ACA Benefit and Payment Parameters Proposed Rule

On August 29th, CMS issued a proposed rule on benefit and payment parameters for plan years that begin on or after January 1, 2018. The rule proposes standards for issuers and Health Insurance Marketplaces under the Affordable Care Act. Key provisions of the proposed rule include modifications to the risk adjustment program, payment parameters, standardized option plans, and other market reforms.

CMS will accept comments on the proposed rule until October 6th. The attached document summarizes several major provisions of the proposed rule, which is available here.