Fierce Healthcare January 11, 2024
Enrollment in individual market coverage continues to grow, and insurers are expressing concern about their ability to tailor coverage to different populations given limits on nonstandard plan options.
For the 2024 plan year, the Centers for Medicare & Medicaid Services finalized regulations that limit insurers to offering four non-standardized plan designs per tier in a service area. In its latest Notice of Benefit and Payment Parameters for 2025, which is an annual rule governing the Affordable Care Act’s exchanges, CMS is proposing to drop that limit to two.
The agency argued that this would make it easier for enrollees to select a plan that meets their needs, as they would have to sift through fewer options. However, insurers counter that...
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