on the future of non-ACA plans in the individual and small group markets. Without regulatory action, these transitional plans must end by December 31, 2018.
Even with the uncertainty coming out of D.C., Priority Health is committed to Michigan's market and will continue to offer affordable health plans that provide high quality coverage. We want to ensure everyone in Michigan has the right care, at the right time, in the right place, and at a price they can afford.
Where do we stand?
Priority Health believes any changes we make to the American health care system should be focused on putting people first by ensuring affordable access to quality health care. We'll continue to encourage lawmakers to consider these key areas as they work toward improving our health care system:
- Preservation of Healthy Michigan Plan
- Flexibility in plan and benefit design
- Stronger incentives to maintain coverage
- Elimination of restrictive regulations on businesses
To learn more
Learn the latest about what’s happening in Washington, D.C. around health policy and how you may be impacted. Our team discusses both legislation and regulation, and explains where Priority Health stands on the issues and how we’ve prepared for the volatility in the marketplace.