News & Info Related To 2017 Open Enrollment
- Thread starter AllenChicago
- Start date
I don't believe any carrier that is losing money is going to pay any commissions if they are the only carrier on the marketplace. The last man standing is going to lose money hand over fist. It isn't like they will even pay us a token $5 per app for entering the application information (rather than in-house customer service). That is what the hc.gov people do now, the carriers have a "free" option.
And I don't think that they can pay us commission off-exchange for identical plans if they don't pay us on-exchange, isn't that against ACA rules? Even though off-exchange there may still be competition. Can anyone confirm that?
And I don't think that they can pay us commission off-exchange for identical plans if they don't pay us on-exchange, isn't that against ACA rules? Even though off-exchange there may still be competition. Can anyone confirm that?
- 1,305
If I didn't know better, I'd see this as not only help for those whom may need it but a "Hope" that carriers are paying comp next OE.
- 1,305
Kindness fulfilled...good deed done.....now let's get down to the real $hit.
Like who is actually going to pay us???
i heard molina was no longer in the house.......
- 508
From Molina yesterday:
========================================BEGIN
Greetings to our outstanding broker partners,
We wanted to take a moment and personally address some of the recent developments in the health care sector. We are sure that you have seen the stories about insurers struggling with the Marketplace line of business. Recently we have heard about the challenges of United, Aetna, Humana and many of the state based co-ops with some exiting the Marketplace all together. Hearing this may cause you to wonder how Molina is performing with our Marketplace product. For this reason, we wanted to reach out to you, our broker partners, to share with you Molina's position.
We are proud to share that Molina Healthcare has performed within our growth and membership expectations in the majority of our states. We continue to remain committed to the Marketplace product, which we demonstrate through the execution of our expansion strategies. In 2017, we are adding counties in California, Washington, Utah, Michigan, Florida and Ohio. In 2018, we are also planning to expand into new states as well.
To further reassure you, we wanted to share with you what's being said about Molina specifically in the news during this time. Not all carriers are having the same experience with their Marketplace products as noted by recent Associated Press articles by Tom Murphy:
"Insurers like Aetna, and UnitedHealth are scaling back their exchange participation; competitors like Cigna and Molina Healthcare are expanding."
"Insurers like Molina that have reported success so far on the exchanges say they have focused on covering low-income customers in markets where they already have an established presence in Medicaid, the state-federal program that covers the poor."
Molina Healthcare will make every effort to ensure the success of the Marketplace and we will continue to partner with you to serve our Marketplace members as well as potential members. As part of our commitment, we want to reaffirm that, we will continue to pay agent commissions, provide first-in-class broker support, service and infrastructure. We are also investing in the future of the Marketplace by providing support and sharing our feedback and learnings to improve the system. This includes:
- Developing an advocacy initiative with CMS to improve SEP validation process for the future
- Advocating for redefining the risk transfer process and a sustainable risk pool
- At the same time we continue to improve our own infrastructure to support the Marketplace product. Examples include:
- Making changes to our internal process as needed
- Establishing the Broker CARE team
- Hiring additional staff in the Broker Support Unit (BSU)
- Implementing IT system enhancements
- Adapting our broker portal to meet the needs of our brokers
While the competitive space continues to change and evolve, we hope that you will remember that Molina Healthcare has consistently been a mission-driven company focused on the low-income population for more than 35 years, which we believe has played a significant role in our success in the Marketplace.
We've targeted the same low-income individuals for our Marketplace product. We know this population and we have knowledge, familiarity and expertise in serving their unique needs and we plan to stay this way.
We hope this helps ease the uncertainty you may have felt and reinforces your understanding that Molina is committed to succeeding in our Marketplace line of business.
We look forward to a successful 2017 through our partnership with you as we collectively reduce the uninsured rates in the states we serve.
Sincerely,
John C. Molina
CFO
Janet Fosdick
VP - Marketplace
========================================END
========================================BEGIN
Greetings to our outstanding broker partners,
We wanted to take a moment and personally address some of the recent developments in the health care sector. We are sure that you have seen the stories about insurers struggling with the Marketplace line of business. Recently we have heard about the challenges of United, Aetna, Humana and many of the state based co-ops with some exiting the Marketplace all together. Hearing this may cause you to wonder how Molina is performing with our Marketplace product. For this reason, we wanted to reach out to you, our broker partners, to share with you Molina's position.
We are proud to share that Molina Healthcare has performed within our growth and membership expectations in the majority of our states. We continue to remain committed to the Marketplace product, which we demonstrate through the execution of our expansion strategies. In 2017, we are adding counties in California, Washington, Utah, Michigan, Florida and Ohio. In 2018, we are also planning to expand into new states as well.
To further reassure you, we wanted to share with you what's being said about Molina specifically in the news during this time. Not all carriers are having the same experience with their Marketplace products as noted by recent Associated Press articles by Tom Murphy:
"Insurers like Aetna, and UnitedHealth are scaling back their exchange participation; competitors like Cigna and Molina Healthcare are expanding."
"Insurers like Molina that have reported success so far on the exchanges say they have focused on covering low-income customers in markets where they already have an established presence in Medicaid, the state-federal program that covers the poor."
Molina Healthcare will make every effort to ensure the success of the Marketplace and we will continue to partner with you to serve our Marketplace members as well as potential members. As part of our commitment, we want to reaffirm that, we will continue to pay agent commissions, provide first-in-class broker support, service and infrastructure. We are also investing in the future of the Marketplace by providing support and sharing our feedback and learnings to improve the system. This includes:
- Developing an advocacy initiative with CMS to improve SEP validation process for the future
- Advocating for redefining the risk transfer process and a sustainable risk pool
- At the same time we continue to improve our own infrastructure to support the Marketplace product. Examples include:
- Making changes to our internal process as needed
- Establishing the Broker CARE team
- Hiring additional staff in the Broker Support Unit (BSU)
- Implementing IT system enhancements
- Adapting our broker portal to meet the needs of our brokers
While the competitive space continues to change and evolve, we hope that you will remember that Molina Healthcare has consistently been a mission-driven company focused on the low-income population for more than 35 years, which we believe has played a significant role in our success in the Marketplace.
We've targeted the same low-income individuals for our Marketplace product. We know this population and we have knowledge, familiarity and expertise in serving their unique needs and we plan to stay this way.
We hope this helps ease the uncertainty you may have felt and reinforces your understanding that Molina is committed to succeeding in our Marketplace line of business.
We look forward to a successful 2017 through our partnership with you as we collectively reduce the uninsured rates in the states we serve.
Sincerely,
John C. Molina
CFO
Janet Fosdick
VP - Marketplace
========================================END
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