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PMA1 - All Things HealthCare.gov: Taking Advantage of the Health Insurance Marketplace

‐ Feb 14, 2022 3:15pm

Since January 2021, the Biden Administration has made expanding access to health insurance coverage a major policy priority. From expanding Medicaid eligibility to increasing financial assistance for Qualified Health Plan (QHP) enrollments, more Americans than ever have access to health insurance coverage. This session will feature speakers from CMS’s Center for Consumer Information and Insurance Oversight (CCIIO), who will describe key federal priorities around the Federally-Facilitated Marketplace (FFM) – Healthcare.gov – and the impacts on health centers and the patients you serve. Topics include increased investments in Navigator funding and related reporting requirements, changes to Advanced Premium Tax Credit eligibility, health center inclusion in Essential Community Provider lists, network adequacy, Certified Application Counselor Designated Organization (CDO) enrollment, and more. The session will also feature the perspective of a PCA and health center that receive CMS’s Navigator funding. Both organizations will describe the benefits and challenges of implementing the Navigator program and how federal investments in outreach and enrollment impact the patients and communities they serve.

Learning Objectives:

  • Describe CMS’s priorities around strengthening the efforts of health centers to enroll patients in and contract with QHPs in the FFM – Healthcare.gov.
  • Identify the operational challenges of organizations implementing the federal CMS Navigator program and how this impacts health center operations.
  • Pose questions and provide feedback to CMS representatives.