CHA has issued a members-only summary, prepared by Health Policy Alternatives, Inc., of the proposed notice of benefit and payment parameters for 2023 issued by the Centers for Medicare & Medicaid Services (CMS). Comments are due to CMS by 2 p.m. (PT) on Jan. 27.
The summary details several proposed changes and updates to the risk adjustment and risk adjustment data validation programs and methodologies, updates to certain payment parameters, and changes in areas including adding specificity to non-discrimination provisions. CMS proposed to re-establish standardized benefits as well as federal network adequacy requirements and reviews.
In addition, the rule seeks comment on how the Department of Health and Human Services (HHS) can advance health equity through qualified health plan certification standards and otherwise in the individual and group health insurance markets, and how HHS might address plan choice overload in the exchanges.