CMS issues proposed notice of benefit and payment parameters for 2023
The Centers for Medicare & Medicaid Services Dec. 28 issued a proposed rule that would implement for 2023 the standards governing health insurance issuers and the Health Insurance Marketplaces. In the rule, CMS proposes updating the qualified health plan network adequacy standards and review process and increasing the essential community provider threshold. CMS also proposes 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 5th U.S. Circuit Court of Appeals Aug. 11 ruled to vacate certain regulations implementing how the No Surprises Act qualifying payment amount is calculated…
Headline
Update: The Senate passed the continuing resolution Aug. 8 by a vote of 90-6 and one present vote. The Senate is expected to vote this week on its own…
Headline
The AHA July 27 expressed support for the National Nursing Workforce Center Act of 2025 (S. 1482), legislation that would establish state-based nursing…
Headline
House passes CR to fund government through Dec. 4 and budget resolution for next reconciliation bill
The House July 21 passed a continuing resolution that would fund the government through Dec. 4 by a 220-205 vote. The CR does not include extensions of key…
Headline
The AHA provided comments July 21 to the Senate Committee on Health, Education, Labor and Pensions on price transparency, nursing workforce and rural…
Headline
The House Budget Committee July 16 passed a budget resolution by a 20-14 vote along party lines during a markup, paving the way for a new reconciliation bill…