Alert on Essential Health Benefits

From: Dena Kilgore, CAE
Subject: Alert on Essential Health Benefits

On Friday, October 27^th, the Centers for Medicare and Medicaid Services (CMS) released the Notice of Benefit and Payment Parameters for 2019 proposed rule. Within the rule, CMS proposes standards for issuers and Exchanges, generally for plan years beginning on or after January 1, 2019. This proposed rule is intended to increase flexibility in the individual market, improve program integrity, and reduce regulatory burdens associated with the Patient Protection and Affordable Care Act in the individual and small group markets. APTA will be providing comments to the CMS, as well as preparing a template letter for members to submit to CMS as well. The template letter will be made available to members in approximately the next 7-10 days. A summary of the Notice of Benefit and Payment Parameters for CY 2019 proposed rule is attached.

Comments can be submitted electronically via regulations.gov.  In the Search box, type in the name of the rule (HHS Notice of Benefit and Payment Parameters for 2019) and then follow the “Comment Now” instructions.

Comments on the rule are due by November 27, 2017.