On November 15, 2023, the Centers for Medicare & Medicaid Services released its proposed 2025 Notice of Benefit and Payment Parameters, the annual regulation which governs core provisions of the Affordable Care Act. This expert perspective focuses on aspects of the proposed rule likely to be of interest to state officials, including requirements for State-Based Marketplaces to align with the standards of the Federally Facilitated Marketplace, proposals for states to update essential health benefits, and initiatives to ease the eligibility and enrollment process for consumers.
Messaging to Help Consumers Navigate Skinny Health Plans: A Toolkit for Marketplace Communicators
Recent federal rules on Short-Term Limited-Duration Insurance and Association Health Plans mean that some insurers may now offer products that don’t adhere to previous Affordable Care Act (ACA) requirements.
Without the consumer protections guaranteed by the ACA, “skinny” health plans may be offered more widely across the country, with state-by-state variance depending on state law. These plans come with some financial risk to the consumer should he/she need to use their coverage. “Skinny” plans might not provide coverage for essential health benefits, can impose lifetime and annual limits, and they’re not always subject to cost-sharing limits.
As “skinny” plans are increasingly marketed and sold across the country, it’s important for Marketplaces and Departments of Insurance to provide consumers with the information they need to make good decisions when buying health insurance. This toolkit contains a variety of communications resources designed to support Marketplaces, state agencies and other partners in these public education efforts.
- The messaging, fact sheet, blog post and op-ed template resources in this toolkit are customizable: look for [BRACKETS] and insert relevant state information.
- Resources are downloadable from this toolkit: follow the instructions throughout to download materials.