Trump administration targets ACA 'program integrity' with new rule, slashes navigator funding

[Duaine]

The Trump administration is looking to target 'program integrity' within the Affordable Care Act marketplace with a new proposed rule, while also reducing funding for the ACA navigator program to $10 million.

ACA navigators are trained to help consumers and small businesses find coverage options. CMS said Feb. 14 that despite receiving $98 million in 2024, the navigator program enrolled just 92,000 people. The funding cut is expected to save $360 million over the next four years, with the savings directed toward lowering user fees and premiums for those paying full premiums without subsidies. Under the Biden administration, CMS had committed $500 million over five years to improve marketplace efficiency and target underserved populations, with $100 million awarded in August.

[EXTERNAL LINK] - Trump administration targets ACA 'program integrity' with new rule, slashes navigator funding

 

[somarco]

receiving $98 million in 2024, the navigator program enrolled just 92,000 people.

That works out to $1065 per enrollee.

For that kind of coin I would consider getting in the Obamacare game.

 

[yorkriver1]

There is no mention of cutting out agents. Either the phone reps at the FFM or state marketplaces or agents would be the enrollment pipeline.
FFM-Federally Funded Marketplace, the national ACA platform.

 

[DonP]

There is no mention of cutting out agents. Either the phone reps at the FFM or state marketplaces or agents would be the enrollment pipeline.
FFM-Federally Funded Marketplace, the national ACA platform.

There's another 30 page plus rebuttal to Aca done recently . It's scathing on all the fraud and it mentions agent fraud

 

[InsuranceGuy29]

There's another 30 page plus rebuttal to Aca done recently . It's scathing on all the fraud and it mentions agent fraud

For those wondering......."Agent fraud" mostly comes from the same tiny amount of major call centers. It's not regular independent agents doing this.

 

[DonP]

For those wondering......."Agent fraud" mostly comes from the same tiny amount of major call centers. It's not regular independent agents doing this.

That's correct but those call centers have probably done 70% of the aca vol in past yrs

 

[Medicare bro]

There's another 30 page plus rebuttal to Aca done recently . It's scathing on all the fraud and it mentions agent fraud

I don't believe you are an agent.

 

[somarco]

Don is a legend in his own mind . . .

 

[rmhaire]

I don't believe you are an agent.

Are you kidding?

He gets deposits. The rest of us have to settle for commission checks.

 

[DonP]

I don't believe you are an agent.

I won't show the dollar amount . So much jealousy from agents