Discover and read the best of Twitter Threads about #NBPP2023
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đź“Ł Yesterday CMS released #NBPP2023! This is a Big Deal in healthcare wonkery circles.
The NBPP is the rulebook for various changes in how the #ACA will be administered in the upcoming year. Each year there's various tweaks...some major, some minor. 1/
The NBPP is the rulebook for various changes in how the #ACA will be administered in the upcoming year. Each year there's various tweaks...some major, some minor. 1/
The document itself is several hundred pages, but it boils down to a dozen or so major provisions (plus various minor ones).
Some of these get *really* wonky & over my head, but most aren't too in the weeds. I've broken them out into several posts. 2/
Some of these get *really* wonky & over my head, but most aren't too in the weeds. I've broken them out into several posts. 2/
First up: STANDARDIZED PLANS!
A few years ago, there was a risk of "bare counties" where there weren't ANY insurance carriers offering ACA policies. Today, it's the opposite: The market is often saturated with *hundreds* of near-identical plans. 3/
acasignups.net/22/04/28/nbpp-…
A few years ago, there was a risk of "bare counties" where there weren't ANY insurance carriers offering ACA policies. Today, it's the opposite: The market is often saturated with *hundreds* of near-identical plans. 3/
acasignups.net/22/04/28/nbpp-…
The 2023 Notice of Benefit and Payment Parameters is out today.
These are the rules set by the Biden Admin for #ACA health coverage, including the Marketplaces, with focus on:
—Network Adequacy
—Standardized Plans
—Non-discrimination
—Risk Adjustment public-inspection.federalregister.gov/2021-28317.pdf
These are the rules set by the Biden Admin for #ACA health coverage, including the Marketplaces, with focus on:
—Network Adequacy
—Standardized Plans
—Non-discrimination
—Risk Adjustment public-inspection.federalregister.gov/2021-28317.pdf
2/ the Biden Admin is proposing to reestablish federal review of provider networks to make sure enrollees don’t have to travel too far or long to access in-network doctors or hospitals. This is especially important now as “free” plans put pressure on insurers to narrow networks
3/ The Biden Admin is also proposing to require insurers to offer some standardized plan options in all states. This standardization of plan design helps enrollees make apples-to-apples comparisons across insurers. States like California have already been doing this with success
