HealthCheck, March 2016

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March 9, 2016

Legislative/Regulatory Updates

check markThe U.S. Department of Health and Human Services has released the final Notice of Benefit and Payment Parameters for 2017. The final rule addresses payment parameters related to the risk-sharing mechanisms under the Affordable Care Act (ACA), federally facilitated exchange user fees, and cost-sharing parameters, among other ACA provisions.

check markIn addition to the final benefit and payment parameters for 2017, the Centers for Medicare & Medicaid Services released several key documents and statements on Feb. 29, including:

  • Frequently asked questions (FAQ) on the 2017 Health Insurance Provider Fee charged to each entity providing health insurance under the ACA. The applicable amount for the 2017 fee year is $13.9 billion, and the moratorium has no effect on the fee amount for 2018.

  • Key dates in 2016 regarding qualified health plan (QHP) certification, rate review, risk adjustment, and reinsurance. Open enrollment will take place from Nov. 1, 2016, through Jan. 31, 2017.

  • Special guidance on the unified rate review template (URRT) uniform timeline regarding rate filings for single risk pool coverage.

  • Additional guidance on the extended transition to ACA-compliant policies. This transition will bring all non-grandfathered coverage in the individual and small group market into compliance no later than 2018.

  • A final 2017 letter was issued to issuers in the federally facilitated marketplaces to ensure full compliance with the ACA.

In the News/Media Activities

An article in TheStreet used the Academy’s analysis of cost drivers of 2016 health insurance premiums to help frame a discussion of how consumers can reduce their health care costs. The story was widely published in other media outlets, including MSN Money and the Philadelphia Sun-Times.

Life & Health Advisor reported on the Academy’s newly released election guides, which provide substantive information to the voting public about Medicare and other public policy issues during this presidential primary campaign season.

Save the Date: Life and Health Qualifications Seminar

The 2016 Life and Health Qualifications Seminar will be held Nov. 13-17 in Arlington, Va., outside of Washington, D.C. Stay tuned for registration information.