Commonwealth Fund January 13, 2022
Timothy S. Jost


A new proposed payment rule from the Department of Health and Human Services would undo Trump administration health policies and continue to set a new course for health insurance markets

The Biden administration’s proposed rule would restore provisions that protect consumers from discrimination, facilitate choice, and ensure adequate provider networks

Each year the U.S. Department of Health and Human Services issues a payment rule to update the requirements of the Affordable Care Act (ACA) for health insurers and health insurance marketplaces. Typically, much of the rule is routine; it addresses inflation updates, risk adjustment, and other details. But payment rules also can make significant policy changes in the administration of ACA programs and regulation of health plans.

The proposed...

Today's Sponsors

Patient Bond
Institute for Healthcare Improvement

Today's Sponsors

Oliver Wyman
Patient Bond

Today's Sponsor

Patient Bond

Topics: ACA (Affordable Care Act), CMS, Congress / White House, Govt Agencies, HHS, Insurance, Patient / Consumer, Provider
Health Plans, Insurance Issuers Are Failing to Deliver Full Access for Mental Health and Substance-use Disorder Benefits
Key Trends Facing Payers in 2022
DigitalOwl raises $20M to analyze medical records for insurers
Collaboration, Access to Care, and Member Experience Essential to 2022 Health Plan Success
Insurers missing the mark on mental health parity, new federal report says