2016 – TSGAC – Comments on HHS Notice of Benefit and Payment Parameters for 2018 (CMS-9934-P)

Comments submitted  on the proposed rule published in the Federal Register on September 6, 2016, and titled “Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2018”, CMS-9934-P (Proposed Rule)

The Proposed Rule sets forth payment parameters and provisions related to the risk adjustment program; cost-sharing parameters and cost-sharing reductions; and user fees for Federally Facilitated Exchanges (FFEs) and State-Based Exchanges on the Federal Platform (SBE-FPs).
It also provides additional guidance relating to standardized options; qualified health plans
(QHPs); consumer assistance tools; network adequacy; the Small Business Health Options Program; stand-alone dental plans; fair health insurance premiums; guaranteed renewability; the medical loss ratio program; eligibility and enrollment; appeals; and other related topics.