CMS Releases Final Regulations on 2016 Notice of Benefit and Payment Parameters

February 18, 2015
Author: Antonette
Posted In General

On February 20, 2015, the Department of Health and Human Services’ Centers for Medicare and Medicaid Services (CMS) released final regulations on the notice of benefit and payment parameters for 2016, as required by the Affordable Care Act. The final regulations establish payment parameters and provisions related to the risk adjustment, reinsurance, and risk corridors programs; cost-sharing parameters and cost-sharing reductions; and user fees for the federally-facilitated Exchanges. The regulations also finalize additional standards for the individual market annual open enrollment period for the 2016 benefit year, essential health benefits, qualified health plans, network adequacy, quality improvement strategies, the Small Business Health Options Program, guaranteed availability, guaranteed renewability, minimum essential coverage, the rate review program, the medical loss ratio program, and other related topics. -- AON

Click here to view the final regulations.

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