Health Affairs April 8, 2024
On April 2, 2024 the U.S. Department of Health & Human Services (HHS) released the final “Notice of Benefit and Payment Parameters” (Payment Notice) for plan year 2025. The annual rule sets standards and requirements for the Affordable Care Act (ACA) Marketplaces and health insurers. Concurrent with the Payment Notice, HHS released the 2025 Actuarial Value Calculator and methodology.
HHS’ stated goals with the 2025 Payment Notice are to improve consumers’ access to quality, affordable coverage and ensure program integrity. The administration also has prioritized changes that increase transparency, advance health equity, and mitigate health disparities. The final rule includes proposals designed to expand Marketplace enrollment, establish minimum standards for Marketplaces nationwide, and improve the consumer experience. The agency received...
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