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Diane Publishing Books
Not All of the Federally Facilitated Marketplaceńˇ╗s Internal Controls Were Effective in Ensuring That Individuals Were Properly Determined Eligible for Qualified Health Plans and Insurance Affordability Programs
Daniel R. Levinson (au)
The Patient Protection and Affordable Care Act (ACA) established health insurance exchanges (marketplaces) to allow individuals and small businesses to shop for health insurance in all 50 States and D.C. A marketplace is designed to serve as a ńˇýone-stop shopńˇŁ at which individuals get information about their health insurance options; are evaluated for eligibility for a qualified health plan (QHP) and, when applicable, eligibility for insurance programs; and enroll in the QHP of their choice. A previous review found that not all internal controls implemented by the Federal marketplace and some State-based marketplaces were effective in ensuring that individuals were enrolled according to Federal requirements. This review continues that effort and includes a review of eligibility verification requirements for insurance affordability programs. Table and figures. This is a print on demand report.
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