Health Affairs October 28, 2017
On October 27, 2017, the Centers for Medicare and Medicaid Services released its proposed 2019 Notice of Benefit and Payment Parameters. The proposed rule was accompanied by a fact sheet and guidances on the implementation of the new SHOP exchange and essential health benefits requirements. Finally, CMS also released on a draft actuarial value (AV) calculator and AV calculator methodology.
The “payment notice,” as it is called, is an annual CMS omnibus rule that pulls together in one place all the major changes that HHS intends to implement for the next plan year for the marketplaces (in particular, the federally facilitated exchange (FFE) and SHOP marketplaces), the premium stabilization programs, and the health insurance market reforms generally. HHS is accepting...
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