Regulatory Analysis , Webinar | Mar 11, 2016

Webinar: Final 2017 Notice of Benefit and Payment Parameters and Letter to Federal Marketplace Issuers

Manatt Health

The Department of Health and Human Services (HHS) recently published its final Notice of Benefit and Payment Parameters for 2017, as well as the final version of its 2017 letter to Qualified Health Plan (QHP) issuers participating in the federally-facilitated marketplace (FFM).  The State Network team at Manatt Health led a webinar explaining this final rule and what it will mean for states.  Key features of the rule discussed in this webinar presentation included new policies such as establishing voluntary standardized cost-sharing designs, protections against surprise bills from out-of-network providers, and a mechanism for state-based marketplaces (SBMs) to use the federal technology platform.  HHS has also revised its approach to network adequacy based on comments on the draft payment notice that had been published in November.