How will administrative complexity be reduced for employers and individuals through the health insurance exchanges?
There are a number of provisions designed to reduce administrative complexity. These include: The exchange will establish procedures to enroll small businesses and individuals; one simple enrollment form will be used. The exchange will offer standardized benefit packages, and require insurers to describe benefits and policies in a standardized format that allows for easy comparison. Individuals will be able to apply for coverage through the exchange, Medicaid, or CHIP through one state-sponsored website. The exchange will determine whether an individual qualifies for a tax credit. HHS is creating a single website where small businesses and individuals can find detailed information about coverage options in their state. There are also a number of new requirements for insurers to simplify elements of health insurance administration such as eligibility verification, claims status, payment procedures, and referrals.
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- How will administrative complexity be reduced for employers and individuals through the health insurance exchanges?
