Tag: Essential Health Benefits

The Department of Health and Human Services Releases 2023 Draft Marketplace Rules & Guidance for Health Issuers
On December 28, 2021, the Department of Health and Human Services (HHS) released the Proposed 2023 Notice of Benefit and Payment Parameters (NBPP), along with accompanying technical guidance on risk ...

The Department of Health and Human Services Finalizes Third Exchange Rule for 2022
The Department of Health and Human Services (HHS) finalized the third part of the Notice of Benefit and Payment Parameters for 2022 (NBPP) this month. As the Summer Edition of ...

Following the Supreme Court’s Decision upholding the Affordable Care Act, the Department of Health and Human Services issues Proposed Regulations on the Exchange and the No Surprises Act
Exchange Guidance As expected and previewed in Part 2 of the final Notice of Benefit and Payment Parameters for 2022 (NBPP), the Biden Administration issued its first independent Exchange rule ...

CMS Issues Further Exchange Guidance: Second Final Notice of Benefit and Payment Parameters for 2022 and 2022 Final Letter to Issuers in the Federally-facilliated Exchanges
On April 30th, The Centers for Medicare and Medicaid Services (CMS) released the second final Notice of Benefit and Payment Parameters for 2022 and Pharmacy Benefit Manager Standards (NBPP), as well ...

Health Policy News – November 2020
This month, two major events at the federal level took place that will have lasting impacts on health policy. First, of course, was the election. Then, just a week later, ...

New State Funding Opportunity Released
Earlier this month, the Centers for Medicare and Medicaid Services (CMS) announced a second cycle of the State Flexibility to Stabilize the Market Grant Program. A follow-up to grants initially ...

Comments on 2021 Proposed Payment Notice and Draft Letter to Issuers in the FFM Due March 2nd
On January 31, 2020, the Centers for Medicare and Medicaid Services (CMS) released the proposed Notice of Benefit and Payment Parameters (NBPP) and the draft Letter to Issuers in the ...

Health Policy News December Edition
Introduction As in years past, the primary focus of the December edition is highlighting some of the important topics we wrote about in 2018, while also foreshadowing policy trends that ...

A Look at Two States’ Responses to the Association Health Plan Final Rule
Implementation of the new Federal Association Health Plan (AHP) Rule—and new options for associations seeking to offer health insurance coverage—is well underway. The new rule became effective for all fully-insured ...