In response to President Trump’s October 12 executive order (EO), the U.S. Departments of Health and Human Services (HHS), Labor (DOL) and Treasury have published proposed rules to expand the availability of health coverage sold through short-term, limited duration insurance (STDLI). The public has until April 23, 2018 to submit comments on these proposed rules; the new standards are slated to be effective 60 days after publication of the final rules.
Understanding the Potential Role Web Brokers Can Play in State-Based Marketplaces
Manatt Health Solutions – Joel Ario and Allison Garcimonde, and Wakely Consulting Group – Jon Kingsdale
The Affordable Care Act (ACA) is already greatly expanding individual health insurance coverage, particularly among lower-income uninsured individuals. However, this is neither easy nor inexpensive to sustain, and it will require ongoing, effective public-private partnerships on multiple levels. One potential partnership opportunity is with “web brokers” who sell individual health insurance online, functioning as private distribution channels in a fashion similar to the new Marketplaces and offering a choice of health plans from multiple insurers, while relying primarily on websites and call centers for customer service. This brief, prepared by Manatt Health Solutions and Wakely Consulting Group, seeks to understand the role that web brokers might occupy in this continuously developing landscape, and is intended as a tool for State-Based Marketplaces (SBMs) to investigate potential opportunities for partnerships with these entities. An executive summary of this issue brief provides an overview of this topic, including descriptions of five leading web brokers, a summary of the evolution of federal policy on web brokers, and potential SBM approaches for contracting with web brokers.