HHS Notice of Benefit and Payment Parameters

On November 20th, the Centers for Medicare and Medicaid Services (CMS) issued a proposed rule on benefit and payment parameters for benefit year 2017. Key provisions of the proposed rule would include modifications to payment parameters, network adequacy requirements, the Small Business Health Options Program, and the re-enrollment process for coverage purchased through the federal and state exchanges. The proposed rule would also create a new exchange model, the State-based Exchange on the Federal Platform, and introduce standardized plan options.

CMS will accept comments on the proposed rule until December 21st. The attached document summarizes several major provisions of the proposed rule, which is available here.