Insurers With High Enrollment Numbers May Be Given Leniency Regarding Consumer Complaints

Modern Healthcare (9/21, Herman, Subscription Publication) reports that in a recent memo, CMS stated insurance companies which offer Affordable Care Act plans through HealthCare.gov, the Federal government’s marketplace, “may not face ‘enforcement remedies’ in 2017 if they fail to follow all of the rules around consumer complaints.” Several large insurers have exited ACA marketplaces, and the remaining companies “likely will absorb the members who will lose their coverage.” CMS explained this “scenario ‘may present temporary operational challenges’ that prevent exchange plans from meeting all federal standards, specifically those related to ‘consumer casework.’”