Blogs

Funding for Navigator Program Hits Roadblock: Opens Door for Reliance on Existing Broker System

A senior health care official with the Obama Administration recently said the funding for navigator programs may not be forthcoming based on legal requirements embedded in the Patient Protection and Affordable Care Act (PPACA), according to ...

Author: Bernard DiFiore

PCORI Update: Brokers Take Note as Patient-Centered Research Ramps Up

As Brokers prepare for their upcoming role as more active participants in state health insurance exchanges, they may also want to keep an eye on the Patient Centered Outcomes Research Institute (PCORI), now looking to fund patient-centered research.  BenefitMall previously...

Author: Michael Gomes

HHS Issues Interim Final Exchange Rules Con’t. – States to Retain Primary Regulatory Authority to Oversee Brokers and Navigators

To conclude our examination of the new exchange rule recently issued by the Department of Health and Human Services (HHS), this blog summarizes the rule’s treatment of states as the primary regulatory authority for both Brokers and navigators.  In two previous blogs analyzing the rule’s requirements, we wrote about the new opportunities available to Brokers under the rule, and the rule’s acknowledgment of the important role Brokers can assume in the establishment of new Exchanges.
 
States Continue to Oversee Brokers

The new rule reaffirms HHS’s...

Author: Michael Gomes

HHS Issues Interim Final Exchange Rules Con’t. New Regulations Anticipate Working with Broker Websites

This posting is the second in a series that more fully explores the new rule issued by the U.S. Department of Health and Human Services (HHS) concerning organization and operation of state health benefit Exchanges.  The rule expands on the provisions of Section 1312(e) of the Patient Protection and Affordable Care Act (PPACA), which addresses consumer choice in selecting a qualified health plan, and...

Author: Michael Gomes

HHS Issues Interim Final Exchange Rules Acknowledges Important Role of Brokers

The Department of Health and Human Services (HHS) recently issued a final rule providing states with considerable flexibility in the organization and operation of state-based health exchanges pursuant to the Patient Protection and Affordable Care...

Author: Michael Gomes

Webinar Addresses Role of Brokers in State Health Benefit Exchanges

What role should brokers play in state health benefit Exchanges? This was one of several intriguing questions raised by the executive directors of state health benefit Exchanges for California, Colorado and Alabama during a recent webinar.  Under the Patient Protection and Affordable Care Act (PPACA), states are required to establish their own public health Exchanges to offer consumers cost-effective insurance options.

More than 1,100 registrants from Governor’s offices, state insurance departments, Medicaid agencies, and...

Author: Michael Gomes

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