CMS finalizes notice of benefit and payment parameters for 2023
The Centers for Medicare & Medicaid Services today issued a final rule that will implement for 2023 the standards governing health insurance issuers and the Health Insurance Marketplaces. In the rule, CMS updated the qualified health plan network adequacy standards and review process and increased the essential community provider threshold. CMS also finalized new standardized plan options, changes to the risk adjustment models and risk adjustment data verification methodology, and a number of policies intended to advance health equity.
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