The Centers for Medicare & Medicaid Services today issued its draft 2018 Letter to Issuers, which provides operational and technical guidance to insurers intending to sell qualified health plans through the federally-facilitated Health Insurance Marketplaces in 2018. The letter incorporates new standards proposed in the Department of Health and Human Services’ 2018 Notice of Benefit and Payment Parameters proposed rule, released in September. Comments on the letter are due Dec. 1.