Sabrina Corlette
@sabrinacorlette.bsky.social
Research prof and co-director, Center on Health Insurance Reforms (CHIR) at Georgetown University
#healthpolicywonk #swimmingobsessed #inagartenfan
#healthpolicywonk #swimmingobsessed #inagartenfan
Reposted by Sabrina Corlette
The Trump Administration’s proposed sweeping rule changes will raise premiums, increase costs, and make enrollment harder. Its own estimates show 2M people losing coverage. @sabrinacorlette.bsky.social says it’s like making people “crawl through broken glass.” www.healthcaredive.com/news/trump-a...
Trump administration proposes ACA program integrity rule that would decimate enrollment
The rule is like “making people crawl through broken glass” for health insurance, one expert said.
www.healthcaredive.com
March 20, 2025 at 3:06 PM
The Trump Administration’s proposed sweeping rule changes will raise premiums, increase costs, and make enrollment harder. Its own estimates show 2M people losing coverage. @sabrinacorlette.bsky.social says it’s like making people “crawl through broken glass.” www.healthcaredive.com/news/trump-a...
So let's call it what it is...yet another attempt by President Trump and his team to sabotage the ACA. As their own proposal acknowledges, the result will be a lot more people losing health insurance.
March 12, 2025 at 2:00 PM
So let's call it what it is...yet another attempt by President Trump and his team to sabotage the ACA. As their own proposal acknowledges, the result will be a lot more people losing health insurance.
There is nothing in the rule that would address the vulnerabilities associated with using EDE vendors, nor is there anything that strengthens CMS' ability to go after bad brokers or the scammy lead generators that are causing the fraud in the federal marketplace.
March 12, 2025 at 2:00 PM
There is nothing in the rule that would address the vulnerabilities associated with using EDE vendors, nor is there anything that strengthens CMS' ability to go after bad brokers or the scammy lead generators that are causing the fraud in the federal marketplace.
And by the way, they want to increase the bureaucracy and complexity of the process for people at the same time they've slashed funding for consumer assisters (Navigators) by 90%. www.kff.org/quick-take/a...
A 90% Cut to the ACA Navigator Program
Cutting funding for the trusted and impartial source of important information Navigators provide could have big impacts just as many consumers may need to re-evaluate their coverage options.
www.kff.org
March 12, 2025 at 2:00 PM
And by the way, they want to increase the bureaucracy and complexity of the process for people at the same time they've slashed funding for consumer assisters (Navigators) by 90%. www.kff.org/quick-take/a...
This new Marketplace rule first mis-diagnoses the problem, then proposes solutions that will (1) increase paperwork burdens on low- and moderate income people and (2) hike premiums for low- and moderate income enrollees.
March 12, 2025 at 2:00 PM
This new Marketplace rule first mis-diagnoses the problem, then proposes solutions that will (1) increase paperwork burdens on low- and moderate income people and (2) hike premiums for low- and moderate income enrollees.
Notably, none of the SBMs use EDE vendors (except for Georgia, which just launched their SBM this year). So they haven't had the fraud experienced by the federally run states.
March 12, 2025 at 2:00 PM
Notably, none of the SBMs use EDE vendors (except for Georgia, which just launched their SBM this year). So they haven't had the fraud experienced by the federally run states.
Is this a problem? YES. And CMS has taken steps to fix it, with signs of improvement. The main culprit is unscrupulous brokers taking advantage of vulnerabilities with HealthCare.gov and the web-brokers (called "EDE vendors) the feds use to drive enrollment. www.commonwealthfund.org/blog/2025/po...
Policymakers Can Protect Against Fraud in the ACA Marketplaces Without Hiking Premiums
Policymakers can strengthen oversight of entities involved in selling coverage to address fraud and ensure integrity in the ACA marketplaces.
www.commonwealthfund.org
March 12, 2025 at 2:00 PM
Is this a problem? YES. And CMS has taken steps to fix it, with signs of improvement. The main culprit is unscrupulous brokers taking advantage of vulnerabilities with HealthCare.gov and the web-brokers (called "EDE vendors) the feds use to drive enrollment. www.commonwealthfund.org/blog/2025/po...
But what they don't acknowledge is that the state-based Marketplaces (SBMs) adopted the SAME (and often more generous) enrollment and affordability policies as the Biden admin, and they've had NO MEANINGFUL FRAUD. The fraud has been in the states where the feds run the marketplace (FFM).
March 12, 2025 at 2:00 PM
But what they don't acknowledge is that the state-based Marketplaces (SBMs) adopted the SAME (and often more generous) enrollment and affordability policies as the Biden admin, and they've had NO MEANINGFUL FRAUD. The fraud has been in the states where the feds run the marketplace (FFM).
Their basic thesis is that the Biden administration made it too easy and affordable for people to sign for health insurance, which has led to millions of fraudulent enrollments and higher costs for taxpayers.
March 12, 2025 at 2:00 PM
Their basic thesis is that the Biden administration made it too easy and affordable for people to sign for health insurance, which has led to millions of fraudulent enrollments and higher costs for taxpayers.