The Final 2023 Notice of Benefit & Payment Parameters: Implications for States

On April 28, 2022, the Centers for Medicare & Medicaid Services (CMS) released its final Notice of Benefit & Payment Parameters for plan year 2023. This annual regulation governs core provisions of the Affordable Care Act (ACA), including operation of the health insurance marketplaces, standards for insurers, and the risk adjustment program. In her latest Expert Perspective for the State Health & Value Strategies program, Sabrina Corlette assesses provisions of the final rule that are of particular import to the state-based marketplaces (SBMs) and state insurance regulators. These include new network adequacy standards and oversight, the roll out of standardized health plans, rules for nondiscrimination, and tightened requirements for insurance brokers. You can read the full post here.

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