The companies are seeing cases in which the government has assigned the same identification number to more than one person, as well as so called GHOST files in which the insurer has an enrollment record but the government does not.
ORPHANED files, are when the insurer has no record of enrollment, are particularly concerning because the companies have no automated way to identify the presumed policyholder. They say they have to manually compare the lists of enrollees the government sends them with their own records because the government never bult an auto-mated system that would do the work much faster. What is going to happen next? www.peakinsurancebroker.com
Monday, January 13, 2014
Monday, January 6, 2014
Doctor Choice to be Limited in the ACA Insurance!
Across the nation, an increasing number of insurance carriers are narrowing their physician networks, hospitals, and other health care facilities. The trend is particularly evident in health insurance marketplaces, including Connect of Health Colorado.
In Colorado, at least three health insurance companies on the exchange, including Anthem, are offering narrowed networks, and insurance carriers across the industry say the trend will become more prevalent in the coming years!
In Colorado, at least three health insurance companies on the exchange, including Anthem, are offering narrowed networks, and insurance carriers across the industry say the trend will become more prevalent in the coming years!
Saturday, January 4, 2014
Connect for Health Colorado & Colorado Medicaid Update
DENVER, CO – Between October 1 and December 31, more than 138,000
Coloradans have signed up or been approved for health coverage that takes effect
January 1, 2014 or later, according to data released today from Connect for
Health Colorado and the Colorado Department of Health Care Policy and
Financing.
The first half of the open enrollment period saw a strong increase in the pace of enrollments as the December deadline approached for customers seeking health insurance coverage on January 1st of 2014. Connect for Health Colorado, working in partnership with the Colorado Department of Health Care Policy and Financing, extended the deadline from December 15th to December 27th to accommodate as many additional customers as possible.
The enrollment period for private health insurance continues until March 2014, with customers currently enrolling in plans with coverage starting February 1st.
“We made significant progress in the past three months as more than 52,000 Coloradans purchased private health insurance through our marketplace, man y getting coverage for the first time in years,” said Patty Fontneau, CEO of Connect for Health Colorado. “As the second half of the enrollment period gets underway, we are already hard at work reaching out to Coloradans statewide.”
The enrollment numbers for Connect for Health Colorado exceeded their own early conservative projections of approximately 37,000 enrollments by the December deadline by 16,000 additional lives covered.
The Medicaid expansion numbers announced today reflect individuals actually enrolled in the program. Since Medicaid eligibility is determined on a monthly basis, the prior numbers reflected estimates of eligibility at a point in time. Medicaid enrollments can and do change as individuals income or personal circumstances change. Colorado Medicaid refers individuals who are over income for Medicaid directly to Connect for Health Colorado as these individuals could benefit from an advance premium tax credit or other financial assistance offered through the marketplace.
The first half of the open enrollment period saw a strong increase in the pace of enrollments as the December deadline approached for customers seeking health insurance coverage on January 1st of 2014. Connect for Health Colorado, working in partnership with the Colorado Department of Health Care Policy and Financing, extended the deadline from December 15th to December 27th to accommodate as many additional customers as possible.
The enrollment period for private health insurance continues until March 2014, with customers currently enrolling in plans with coverage starting February 1st.
“We made significant progress in the past three months as more than 52,000 Coloradans purchased private health insurance through our marketplace, man y getting coverage for the first time in years,” said Patty Fontneau, CEO of Connect for Health Colorado. “As the second half of the enrollment period gets underway, we are already hard at work reaching out to Coloradans statewide.”
The enrollment numbers for Connect for Health Colorado exceeded their own early conservative projections of approximately 37,000 enrollments by the December deadline by 16,000 additional lives covered.
The Medicaid expansion numbers announced today reflect individuals actually enrolled in the program. Since Medicaid eligibility is determined on a monthly basis, the prior numbers reflected estimates of eligibility at a point in time. Medicaid enrollments can and do change as individuals income or personal circumstances change. Colorado Medicaid refers individuals who are over income for Medicaid directly to Connect for Health Colorado as these individuals could benefit from an advance premium tax credit or other financial assistance offered through the marketplace.
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