Insurers spoke, and the president listened. At least with oneear. And so, the special enrollment periods for exchange healthinsurance have been tightened a bit.

As his administration winds down, President Obama has continuedto tinker with the recipe for the Patient Protection and AffordableCare Act. Large insurers have been complaining loudly about thespecial enrollment periods created by PPACA, saying they encouragepeople to sign on for affordable insurance when they’re facing bigmedical bills. That gouges the insurers by throwing off the balanceneeded in an insured group, resulting in high claims and low, orno, profits for the insurers.

This “gaming” of the health care exchange network has majorinsurers threatening to drop their exchange business. So last week,bowing to the pressure, the Centers for Medicare and MedicaidServices finally responded to the cries for help.

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Dan Cook

Dan Cook is a journalist and communications consultant based in Portland, OR. During his journalism career he has been a reporter and editor for a variety of media companies, including American Lawyer Media, BusinessWeek, Newhouse Newspapers, Knight-Ridder, Time Inc., and Reuters. He specializes in health care and insurance related coverage for BenefitsPRO.