CMS NEWS
FOR IMMEDIATE RELEASE
December 21, 2017
Contact: CMS Media Relations
(202) 690-6145 | CMS
Media Inquiries
Federal
Exchange Open Enrollment for 2018 coverage, most cost effective saving
Americans millions of dollars while improving customer service and access
to care
Today, the Centers for Medicare &
Medicaid Services (CMS) announced that the fifth open enrollment period for
the Health Insurance Exchange was the most cost effective and smooth
enrollment experience for consumers, releasing data that shows the highest
rates of consumer satisfaction to date at a lower cost. Similar to previous
years, there was a surge in the number of consumers contacting the call
center and visiting HealthCare.gov during the final days. Despite the
increase in volume, both HealthCare.gov and the call center operated
optimally and for the first time, a waiting room did not need to be
deployed online during the final days of open enrollment. This provided
consumers with exceptional site availability when the greatest number of
consumers were making plan selections.
“Our goal from the beginning was to
empower patients across the healthcare delivery system and make sure that
Americans who chose to enroll in the Exchanges had a good customer
experience while making enrollment more cost efficient, and the results
show that we accomplished our goal,” said CMS Administrator Seema
Verma. “In a market that is experiencing soaring rates,
I am proud of the hard work CMS put into making sure that our
customers didn’t experience the website failures that were commonplace with
HealthCare.gov in previous open enrollment periods.”
CMS cut wasteful spending and adjusted
the open enrollment marketing budget this year to a level similar to what
has proven to be effective for other major programs, like Medicare. CMS
re-prioritized marketing tactics and focused funding and attention on the
most strategic and efficient ways to reach consumers, including targeted
digital advertising and email. This year, CMS spent only $10 million on
marketing and outreach, which is just over $1 per enrollee all while
improving the ease and quality of customer service. In comparison,
last year CMS spent a total of $100 million, nearly $11 per enrollee.
The primary goal of this open enrollment
period was to provide a seamless experience for consumers. While
HealthCare.gov was scheduled for a total of 60 hours of regular maintenance
during open enrollment, the site only used 21.5 hours. This meant consumers
were able to shop and pick a plan with little interruption throughout the
entire enrollment period. Data from the call center shows that the consumer
satisfaction rate remained at an all-time high – averaging 90 percent –
throughout the entire open enrollment period. This is up from 85 percent
last year.
This year CMS also focused on building
new partnerships with the private sector—as a way to begin to shift away
from the government selling a private product, similar to Medicare and the
successful growth of Medicare Advantage. To empower patients to take
ownership of their healthcare decisions, CMS leveraged the capabilities of
the private sector to help consumers through the selection process,
including increasing opportunities for consumers to connect with agents and
brokers. Agents and brokers are licensed professionals who help guide
consumers through the complex task of choosing and utilizing health
coverage. Many brokers are independent business people who live and work in
the communities they serve and have years of experience in assisting
clients.
This open enrollment period successfully
realigned the Exchange with standard employer and Medicare open enrollment
periods and with the calendar year, which offers a single effective date
for coverage—January 1st, 2018—for all of the individuals and
families who signed up for coverage. Open Enrollment for 2018 coverage
ended with approximately 8.8 million people enrolling in coverage using the
HealthCare.gov platform.
To read the week 7 enrollment snapshot,
visit: https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2017-Fact-Sheet-items/2017-12-21.html
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