Tag Archives: qualified health plans

New Deadlines Give Insurers More Time To Decide On 2018 Marketplace Participation

On February 17, the Department released drafts of a proposed bulletin announcing new rate filing deadlines; a revised list of key dates for 2017; and an addendum to its 2018 letter to issuers in the federally facilitated marketplace released last December incorporating the new certification dates.

February 17, 2017

Unpacking The 2018 Draft Letter To Federally Facilitated Marketplace Issuers

On November 10, CMS released its Draft 2018 Letter to Issuers in the Federally Facilitated Marketplace. President-Elect Donald Trump and the Republicans in control of Congress are committed to repealing the ACA, but until Congress actually acts, CMS has no option but to proceed normally.

November 11, 2016

House v. Burwell And Qualified Health Plans For 2017

A new CMS provision on qualified health plans addresses concerns raised by House v. Burwell.

September 22, 2016

CMS Releases Draft List Of Essential Community Providers

On August 31, 2016 the Centers for Medicare and Medicaid Services released a draft list of essential community providers, which can be used by insurers seeking to comply with the ECP requirements that apply to qualified health plans.

September 2, 2016

CMS Releases FAQs On Transparency And Quality Rating Guidelines

On August 3, CMS released a series of frequently asked questions, most of which provide additional detail on recently released transparency and quality rating guidelines. One FAQ may cover circumstances that could follow an adverse ruling for the government in House v. Burwell.

August 4, 2016

CMS Releases Draft QRS And QHP Enrollee Experience Call Letter

CMS has released a draft 2016 call letter proposing refinements to the Quality Rating System (QRS) and Qualified Health Plan (QHP) Enrollee Experience Survey. CMS also released its Transparency in Coverage QHP Issuer Instruction Guide for Plan Year 2017 and transparency template.

July 26, 2016

Lessons From California’s Public Reporting On Pathways To Health Insurance Coverage

California launched an ambitious effort to collect and report key data on the pathways to publicly subsidized health care coverage. The systematic understanding that the state is building about the flow of enrollment lays the groundwork for fully understanding the challenges of connecting...

May 4, 2016

CMS Releases Revised Transparency Proposal For QHPs

On April 29, 2016, the Centers for Medicare and Medicaid Services posted in the Federal Register and at its Paperwork Reduction Act (PRA) website its final proposal for Transparency in Coverage Reporting for Qualified Health Plans

May 2, 2016

HHS Analyzes 2016 Marketplace Premiums As 2017 Proposals Come In

Insurers began filing their 2017 QHP proposals with the federally facilitated marketplace on April 11, 2016, however some insurers are likely to propose significant rate increases for 2017. An Issue Brief released on April 12, 2016 by ASPE, however, seeks to put proposed premium increases in...

April 12, 2016

CMS Posts Slides From 2016 Qualified Health Plan Issuer Conference

CMS has posted more than twenty slide sets from the 2016 Qualified Health Plan (QHP) issuer conference which was held in Baltimore from March 2 through 4, 2016.

March 11, 2016