Summary
The Centers for Medicare & Medicaid Services (CMS) has suggested new rules set for 2027 to reduce healthcare costs and offer more options to consumers. These rules include longer catastrophic plans, more flexible health plans, and more robust measures to prevent fraud.
Key Facts
- CMS wants to introduce multi-year catastrophic health plans that can last up to 10 years.
- Current standardized health plan requirements could be lifted, allowing insurers more freedom to design plans.
- CMS plans to expand access to catastrophic plans by widening hardship exemptions.
- Non-network health plans may become qualified health plans if they provide sufficient provider options.
- Stricter rules are proposed for agents and brokers to prevent fraud.
- Stronger checks on eligibility and income for receiving subsidies are suggested.
- Subsidies would only be available to U.S. citizens and eligible noncitizens based on federal law.
- States could have more say in reviewing healthcare provider networks and ensuring community access.
