Modern Healthcare: CMS delays moving HealthCare.gov appeals and subsidy payment processes online

Modern Healthcare: CMS delays moving HealthCare.gov appeals and subsidy payment processes online

By Virgil Dickson

The CMS is pressing pause on two initiatives to automate how it pays tax and subsidy payments to plans on the insurance marketplace and how consumers appeal denials of coverage eligibility.

The appeals process has improved greatly from the early days of open enrollment. Most get decisions on their appeals within 90 days, said Kate Ende, legal program coordinator at Consumers for Affordable Health Care, a Maine-based advocacy consumer advocacy organization.

Mara Youdelman, managing attorney with the National Health Law Program argues some consumers have had to wait longer. She is pushing for an internet-based appeals option while maintaining the paper option. Read the full article here »

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