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The 2021 Proposed Payment Notice, Part 1: Insurer Provisions
Health Affairs February 1, 2020
On January 31, 2020, the Centers for Medicare and Medicaid Services (CMS) released its proposed 2021 Notice of Benefit and Payment Parameters rule. The proposed rule was accompanied by a fact sheet, the 2021 draft letter to insurers in the federal marketplace, key dates for calendar year 2020, an extension of the non-enforcement policy for transitional (or “grandmothered”) policies, and a press release. CMS previously released a proposed rate review timeline and draft actuarial value (AV) calculator and AV calculator methodology for 2021. CMS is accepting comments on the proposed rule through March 2, 2020.
The “payment notice” is issued on an annual basis to adopt a variety of major changes that CMS intends to implement for the next plan...
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