Health Affairs April 30, 2022
On April 28, 2022, the U.S. Department of Health and Human Services (HHS) posted the 660-page final 2023 Notice of Benefit and Payment Parameters alongside a press release, a fact sheet, the final actuarial value calculator and methodology, the final letter to issuers, a final quality rating system information bulletin, and 2023 application materials for qualified health plans (QHPs).
The final rule touches on a range of topics, including a requirement that insurers offer standardized plans, new federal network adequacy standards, heightened standards for the inclusion of essential community providers (ECPs) in provider networks, a framework for discriminatory benefit design, user fees, risk adjustment, and more.
The final rule is quite similar to the proposed rule; HHS finalized many, although...
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