AHIP Comments On Final Individual Market Rule From CMS

by Kristine Grow

April 13, 2017

WASHINGTON, D.C. – Marilyn Tavenner, President and CEO of America’s Health Insurance Plans (AHIP), issued the following statement upon today’s release of the finalized individual market rule from the Centers for Medicare & Medicaid Services (CMS):

“This final rule adopts some important changes that have been needed for some time in order to improve the functioning of the individual market, and we appreciate those changes. Those improvements include tightening up rules for special enrollment periods, greater flexibility in product and benefit design, and simplified administrative processes.”

“However, there is still too much instability and uncertainty in this market. Most urgently, health plans and the consumers they serve need to know that funding for cost-sharing reduction subsidies will continue uninterrupted. Without funding, millions of Americans who buy their own plan will be harmed. Many plans will likely drop out of the market. Premiums will go up sharply – nearly 20% — across the market. Costs will go up for taxpayers. And doctors and hospitals will see even greater strains on their ability to care for people.

“We urge Congress and the Administration to act now to guarantee funding for cost-sharing reduction subsidies.”