Health Affairs December 15, 2022
Matthew Fiedler

On December 12, 2022, the U.S. Department of Health and Human Services published the proposed 2024 Notice of Benefit Payment Parameters and related materials. The proposed rule contains a wide-ranging set of proposals: a previous article by Sabrina Corlette focused on insurance market reforms and consumer assistance provisions, and a subsequent article by Jason Levitis will address proposed changes to marketplace operational standards and policies related to Advance Premium Tax Credits.

This piece summarizes proposals related to the individual and small group market risk adjustment programs. This year’s payment notice largely proposes to continue existing risk adjustment policies, a contrast with the 2022 and 2023 payment notices, each of which proposed substantial changes to risk adjustment (some of which were...

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Topics: ACA (Affordable Care Act), CMS, Govt Agencies, HHS, Insurance, Patient / Consumer, Provider
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