Health Affairs January 19, 2019
Katie Keith

On January 17, 2019, the Centers for Medicare and Medicaid Services (CMS) released its proposed 2020 Notice of Benefit and Payment Parameters rule. The proposed rule was accompanied by a fact sheet, the 2020 draft letter to insurers in the federal marketplace, key dates for calendar year 2019, a draft actuarial value (AV) calculator, and AV calculator methodology. CMS is accepting comments on the proposed rule through February 19, 2019.

This post addresses proposed changes to the risk adjustment program. A previous post covered changes in plan benefits, eligibility, and enrollment.

Overview

The ACA included three premium stabilization programs: risk corridors, reinsurance, and risk adjustment. The risk corridor and reinsurance programs lasted from 2014, 2015, and 2016. The third premium...

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