Healthcare DIVE April 9, 2018
Jeff Byers

Dive Brief:

  • CMS on Monday issued a final rule giving states flexibility in selecting essential health benefits under the Affordable Care Act. States can build their own set of benefits to be used as a benchmark plan for EHBs, subject to new requirements.
  • The rule allows states to loosen the current regulations on the medical loss ratio, which requires payers spend at least 80% of premium income on healthcare and quality improvement.
  • In addition, CMS issued new guidance to expand ACA’s hardship exemptions to including people who live in counties with no or only one insurer offering plans.

Dive Insight:

The sweeping rule is the latest in the...

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Topics: ACA (Affordable Care Act), CMS, Govt Agencies, Insurance, Patient / Consumer, Payer, Public Exchange, Regulations, States
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