On September 17, 2021, the U.S. Departments of Health and Human Services and Treasury finalized the 2022 Notice of Benefit and Payment Parameters (NBPP) rule and announced a significant expansion of their oversight of health plans’ provider networks. This expert perspective reviews provisions of the rule of particular import to the state-based marketplaces (SBMs) and state insurance regulators.
Enhancing Broker Engagement: New Strategies for Marketplaces to Expand Enrollment
Kathie J. Mazza, Wakely Consulting Group
Health insurance brokers can play a unique role in helping all forms of marketplaces to reach out to uninsured households and assist residents with new enrollments, as well as coverage renewals. Recently, several marketplaces implemented pilot programs intended to leverage the resources of agencies that are particularly interested in building their direct enrollment business under the Affordable Care Act (ACA). The success of these initiatives is demonstrated by these marketplaces’ plans to expand their efforts for the upcoming open enrollment period. This issue brief, prepared by Wakely Consulting Group, describes state experiences in implementing a “Lead Broker Agency Program,” and provides instructions for states that are interested in similarly enhancing their engagement with brokers to maximize enrollment.