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.
Related News Articles
Headline
The AHA Oct. 3 responded to the Medicare Payment Advisory Commission’s recent analysis on the financial impacts of Medicare Advantage enrollment growth on…
Perspective
“Trust but verify” is a phrase often associated with President Reagan and the need to ensure that treaties enacted with the Soviet Union were being upheld.…
Headline
An analysis published Sept. 30 by KFF found that Health Insurance Marketplace enrollees who currently benefit from the enhanced premium tax credits would pay…
Headline
The AHA Sept. 29 sent recommendations to the Department of Health and Human Services and the Centers for Medicare & Medicaid Services to help ensure…
Headline
The Census Bureau reported (https://www2.census.gov/library/publications/2025/demo/acsbr-024.pdf) that the uninsured rate increased nationally to 8.2% in 2024…
Headline
The Centers for Medicare & Medicaid Services Innovation Center Sept. 2 announced changes to the Achieving Healthcare Efficiency through Accountable Design…