The new federal Pre-Existing Condition Insurance Plan (PCIP) program is hard to get into, too expensive for the typical uninsured individual with a chronic illness, and under-promoted, according to officials at the U.S. Government Accountability Office (GAO).
Employers and their benefits advisors may have to scramble to start using the proposed Summary of Benefits and Coverage (SBC) and a proposed Uniform Glossary on time.
Standards group say they hope to free health insurers, public health plans and other payers from variations in state medical claims reporting requirements.
Would-be CO-OP plan starters may be able to get help with paying for the actuarial studies and business plan development efforts needed to start the plans but only if they win federal approval for their CO-OP applications.
Demographic and administrative concerns are some of the factors that scare insurers away from bidding on the Federal Long Term Care Insurance Program contract, according to officials at the U.S. Government Accountability Office (GAO).