Changes Coming to Qualified Health Plans: A Review of Key Changes and Industry’s Response
This Briefing is brought to you by the Health Plan Affinity Group of AHLA’s Payers, Plans, and Managed Care Practice Group.
- March 31, 2022
- Carla DewBerry , K&L Gates LLP
- Steve Pine , K&L Gates LLP
On January 5, 2022, the Centers for Medicare & Medicaid Services (CMS) published its annual Notice of Benefit and Payment Parameters for 2023 (the Notice). The Notice, which is issued annually, serves to implement and update the Patient Protection and Affordable Care Act (ACA) requirements and programs for insurers, including the operation of qualified health plans (QHPs) operating on ACA federally facilitated exchanges (FFEs) and the state-based exchanges (together, Exchanges). The Notice was followed on January 7, 2022, by a letter to organizations offering health plans on the FFEs (Issuers) alerting them that the Notice had been issued and providing them with “updates on operational and technical guidance for the 2023 plan year for issuers.
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