Health Affairs May 8, 2020
On May 7, 2020, the Centers for Medicare and Medicaid Services (CMS) released its final 2021 Notice of Benefit and Payment Parameters rule. The final rule was accompanied by a fact sheet, key dates for calendar year 2020, the 2021 final letter to insurers in the federal marketplace, and a press release. CMS also issued a revised rate review timeline in light of COVID-19.
The “payment notice” is issued on an annual basis to adopt major changes for the next plan year in areas such as the marketplaces, the risk adjustment program, and the market reforms. Consistent with the proposed rule, the final 2021 payment rule—the third payment rule to be proposed by the Trump administration—includes few major changes and...
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