Thread by @cynthiaccox

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

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

4/ The Biden Admin is also proposing to reverse a Trump Admin change that removed LGBTQI 🏳️‍🌈 protections against discrimination — and to create new standards for preventing discriminatory plan design for people with chronic diseases

5/ There are a number of proposed tweaks to risk adjustment, including —in a sign of the times — consideration of the “targeted removal of hydroxychloroquine.”

Insurers would also have to start reporting data on race and some other demographics of enrollees.

Those are some of the main #NBPP2023 changes that jump out to me. It’s over 400 pages so there’s a lot more in there! I’m sure @KrutikaAmin @jgmcglamery @LindseyH_Dawson and @bjdickmayhew will have more to add …

@KrutikaAmin @jgmcglamery @LindseyH_Dawson @bjdickmayhew More from @LindseyH_Dawson (thread)

https://twitter.com/LindseyH_Dawson/status/1476221363631411207