Tuesday, November 24, 2015

CMS Proposes Changes to the Affordable Care Act

Dana Halvorson


According to a November 21, 2015, Inside Health Policy article written by Amy Lotven, on Friday, November 20, the Centers for Medicare & Medicaid (CMS) “proposed wide-ranging changes to the Affordable Care Act's exchange plans and related policies for 2017, including standardizing plan offerings by metal level, requiring states to select minimum network adequacy standards, counting out-of-network charges toward the maximum limits, changing the risk adjustment methodology and adding new options for the Small Business Health Options Program. The proposed Notice of Benefit and Payment Parameters also sets the 2017 open enrollment period from Nov. 1, 2016 through Jan. 31, 2017, keeps the fee for issuers in federally facilitated marketplace states at 3.5 percent of premiums and suggests a 3 percent user fee for states that opt to ‘lease’ the Healthcare.gov platform while keeping control of other exchange functions.” 

Comments on the proposed rule are due by December 21, 2015. A CMS press release, FAQ and the proposed rule itself can be found on the CMS website. In addition, more information about the health care law in general is on the AHCA/NCAL website.



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