Commonwealth Fund January 13, 2022
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.