Health Affairs November 28, 2020
On November 25, 2020, the Centers for Medicare and Medicaid Services (CMS) released its proposed 2022 Notice of Benefit and Payment Parameters rule. The proposed rule was accompanied by a fact sheet, and a press release. 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 year in areas such as the marketplaces, the risk adjustment program, and the market reforms.
A first post addressed changes that generally apply to the exchanges. A second post addressed changes regarding medical loss ratio (MLR) requirements, the coverage of essential health benefits, special enrollment periods, and reporting of prescription drug information by pharmacy benefit managers. This post considers...
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