Enrollment Assistance

Here’s the Latest on Mandate Exemptions

By Joe Touschner Now that 2014 is here, the Affordable Care Act’s individual mandate is in effect to encourage individuals and families to maintain health coverage.  This year, though, will be a transition year for many when they won’t face any penalty for reasonable gaps in coverage.  We’ve learned more about how the individual mandate […]

Federal Court Ruling: Navigator Laws Cannot Impose Additional Requirements on Navigators and Other Assisters in Federal Marketplace States

A federal district court ruling yesterday regarding Missouri’s navigator law has the health coverage community abuzz.  As I noted in this Say Ahhh! blog, a number of states have proposed or passed legislation to require additional training and licensing for navigators, and sometimes other assisters, and restrict the activities they are required to perform by […]

Unreasonable Standards Will Likely Discourage Hospitals from Doing Presumptive Eligibility

I’ve written several Say Ahhh! blogs on the Affordable Care Act’s new hospital presumptive eligibility provisions. The ACA explicitly gives hospitals the prerogative to make Medicaid presumptive eligibility (PE) decisions, regardless of whether the state has previously implemented the policy option. In particular, presumptive eligibility provides a great opportunity for hospitals to connect uninsured kids […]