Health Affairs April 10, 2018
On April 9, 2018, the Centers for Medicare and Medicaid Services (CMS) finalized the Benefit and Payment Parameters rule for 2019. CMS also released the final 2019 letter to issuers in the federally facilitated exchanges and extended the previous policy for “grandmothered” or “transitional” policies for another year. Accompanying the rule and letter, CMS released a press release, fact sheet, and additional documents, including:
- Guidance on hardship exemptions from the individual mandate penalty for those experiencing limited coverage options or other circumstances;
- A sample methodology for comparing essential health benefits benchmark plans;
- A list of key dates in 2018 for the 2019 plan year;
- Unified rate review instructions for single risk pool plans and rate review justification reporting requirements...