Health Affairs November 20, 2023
On November 15, 2023, the U.S. Department of Health & Human Services (HHS) released a proposed rule to update standards that apply to Marketplaces and health plans under the Patient Protection & Affordable Care Act (ACA) for plan year 2025. In addition to the rule, referred to as the Notice of Benefit & Payment Parameters or informally as the “Payment Rule” or “Payment Notice,” HHS released a fact sheet, a draft 2025 Letter to Issuers, a proposed 2025 Actuarial Value Calculator and methodology, and guidance providing updated numerical parameters for 2025. Comments on the proposed rule are due within 45 days of the rule’s publication in the Federal Register, and comments on the Draft Letter to Issuers are due on...
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