Briefing to The Honorable Gus Bilirakis, Subcommittee on Health, Committee on Energy and Commerce, House of Representatives

Initial Review of the Centers for Medicare & Medicaid Services' Automated System for Processing Financial Assistance Payments

The House Committee on Energy and Commerce's Subcommittee on Oversight and Investigations and Subcommittee on Health requested that the U.S. Department of Health and Human Services, Office of Inspector General, provide information regarding the Centers for Medicare & Medicaid Services' (CMS) automated system for processing financial assistance payments (e.g., advance premium tax credits and cost-sharing reductions). This briefing document presents our initial review of the design and implementation of CMS's automated system from May 1 through October 31, 2016. As of May 2016, CMS has fully implemented the automated system for the Federal marketplace and plans to fully transition issuers operating through State marketplaces to the automated system in 2018.